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The Ads make it all seem so simple. He can't get an erection so he takes the medicines and comes back in the same romantic mood. What the Ads don't show you: The painful distress a woman can experience when her man suffers with Erectile Dysfunction(ED).Most of the Women internalize things - they tend to blame themselves first, thinking it's because they have done something wrong, or that they are no longer attractive to their partner. In fact, the first thing a woman thinks when a man can't get an erection is that it's her fault, and nothing could be further from the truth. ED, is medically defined as the inability to achieve or sustain an erection long enough for sexual intercourse. Although many women and men as well continue to view ED as a sexual issue, but it may be because of physical conditions such as diabetes, high cholesterol, or even the earliest stages of heart disease. Even more often, it can be the result of certain medications used to treat these conditions, particularly some high blood pressure drugs. Unfortunately, a lack of education about the causes of ED are frequently behind a woman's self-blame, as well as her increasing anxiety, and sometimes, even feelings of hurt and anger when the problem occurs. Most women usually start with a line of questioning that often has some anxiety or hurt to it. She may suspect her partner is having an affair, or that he just doesn't find her desirable anymore, so she begins to hint around at these possibilities. The end result: The couple can stop communicating altogether - not only in the bedroom, but in all aspects of their relationship. And that can only make problems worse for both partners. Don’ts for Woman: If you suddenly buy some sexy new clothes - well, that's only going to put more pressure on him, and it's not going to help the ED one bit so don’t do it. Don’t’ stroke him harder . As such, the more and the harder you try, the worse it's going to be for him - and for you - when it doesn't happen. Do’s for Woman: The most important is to remember it's not your problem and you're not the cause. You have to treat this the way you would any other non-life threatening issues in your relationship, and just calmly discuss it. If you put it in the context of a physical problem and not a sexual one, most men will be less likely to 'shut down' or shut you out. Also important, to let him know that you have enjoyed the physical part of your relationship together, and that you miss it. Suggest him to visit to a good qualified doctor along with you or may go alone for the treatment because this is a vary important issue of your married life. This is the time to treat him as your best friend - to be warm, to be friendly, to let him know that you care about him, that he is desirable, that physical closeness is important.

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The World Heart Day was there and we all were discussing about heart but we should also try to understand the relation ship between Erectile Dysfunction (E.D.) and The Heart.

At first we should under stand about E.D. Erectile dysfunction is one of the most common sexual disorder effecting men. This distressing condition can destroy a man’s ego and threaten happy relationships. Erectile dysfunction is nothing but a condition, wherein a person has difficulty in getting and /or keeping an erection. It affects about half of all men aged 40 to 70 years and one third men below 40 years of age.

It’s not really a new thing that there is a relationship between vascular disease and erectile dysfunction, but recent studies are telling us that those suffering from impotence may be up to three times more likely to have a heart attack. Another study found, problems in the arteries of men with erectile dysfunction, which has implications not only for heart attacks, but also strokes. These findings make it more important than ever for men to see qualified doctors when they're experiencing problems with intercourse.
Historically, the biggest challenge in the fight against impotence hasn’t been a lack of treatment options. It’s been getting men to visit qualified doctors in the first place. Experts say that less than 50 percent of men living with impotence see the qualified doctors in this regard.
A man may see some improvement simply by making some simple lifestyle changes such as reducing alcohol intake, exercising more often, having healthy food or quitting smoking. These may sound a lot like ‘heart-patient recommendations,’ but it goes to show just how significant the link between erectile dysfunction and heart disease really is.
Reduced blood flow to the penis and nerve damages are two of the most common causes of erectile dysfunction. Hardening and narrowing of the arteries (atherosclerosis) can reduce blood flow throughout the body and lead to impotence. High levels of blood sugar associated with diabetes—another risk factor for heart disease—may damage small blood vessels and nerves throughout the body, which can impede blood flow or nerve signals necessary for erection.
In the majority of cases, erectile dysfunction can be successfully treated. We have effective treatments that can be tailored to a couple’s lifestyle and needs. It is not an inconsequential ‘problem’ or one that will simply go away, so it shouldn't be brushed off—especially considering the other implications.
So the conclusion is that, the impotence is not related with your bed room or your married life only, it is related with your “life” (The Heart) and if you face any type of lack in your erection or sex life it should be taken care seriously and should never be ignored.

