Mai Dr Pramod Kumar Sharma, Max Smart Saket City hospital me Senior Cardiac surgeon ki pad par hu. Merese bahut saare patient aate hai aur baar baar yahi poochte hai ki doctor saab ye angina pain kya hota hai? Heart attack hota kyun hai? Unka jawaab dene ke liye, unko ye samjhata hoon ki angina jo hota hai ki jab dil ke andar jab khoon ki supply kam ho jati hai aur, dil jo hai it’s like a pump. Pump ke andar aapko chalane ke liye energy chahiye, energy aati hai usko apni supply mine se. Jab vo apni supply dheere dheere khoon ke naliya sikudne ki wajah se kam ho jaati hai toh patient ko angina shuru ho jaata hai. Aur agar suddenly wo nali band ho jati hai to patient ko heart attack ho jata hai.
Ab sawal ye uthta hai ki ye hota kyun hai? Angina ya heart attack dono ek hi beemari ke do roop hai. Dono ke kaaran ek hi hai. Pehla kaaran jo hota hai wo hota ki jisko hum bolte hai non-modifiable factor. Non-modifiable factor hai isko hum bolte hai ki patient ko vanshanugak problem hai. Matlab uske pitaji ki taraf ya mataji ki taraf kisi ko bhi family me agar ye problem rahi hai heart attack ki, angina ki toh usko jo aage santaan aati hai unko hone ke kafi kafi chances rehe hai. Dusra hota hai modifiable factor. Modifiable factor me bahut saare factor hai jaise ki patient agar diabetes hai usko control nahi kar rahe hai properly, patient ko blood pressure hai usko properly control nahi kar hai, patient ko cholesterol bahut jaada rehta hai, hyperlipidaemia jisko bolte hai usko properly control nahi kar rahe hai ye jo factor hote hai iske alava jin do cheezo pe mai bahut jyada mai stress dena chahunga aur samjhana chahunga jo ki bahut aasani se aap bacha bhi sakte ho aur bahut dangerous hai.
Ek sabse badi problem hai smoking ki, smoking ek itni katarnaak cheez hai jo ki aam taur par logbagh samajhte hai ki smoking se cancer hi hota hai. Smoking se cancer to hota hi ye har aadmi jante hai, par har aadmi ye nahi jante hai ki smoking se khoon ki naliya sukad jati hai, khoon gaadha ho jata hai aur khoon ka bahaav kam ho jata hai. Uski wajah se patient ko jo stroke bhi ho sakta hai, jisko hum bolte hai brain attack ya heart attack bhi ho sakta hai. Jisko hum normal bahasha me hum bolte hi hai har log jante hi heart attack kya hota hai. To ye do cheeze hai agar aap smoking karte hai to aap ko bahut jayada chances hai ki heart attack ya brain attack hone ke chances bad jate hai.
Dusra mai bolunga ki humara jo life style hai, life style modification ka bahut bada role hai, heart attack ya angina ko prevention ke liye. To life style hum log ka bahut change hogaya hai. Aaj kal logbagh raat der tak jagte rete hai. Proper need nahi le paate hai, proper relaxation nahi ho paata hai, mind ka relaxation nahi hota, tension bada rehta hai. Yeh sab cheeze aaj kal itni jyada ho gayi hai ki jiski wajah se aap dekh rahe hai ki din pratidin heart attack aur angina ki problems badti jaa rahi hai.
Agar aap ko is baare me koi consultation karna hai to lybrate is a very good forum. You can interaction with the lybrate people, you can have my advice on internet by posting your questions.read more
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Treatment of Hip Disorders
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Cardiac Ablation Procedure
Coronary Bypass Surgery
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Patient Review Highlights
He is so nice that they even at odd hours one can call him in case of emergency. The prevention of blockage, atherosclerosis & heart attack treatment has helped me greatly and now I am perfectly fine. Overnite my issue aggravated. In the very first sitting, Dr Pramod Kumar Sharma clearly told us the problem and the what the treatment procedure will be in future. Even in case of emergency, the staff is always willing to help. Over the period of time I noticed a number of changes in myself.
It was getting very difficult for me to cope us with my heart valve disease. Thanks to Dr Pramod, I am much better now. He treated my heart valve disease patiently. I read about the Pramod Kumar Sharma on one of the social media platform. So many doctors I consulted, but his treatment was the best. He is very talented and seasoned doctor.
