Doctors in Medanta The Medicity
Liver Transplant Surgery
Cardiothoracic Vascular Surgery
Visited For Scaling: I went to see Dr. Vishal for a general checkup and on routine examination he suggested full mouth scaling after every six months for maintaining a healthy dentition. He was quite generous in explaining the need for this procedure and also described the correct brushing technique to prevent any further oral and dental disease. I underwent the whole procedure within thirty minutes without any pain or bleeding.The dentist was very elaborate about the post treatment maintenance. I am happy with this whole experience and would visit again after 6 months for routine check up.
Dr. Sushila Kataria received me under her care on 17th July 2016. She is a very good Physician. She offered great advice for my blood clots problem. I came to India specifically looking for her. I will keep recommending her to all those who require this type of care. A great doctor, a great experience.
Dr Bornali Dutta is a wonderful doctor. She listens a patient with Patience. She has in depth knowledge of her subject. She diagnose the problem very critically. She prescribes very effective medicines. i find a rare doctor of Dr Bornali Dutta. me is feeling much better than before.
He is an excellent doctor who explains the disease logically with proper medical resins. He gives you confidence and spends sufficient time with patient. Inspite of being such an experienced doctor he is very humble and polite.
Not only the best doctor but a wonderful person also.very affectionate for his patients. no doctor takes this much pains for his patients as he does
She is very claim to listen your problem and give best advice. I know her since 2004 when she was in Moolchand Med city.
SHE IS LIKE A GOD FOR ME .. GREAT GREAT DOCTOR
Very good experience
Very gud experience
Collagen Induction Therapy or CIT is a micro needling or medical skin needling technique that is minimally-invasive in nature. This technique can successfully rejuvenate the skin which is suffering from wrinkles, lines, scars etc. As the name suggests, the treatment utilizes a needle to puncture the skin. At times, doctors might use local anesthesia to avoid minor discomfort.
Who is a good candidate for collagen induction therapy?
There are no pre-requisites of the treatment. Just like other cosmetic treatments, it is necessary to keep the expectation realistic and maintain general health. Unlike some laser and chemical peel based treatments, collagen therapy is suitable for any types of skin. The following conditions make an individual a very good candidate for collagen therapy:
- Skin laxity
- Scarring from chicken pox and acne
- Premature aging
- Wrinkles and lines
- Scar resulting from accident or surgery
Although, there are hardly any side effects; in some cases, people may experience:
If you experience any of the above, the same can be addressed by the doctor.
What are the three phases of treatment?
- Inflammation: This part involves piercing the skin that triggers the immune system increase blood flow, disinfect the wound, remove debris and create new tissues.
- Proliferation: With granulation cell, elastin and collagen, the wound are re-built. A new blood supply network is formed around the wounded area.
- Remodelling: The wound gets replaced with new blood vessels and dermal tissue. The type 3 collagen gets replaced with type 1 collagen. This results in skin tightening and more glow.
How is the procedure performed?
The whole procedure takes around half-an-hour to perform. It is done using an instrument known as the skin open. Small facial areas are punctured with the help of the tool. Needling is done with derma roller or derma per along with some serums are infused into the skin to get the desired effect.
What to expect after the therapy?
The skin might turn pink because of the puncturing. It is not uncommon to experience a little bruising. It takes about six-eight weeks for the new skin to arrive and make its presence felt. Typically, it requires around three-four sitting to achieve the maximum result.
Plantar fasciitis is an orthopedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.
Let us look at ways that can help you deal with this pain:
- Rest: Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.
- Supportive footwear: Using pads within your shoes with gel built into them, or using specific footwear that help in walking without feeling too much of pain is a good way of dealing with Plantar fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for your feet. They also give your heel and its arch good support, while Orthotics pulls the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and the ligament stretched while you enjoy a good night of sleep.
- Exercise: Indulging in mild muscle strengthening exercise that also involves stretching and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
- Painkillers: Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.
- Anti-inflammatory drugs: Your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
- Surgery: Heel spur removal or Plantar fascia release are some of the surgical options for chronic and severe cases.
Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.
Broken bone is commonly known as bone fracture a d it occurs when an exorbitant amount of force is applied causing the bone to split or shatter. While some minor fractures lead to cracks and crannies, others may lead to complete breakage of the bones. Despite being hard, bones are formed in such a way that they can absorb pressure to only a certain extent, beyond which they break. Statistically, the incidence of broken bones are most common in children and in old age people.
Causes of Bone Fracture
Bone fracture can be caused due to a number of reasons; both intentional and accidental. Some of them include:
1. Accidents and injuries: Sports injuries, being hit by a car and tripping and falling are some of the typical episodes.