Vascular Surgery: Time For Recognition
DR GAURAV SINGAL M.S,DNB (VASCULAR SURGERY), FIVS(DUSSELDORF, GERMANY)
SENIOR VASCULAR SURGEON AND CHIEF
INSTITUTE OF VASCULAR SCIENCES,IVY HOSPITAL, MOHALI, INDIA
Answers to problems in vascular surgery, like the refinement of diagnostic techniques and the development of biologically better small arterial substitutes, are slowly emerging. But what has so far eluded is independent recognition of vascular surgery as a separate specialty.
In a historical perspective, these problems are not unexpected. For centuries, even millennia, medicine was an undivided unitary segment of human interaction with the hostility of nature. There was no conceivable reason to parcel out the meager factual cargo that encompassed the knowledge of diseases and the (usually fruitless) attempts to deal with them.
A physician was a person whose identity was sharply defined within an unchanging circle of activity. It was only in relatively recent times (some 300 years ago), that the first dichotomy appeared in this image: the recognition of a new type of physician who used his or her hands in treating disease, that is, the surgeon. A veritable deluge of change came as medicine assumed the aspects of science no more than 100 years ago. Internal medicine and surgery assumed sharply distinguished silhouettes during the last 50 years; their further fragmentation has resembled a chain reaction.
This process has forced each subdivision of the large entity of medicine to face the same problem of defining its identity, as we now see in vascular surgery. Elemental and vitally important questions arose: Is the existence of the new subdivision justified by the goal it seeks to achieve? What exactly is the scope of its legitimate interest? Who is entitled to enter it? How does one acquire this entitlement?
The difficulties do not lie only at clinical level; a mundane concern also enters the picture. The practitioners of the parent discipline instinctively resent the contraction of their territory. The interests of the new specialty often conflict with the aspirations of other fields that have been newly created.
The need for the very existence of new branches is often questioned. All these historical conflicts have afflicted the birth and growth of vascular surgery.
Everyone knows about heart diseases, but very few know about vascular diseases. In fact, vascular disease kills and cripples almost as many Indians as does a heart disease or cancer. The sheer magnitude of the problem of vascular disease in India is staggering.
Although there is no accurate vascular registry, the fact that there are over 25 million diabetics in the country is just a small pointer to the vast numbers of the undiagnosed vascular cases. Patients having severe vascular diseases have been treated for low backache and arthritis for years.
It is only the onset of peripheral gangrene which brings to light the fact that arterial pulsations have been absent for long periods of time hitherto unnoticed. Even after diagnosis, the only treatment for these unfortunate cases has been amputations, which leaves the primary vascular problem unsolved. The lack of awareness of the disease is so acute, that even some cardio-vascular surgeons have never heard of a separate, independent vascular surgery department or a vascular surgeon leave aside general practitioners. A truly tragic situation indeed!
From the beginning, the existence of independent vascular surgery as a specialty was challenged by the Medical Council of India (MCI), as in India it is still considered to be a part of the broad speciality of cardio-thoracic-vascular surgery (CTVS). To the exception MCI has granted Madras Medical College, Chennai to start the MCh training programme in vascular surgery, but unfortunately the facility can only be availed by the surgeons of the state, thereby denying valuable training opportunity to the surgeons from rest of the country.
However, all the hope is not lost for vascular patients in India. Thanks to the effort of National Board of Examination (NBE), New Delhi, which understood and realised the magnitude of the problem. With a vision and mission in 2001, the NBE started a two-year fellowship programme in peripheral vascular surgery and hence giving a separate independent recognition to this subject. Presently, this course is available in only three major cities and because of its popularity has been converted into a full fledged 3 years program from 2008 onwards. Not only this Sri chitra institute Trivandrum has also started the Mch program in vascular surgery from 2008 onwards.This suffices to say the growing popularity of this speciality in medical fraternity.
Inspite this, the picture is not clear. Cardiac surgeons in India still claim themselves to be the best vascular surgeons also. No matter, as in reality there operative vascular work is less than two per cent and their CTVS training is focussed only towards cardiac surgery. Infact the approach, diagnosis and therapy of vascular diseases is very much different from the approach to a patient with heart disease.
No reason to blame them .Infact what is required is a separate recognised, independent vascular surgery department, which can take care of peripheral vascular system.
Not only that, to confuse and complicate the issue further we now have general surgeons, thoracic surgeons and general surgeons with some experience in vascular surgery, all claiming to do vascular operations. Now even cardiologists and radiologists are claiming themselves in the race of treating and eliminating vascular diseases.
This conceptual puzzle kept many hundreds of surgeons in resentful confusion for years. Time, however, slowly but surely has begin to sort out this confusion. Hospitals concerned with their professional standing are increasingly inclined to grant vascular privileges to new staff members, only if they are certified by the MCI or NBE as having special or added qualifications in vascular surgery.
The image of the vascular surgery is gradually acquiring formal recognition .Time is not far away when this speciality will get its due and will go on to serve the ailing community.