Dr Pramod, an expert in his domain, carries a high level of subject knowledge which is quite commendable basis his past achievements in terms of accurate diagnosis and effective treatment for his patients. Best part is the level of trust and comfort zone he creates with his patients. Best wishes.
I was facing many issues due to hole in the heart. I was searching for a known cardiologist so I consulted Dr Pramod. He treated me very well. He understood the problem and then started treating it. I owe him a big thank for helping me with this issue. I feel quite better than before.
Dr Pramod sharma has worked relentlessly for his patients .he is not only an experienced doctor but also a true human being .he has lived an exemplary life attending to mid night calls ,answering politely and confidently to all the queries of patients.
It was getting neccesary for me to get a Angiography so i decided to get it done by dr Pramod Kumar Sharma .Thanks to the expert care and his great precesion. He us very efficient and caring He can be consulted at CARDIAC CLINIC in Noida.
Best Doctor I saw and way of treatment. He is best of all . smiling and helpfull in nature. Always ready for available 24*7 . his advice best makes person hope better and feel relaxed after visiting him.
Dr. Sharma treats patients with utmost care and ensure that he listens to what the patients have to say and is thoughtful in expressing options for future courses of action.
He is approachable and listens to patient carefully. His medical counsel is patient oriented. We depend on him and he is the last port of opinion for us in our cardiac care.
Dr. Sharma is highly experienced doctor having many achievements in cardiac surgery to his credit. Besides that he is polite, patient and a nice human being.
Vijendra Kr. Agarwal
Dr. Pramod Kumar Sharma is exellent cardio . He developes a family relation with the patient and treats. he is very sincere and honest to the patient.
Dr. Sharma is our family doctor and a motivating doctor for my family. We have full faith in him
You are one of the noblest Doctors I ever met. Keep serving throughout life and reap blessings.
i am totally satisfied with his advice from my AVR Problem.
Excellent Surgeon, great human being
K K Ansari
Very good docroe
A heart attack is usually characterised by the rupture of a plaque which can cause the spread of the cholesterol into the blood stream.
Cardiovascular diseases are a major cause of pain, suffering and death around the world, today. Heart attacks are caused by coronary heart disease. This is caused by the narrowing of the coronary artery when substances like cholesterol block it. If not treated and revived on time, a patient suffering from a heart attack can meet a fatal result.
So how can you prevent a heart attack?
- Cholesterol: We are all affected to some extent by what we eat. It is important to keep a check on your cholesterol, especially if it is on the higher side, so as to prevent a heart attack. Cholesterol is known to directly cause a heart attack, because if applies layer upon layer to the walls of the artery, and chokes them until they cannot handle the pressure any longer. So watch your food intake and bring down the blood lipid or fat levels with proper diet and exercise to alleviate the risk of a heart attack.
- Assess your Risk Factors: So are you at risk of heart disease and possible heart attack? This will very much depend on your medical history and allied ailments. If you are suffering from high cholesterol or even diabetes, your chances of having clogged arteries and a subsequent heart attack may increase manifold. Also, you may have a family history of heart diseases which can increase the risk of such ailments in your case. So, it is wise to assess your risk factors and take measures like regular checkups, medication where required and even other measures like diet and exercise.
- Blood Pressure: To prevent a heart attack, you can also keep your blood pressure in check. Constant spikes and dips can lead to a malfunctioning heart which can weaken the heart muscles and lead to a fatal result like a heart attack. Further, high blood pressure can lead to wear and tear of the inner lining of your blood vessels, which makes it that much more difficult for blood flow and circulation. So keep a blood pressure measuring machine or cuff at home, or visit your doctor regularly to keep tabs on your blood pressure.
While these basic measures can help take care of the immediate and most direct causes of heart attacks, you can also avoid passive and active smoking, and indulge in a good diet with plenty of exercise to keep your heart healthy.
The word metabolism is the manner in which food is processed and used by the body. Metabolic syndrome is a group of conditions, which are caused due to altered metabolism. They increase the chance of developing chronic conditions like heart disease, stroke, diabetes and obesity in a person.
When a person has one of these, it puts them at a higher risk of developing metabolic syndrome. However, lifestyle changes can help the onset of metabolic syndrome and reduce the gravity of the situation.
Factors that put you at risk of contracting a metabolic syndrome
There are 5 major risk factors, which can indicate if a person would develop a metabolic syndrome.
Increased blood sugar: If the fasting blood sugar is consistently high, it could be the early indication of diabetes.
Increased blood pressure: When the heart constantly exerts pressure to pump blood through the arteries, it can be damaging in the long run.