2. Old age: Diseases such as osteoporosis and brittle bone disease are common in aged people. As bones tend to become more fragile among the aged, they are at a greater chance of bone fractures.
Type of bone fractures
Primarily bone fractures are of four types, based on the way the bone splits. They are:
- Complete fracture: This type of fracture refers to a complete breakage of the bone wherein the fracture may occur at various parts of the bone.
- Incomplete fracture: In this type of fracture, the bone partially breaks instead of splitting entirely.
- Compound fractures: This is a type of a fracture wherein the bone breaks past the skin. It is also known as an open fracture.
- Simple fracture: In this type of a fracture, the bone breaks without causing an open wound on the skin.
Treatment of bone fractures
In case of a broken bone, the immediate course of action would be to reach for the first aid box. This can be done to stabilize the bone prior to hospitalization. Icing the injury, elevating the injured area to prevent further swelling and covering the wound with bandages are common measures. In many cases, people also make household splints (made of newspapers) to keep the bone stabilized. Hospitalization and especially surgery, can be also opted for in case of severe fractures.
A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements.
What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage. Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below).
What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.
Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.
There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.
Treatment for stroke
- Treatment depends on the type of stroke.
- Ischemic strokes can be treated with 'clot-busting' drugs.
- Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
- The most effective way to prevent strokes is through maintaining a healthy lifestyle.
What is TPA?
TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms
Time is brain
- Remember Every second Loss means brain cells die.
- Rush to the nearest Stroke Centre whenever you experience such symptoms.
- U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER.
Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which trained doctors try removing a large blood clot by sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain
The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including
- High blood pressure,
- Cigarette smoking,
- Atrial fibrillation and
- Physical inactivity.
- More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control.
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.
Do you ever wish you could start all over and take better care of your skin? A chemical peel could give you that chance. Peels can dramatically reduce lines, wrinkles, acne scars, dark spots, and roughness caused by years of sun.
A chemical peel is a solution applied to the face to remove the outermost layer or layers of skin. It's a technique used to improve the appearance of the skin on the face, neck or hands. A chemical solution is applied to the skin that causes it to exfoliate and eventually peel off. The new skin that grows in its place is softer, smoother and has fewer imperfections. The new skin is also temporarily more sensitive to the sun.
There are three basic types of chemical peels:
Superficial or Lunchtime Peel: Alpha-hydroxy acid or another mild acid is used to penetrate only the outer layer of skin to gently exfoliate it. The treatment is used to improve the appearance of mild skin discoloration and rough skin as well as to refresh the face, neck, chest or hands.
Medium Peel: Glycolic or trichloroacetic acid is applied to penetrate the outer and middle layers of skin to remove damaged skin cells. The treatment is used to improve age spots, fine lines and wrinkles, freckles and moderate skin discoloration.
Deep Peel: Trichloroacetic acid or phenol is applied to deeply penetrate the middle layer of skin to remove damaged skin cells. The treatment removes moderate lines, age spots, freckles and shallow scars. A thorough evaluation by a dermatologic surgeon is imperative before embarking upon a chemical peel.
When is a chemical peel appropriate?
Chemical peels are used to treat a number of conditions including:
- Pigmentation on face or body
- Fine Wrinkles
- Acne marks and scars
- Aging skin
- Crow's feet
- Sagging skin
Who should not opt for chemical peels?
Generally, light-haired and fair skinned people are the best candidates for chemical peel. The procedure does not work as well on dark skinned patients. The procedure is not recommended for individuals with infections, active skin disease, cut or broken skin, or sunburns. Other contraindications include patients who are:
- Nursing or pregnant.
- Have taken Accutane in last six months.
- Have psoriasis, eczema, dermatitis or rosacea.
Temporary change in skin color, particularly for women on birth control pills, who subsequently become pregnant or have a history of brownish facial discoloration.
Changes are transient and easy to take care of if taken care properly.
- Reactivation of cold sores
- A variety of chemical treatments can be used to exfoliate and rejuvenate the skin.
Depending on the depth of treatment required, your surgeon may choose one of the following peels:
- Alpha-hydroxy acid peel (AHA)
- Trichloroacetic acid peel (TCA)
- Phenol peel
- Croton oil peel
Aftercare and recovery
Your dermatologist will discuss how long it will be before you can return to your normal level of activity and work. After surgery, you and your caregiver will receive detailed instructions about your postsurgical care, including information about:
- Normal symptoms you will experience
- Potential signs of complications
Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.
If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket. Shoulder pain can happen due to various reasons, vary from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc.. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.