SUBJECT – pediatric respirations

Complains like – allergic bronchitis or bronchiectasis( throat infection involves bronchii of respiratory tract)

- allergic rhinitis( frequent cold coryza involves nasal track with or without discharges from it)

- allergic sinusitis ( blockage of sinuses from cold cough causes pain of head, throat , face with chronic history of allergic rhinitis)

- bronchial asthma( recurrent bronchitis or bronchiectasis causes difficult in breathing, gasping for breath , taking long breath with mild chest tightness or pain sometimes)

- nasal blockage( chronic sinusitis or rhinitis causes nasal blockage due to that there is a blockage in respiratory passages and faces difficulty in breathing )

- difficulty in respiration( either nasal blockage or chronic bronchitis or bronchial asthama this complain is a common to occure)

- recurrent laryngitis( infection and redness of larynx due to that difficulty in speaking or eating or degluting anything with throat pain)

- recurrent pharyngitis( same as laryngitis but instead of larynx it involves pharynx and causes same throat infections and all the symptoms of laryngitis)

- recurrent tonsillitis( swelling of tonsils causes severe pain of throat with fever and bodyache. Chronic history of it will end in operation of it and removal of tonsils but with homeopathic medicines there is no need of operation of it)

- recurrent aphonia( loss of voice is might be due to overuse of it from loud voice and speaking or reading loudly gradually will end up in complete loss of voice for some time )

- pulmonary fibrosis( lungs get fibrosed and due to that infection high fever with difficult respiration and at the end lung collapsed)

- pulmonary tuberculosis( its also called as KOCH’S disease which is curable now a days with the help of regular course of AKT treatment in allopathic medications and few of the homeopathic medicines are helping in relieving symptoms and sufferings of the patients )

- emphysema( another condition of lungs involvement when disease progresses and causes more damage to lungs its get converted into emphysema this phase is also curable in early detections).

- Pneumonia( most common complain in pediatric age groups generally chronic history of cough cold coryza and bronchitis or sinusitis will end in pneumonia which is curable with some time and proper medications)


PRECAUTIONARY MEASURES FOR ANY RESPIRATORY TRACT INFECTIONS

1. Avoid any dusting or fumes or pollens or smoke or any other allergic agents or polluting agents entering in your respiratory tract
2. for pediatric age group specifically they have to stop taking any of artificially flavoured or coloured food in their food habbit
3. avoid as many sweets / chocolates / ice creams / pastries / curd / cold food / cold drinks / fermented food as they can.
4. some of the pranayam or yoga tricks will help in their respiratory growth and will prevent in getting infected frequently by increasing their immunity
5. avoid direct contact with the kids or adults also who are suffering from any of the respiratory tract infections.
6. give them proper nutritional diet in their daily dieteric habbit like fruits, fruit juices, raw vegetables in the form of salads, green leafy vegetables as much as they can have it.
7. avoid mixing up two thermals at a time like heat and cold alternately in a particular time as for eg. Going directly to sun exposure immediately after having cold bath. Will affect kids and will develop allergic respiratory problems.
8. avoid damp, humid atmosphere like basements, sea shore, airconditioners , etc.
9. add some of the ayurvedic properity noramally available things in your daily food like tulsi, turmeric, ginger, etc.
10. most important is treat any of the disease in the early phase only and that too under medical practitioners observation and prescription only. So that it wont allow disease to progress further and deeper



SOME OF THE HOMEOPATHIC MEDICINES FOR RESPIRATORY INFECTIONS

1. ACONITE – hoarse, dry croupy cough, labored breathing, shortness of breath, larynx sensitive cough worse at night and after midnight. Red dry constricted throat with numb, prickling, burning, stinging pain inside. Tonsils swollen and dry. Allergic rhinitis with runny watery discharge and sneezing and nasal blockage is there. Fever with all the respiratory complains
2. BARYTA CARB – very peculiar medicine for recurrent tonsillitis and throat infections. In any case of tonsillitis this is the first medicine to prescribe. Who catches cold very easily and got throat infections so frequently with total loss of voice due to swelling of tonsils.
3. CAUSTICUM – aphonia, cough with scanty expectorations coryza with hoarseness, nostrils ulcerated. Majority of public speakers or singers gets infected with this kind of complains then we can think of causticum immediately
4. BLATTA ORIENTALIS – specific medicine for asthma of any age especially when associated with bronchitis. Cough with dyspnoea in bronchitis and phthisis. Much pus like mucus.
5. DULCAMARA – dry coryza. Complete stoppage of nose. Coryza of the new born baby. Cough worse in damp weather or in basements or humid atmosphere. With free expectorations, tickling in larynx. Cough hoarse, spasmodic, whooping, dry, winter, teasing. Asthma with dyspnoea. Loose rattling cough especially after physical exertion.
6. GELSEMIUM – dryness of nasal fossae. Swelling of turbinates. Watery excoriating discharge. Acute coryza with dull headache and fever. Slowness of breathing, with great prostration. Oppression about chest. Dry cough, wit sore chest and fluent coryza. Aphonia, acute bronchitis, respiration quickened, spasmodic affections of lungs and diaphragm.
7. HEPAR SULPH – sore, ulcerated nose with catarrhal troubles. Sneezing every time he goes into a cold, dry wing, with running from nose, later thick, offensive, discharge. Stopped up easily. Quinsy , with impending suppuration. Hawking up of mucus. Loses voice and coughs when exposed to dry cold wind. Cough troublesome when walking. Cough excited whenever any part of the body gets cold or uncovered or from eating anything cold. Chocking cough, rattling, croaking, suffocative cough with anxious wheezing moist breathing, asthma worse in dry cold air
8. IPECAC – coryza, with stoppage of nose and nausea. Epistaxis. Dyspnoea, constant constriction in chest. Asthma. Continued sneezing. Wheezing cough, cough incessant and violent, with every breath. Suffocative cough, whooping cough , with nose bleeds, croup, rattling cough. Heamoptysis from slightest exertion.
9. KALI BICH – snuffles of children, especially fat, chubby babies. Pain and pressure at the root of nose, with sticking pain in it. Septum ulcerated. Fetid smell. Discharge thick, ropy, greenish-yellow. Loss of smell, much hawking. Inability to breath through nose. Dryness. Coryza with obstructionof nose. Violent sneezing. Profuse, watery, nasal discharge. Chronic inflammation of frontal sinus with stopped up sensation. Fauces red and inflamed. Dry and rough parotid glands swollen. Uvula relaxed, oedematous, bladder-like. Diphtheria. Voice hoarse, metallic hacking cough. Profuse yellow expectorations, very glutinous and sticky coming out in long stringy and very tenacious mass. Tickling in larynx. Cough with pain in sternum, extending to shoulders, pain at bifurcation of trachea on coughing
10. JUSTICEA – highly efficacious medicine for acute catarrhal conditions of the respiratory tract (used in the beginning). Dry throat, pain during empty swallowing, tenacious mucus. Dry cough from sternal region all over chest. Hoarsness, larynx painful. Paroxysmal cough with suffocative obstruction of respiration. Cough with sneezing. Severe dyspnoea with cough. Asthamatic attaks, cannot endure a close , warm room. Whooping cough.
11. LEMNA MINORA – a catarrhal remedy. Acts especially upon the nostrils. Nasal polypi, swollen turbinates. Atrophic rhinitis. Asthma from nasal obstruction, wore in wet weather. Loss of smell of nose either putrid or offensive. Crusts and mucopurulent discharge very abundant. Post-nasal dropping. Reduces nasal obstruction when it is oedematous condition. Dryness of naso-pharynx.
12. MEPHITIS – a great medicine for whooping-cough. Suffocative feeling, asthmatic paroxysms, spasmodic cough, cough so violent, sudden contraction of glottis, false croup.

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