In case of middle to old age, injuries that can cause shoulder pain are-
- Biceps Tendonitis
- Acromio-clavicular Joint arthritis
- Scapular Dyskinesia
- Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
- Superior labral anterior/posterior (SLAP tear)lesion
Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to...
- Bankart lesion
Diagnose Shoulder Pain-
Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:
- X-rays: Through an x-ray one can view the shoulder in many different views
- Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
- MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
- Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.
Treatment for Various Types of Shoulder Pain-
- For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
- Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.
SLAP Lesions --
- Pain relief and physiotherapy as first step If this fails then following surgical options are available
- Arthroscopic debridement or repair of labrum
- Biceps tenotomy or tenodesis
In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.
It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.
Remember "a stitch in time saves nine"
Intracytoplasmic Sperm Injection i.e. ICSI is different from conventional IVF i.e. In Vitro Fertilization because a single sperm is selected by the embryologist to be injected by a needle into the egg rather than a dish with many sperms placed near the egg so that the fastest swimming sperm enters it. Once the sperm is injected directly into the egg, it fertilizes, after which the embryo is transferred into the womb or uterus.
Your doctor might recommend ICSI treatment for you if you have an extremely low sperm count resulting in infertility or other medical sperm conditions such as poor motility or poor morphology. It may also be suggested if prior attempts at IVF procedures have failed in fertilizing the egg or the fertilization rate is extremely low. You must also consider ICSI treatment if you resort to embryo testing or if the sperm needs to be collected from the epididymis or testicles surgically.
However, you must keep in mind that if your partner has a genetic problem resulting in low sperm count, it could be passed on to your child, if you decide to use your husband's sperm for this process.
Success Rates of ICSI:
The success rate of ICSI treatment depends on your age and your fertility problem. Your eggs are healthier when you are young and as you age, chances are that they will become less healthy.
1. 35 per cent if you are under 35 years of age
2. 29 per cent if you are between 35 to 37 years of age
3. 21 per cent if you are between 38 to 39 years of age
4. 14 per cent if you are between 40 to 42 years of age
5. 6 per cent if you are between 43 to 44 years of age
6. 5 per cent if you are above 44 years of age
Advantages of ICSI Treatment:
Intracytoplasmic Sperm Injection gives you a chance to conceive a child genetically when most other options are exhausted. Males may be unable to ejaculate on the day the eggs are collected due to anxiety. ICSI proves to be advantageous because sperm may also be surgically extracted for this process. It is extremely helpful for those couples who suffer from unexplained infertility. However, one of the most important factors is that ICSI treatment does not affect your child's physical or mental health.
Diabetes is one of the most common problems that are caused by obesity, unhealthy and inactive lifestyle. It is a metabolic disorder in which the body is unable to store and use energy from food. Being physically inactive and eating unhealthy food are primary causes of diabetes. It is a long term condition, which causes high or unstable blood sugar levels in the body.
When a patient suffers from low blood sugar it is called Hypoglycemia and if the blood sugar levels are too high, it is called Hyperglycemia. Both are extremely harmful for a patient.
Type 1 and Type 2 and Gestational Diabetes:
In Type 1 diabetes, the body does not produce insulin. The condition has no known cure and is usually hereditary in nature. Approximately 10% of those suffering from diabetes have Type 1 diabetes. Patients with Type 1 diabetes have to take regular medication, including insulin injections as well as take care of their diet.
Type 2 diabetes happens when the body does not produce enough insulin for its proper functioning. 90% of all diabetic people suffer from Type 2 diabetes. It is usually caused by poor lifestyle choices, like physical inactivity and unhealthy food habits. The disease lasts a lifetime and is usually progressive in nature, but can be managed by taking regular medication, choosing an active lifestyle and maintaining proper body weight.
Diabetes during pregnancy is known as gestational diabetes. This has to be managed by taking medication or in extreme cases insulin shots. If undetected or untreated, gestational diabetes increases complications during childbirth, and causes unusual weight gain in the baby. However, gestational diabetes usually ends after the baby is born and women can go back to their normal lifestyle and eating habits post delivery.
Symptoms of Diabetes
- Frequent urination
- Extreme hunger or thirst
- Weight loss
- Problems with vision
- Tingling or numbness of the extremities.
- Unexplained fatigue
- Dry skin
- Cuts or sores that heal slowly
- High number of infections
Who is at greatest risk for developing diabetes?
- are 45 or over
- are overweight
- are habitually physically inactive
- have previously been identified as having IFG (impaired fasting glucose) or IGT (impaired glucose tolerance)
- have a family history of diabetes
- are members of certain ethnic groups (including Asian American, African American, Hispanic American, and Native American)
- have had gestational diabetes or have given birth to a child weighing more than 9 pounds
- have elevated blood pressure
- have an HDL cholesterol level (the good cholesterol) below 35 mg/dl and/or a triglyceride level above 250 mg/dl
- have polycystic ovary syndrome
- have a history of vascular disease
What is pre-diabetes?
Pre-diabetes is a condition of elevated blood glucose level that has not yet reached a diabetic level. Along with insulin resistance, pre-diabetes causes no symptoms. An individual may be pre-diabetic for years without knowing it. Pre-diabetes increases your risk of developing Type 2 diabetes and heart disease. Weight loss and exercise may halt the onset of diabetes from pre-diabetes by returning blood glucose levels to a normal range.
Those two, small bean-shaped organs are indeed essential for a perfectly healthy life. To check if a person is dead or living, medical practitioners need to confirm response from three organs of the human body heart, brain and kidneys. Kidneys absorb impurities from the blood, thus, purifying it and lead to the production of urine. Urine is necessary to rid your system of body wastes. Kidneys play a key role in maintaining hormone balance. The presence of any factor that could impede free functioning of this organ should be diagnosed, treated and eliminated at the earliest possible. Kidney diseases and subsequent kidney failure see no age bar. It affects both young and old people. In case of younger folks, the symptoms take years to surface and thus the chances of a fatal outcome are even higher.
Causes of kidney failure at a tender age:
- Chain smoking is a trigger: Smokers suffer from a higher risk of kidney failure. Smoking is a bad habit that has engulfed almost ninety percent of young adults. Irrespective of awareness programs and warning messages, there are millions who smoke nonchalantly. Smoking is known to impair kidney function which again can have frightening implications.
- High blood pressure levels must be controlled: Since stress is a common phenomenon among most individuals high blood pressure is also prevalent among a majority of these individuals. Younger people suffer from high blood pressure due to workplace politics and familial tensions. High blood pressure should not be taken lightly. Exercising and regular medications should be opted for in order to counter the threat of kidney failure at a young age.
- If you are obese, you are stepping closer to the threat: If not optimal; being close to the optimal body weight is very necessary to keep health disorders in check. If you are obese, you are not safe; one must make efforts to lose weight or else face the alarming situation when his or her kidneys fail to function properly.
- Consumption of junk food can cause complications: Junk food is fatty. One must keep away from high-protein and high-fat diet. Food items rich in protein and fats can push you towards chronic kidney diseases.
- Genetics may discern the health of your kidneys: The incidence of kidney failure in your family history can make you prone to a similar condition. Extra care should be taken to avoid any such possibility. Regular health check-ups should be undertaken.
People who regularly work out can go on about its benefits and also show off a toned physique. However, a bad or improper movement can be more harmful than no exercise at all. Read on to know some common exercise moves that are best avoided for their potential harmful effects.
- Dumbbell punches: By holding dumbbells and punching them forward into the air, you are just spending your energy with absolutely no return from it. It is good as a conditioning one if done for a long time but does not help the shoulders or the arms. Bicep curls and triceps extensions yield much better results than these punches.
- Shoulder Shrugs: The only muscle that gets worked here is the trapezius, which is at the top of the shoulders and the neck. The arms and the back do not get any benefit and shoulder shrugs can actually cause postural problems and increase shoulder tension. Best avoided if you are not a professional bodybuilder.
- Thigh machines: One of the most ineffective machines in the gym, the poor posture and no workout for the abs is one of the reasons the outer and inner thigh workouts should be avoided. Better results can be achieved with squats and lunges, which also help more muscles and help in losing weight.
- Plank rows: While plank rows or board lines work very well for core strengthening, it is not as effective for back and arm strengthening. Better results are achieved with the usual lines for these areas.
- Lat pull-downs behind the neck: This can be very harmful for people who have even minor shoulder joint problems. The idea is to build arm, torso, and back muscles by pulling a weighted bar down the front and back of the chest area. This can cause misalignment, shoulder impingement, or a tear in the rotator cuff, and in severe cases, even cervical vertebral fracture.
- Military Presses Behind the Head: Similar to a lat pull-down, here also, a barbell is lifted up and down behind the head and can cause the same problems as the earlier one, including fracture of the cervical spine.
- Squatting on a bosu ball: These colorful equipment are very alluring but can be really dangerous and can cause ankles and knees to be injured, causing meniscal tears or disruptions.
- Crunches: When improperly done, crunches produce the same position as one achieves while working on the computer - head forward and rounded shoulder. Crunches are meant to be done by pulling up on the head and not using the abs, as most people incorrectly do.
Make sure you get a trainer's advice on the right ways to work out so as to get the maximum benefits and avoid injuries.