Excessive fat around the waistline: Fat around the belly (pear shaped body) is more harmful than fat around the hips. This abdominal obesity is an indicator of metabolic syndrome.
Abnormal cholesterol level: There are good and bad cholesterols (HDL and LDL respectively). When the HDL level is low, the chances of the heart to build plaque are increased, which can lead to heart failure, stroke, etc.
High level of triglyceride: Increased triglyceride levels also put one at a higher risk of developing metabolic syndrome.
Complications: Some of the complications of having a metabolic syndrome include hypertension, diabetes, stroke, heart failure and fatty liver. It is a complicated and vicious cycle where there is increased pressure on all the vital organs, but they are unable to perform to their optimal levels. There is a narrowing of the blood vessels due to the plaque accumulation, which slows blood flow to all organs leading to the sluggishness of the whole system.
While the bad news is that metabolic syndrome is on the rise with changing lifestyles, the good news is that with some planning and effort, it can be prevented and severity reduced. It requires discipline, commitment, and dedication.
2. Exercise: Regular moderate exercise can help avoid accumulation of fat and burn the extra calories consumed.
4. Alcohol: Avoid consuming excessive alcohol as it helps in managing body’s metabolism.
Complications in the heart valve occur when the functioning of the heart valve is impaired. Valves of the heart allow the blood to flow in one direction and prevent the blood from flowing back into the ventricles of the heart.
Heart valve diseases can be classified as follows:
- Valvular stenosis: This condition occurs when the valves of the heart does not open completely due to stiffness. As the opening is narrow, the heart has to work hard to pump blood. This condition may lead to heart failure.
- Valvular insufficiency: This is a condition where the valve does not close tightly. This causes some of the blood to flow back to the valve. As this condition deteriorates, the heart has to work harder to pump blood.
Types and Causes of valve diseases:
- Acquired valve disease: The structure of the valve changes due to various infections or rheumatic fever. Rheumatic fever is caused by bacterial infectionthat had not been treated. It tends to occur in children and cause inflammation of the valve.
- Congenital valve disease: This condition usually affects the pulmonary valve where the size of the valve is abnormal.
- Bicuspid aortic valve disease: It is a type of valve disease that impairs the aortic valve. Instead of the regular three cusps, the bicuspid valve only has two. This may cause the valve to be stiff or cause it to leak.
- Mitral valve prolapse: This condition causes the valve to flop back when the heart contracts. This condition also causes the leaflets of the valve to turn irregularly and cause it to stretch. This condition causes the valve to leak.
Symptoms: The symptoms of valve diseases are as follows:
- Weakness: This condition may cause weakness and cause severe discomfort while performing daily activities.
- Palpitations: Symptoms such as irregular heartbeats, skipped beats and rapid heart rhythm occurs in this condition.
- Rapid weight gain: This condition can cause you to gain weight very rapidly.
- It may cause swelling in your ankles, abdomen and feet.
- This condition causes shortness of breath.
Ever wondered why you needed to share your family’s health history at a doctor’s clinic? Specific questions regarding health issues of your immediate family or close blood relatives give your doctor an insight into various health risks you might have now or in future. Those are medical conditions inherited by parents or grandparents through genes. Genes are passed from parents to children in DNA of eggs or sperms. Even a single mutation (fault) in gene can influence body systems and may lead to disorders. If any of the parents have a faulty gene, there are 50:50 chances of the child inheriting it.
Hereditary heart diseases are also a result of mutation in one or more genes and tend to run in families. Genes control almost all aspects of cardiovascular system including strengthening blood vessels, pumping capacity or communication of cells in the heart. A single genetic variation is enough to alter cardiovascular processes increasing the risk of developing a heart disease, attack or a stroke. Some of the most common hereditary cardiac disorders include; Arrhythmias, congenital heart diseases and cardiomyopathy. A family history of heart attack or stroke is also an established high-risk factor for the family members. High blood cholesterol, medically known as familial hypercholesterolemia also tends to run in families.
Unfortunately, many of these conditions cannot be prevented since they are acquired through genes. But there are many ways in which these could be managed before they become complicated or fatal.
Let’s look at some ways by which we can deal with hereditary heart diseases and increase a patient’s chances of survival:
Early Diagnosis And Treatment: When one person in the family is diagnosed with a heart disease, it is strongly advisable for other family members to go in for screening. An early diagnosis can help in better treatment and management of the disease and impacts positively on patients’ life. Medical screening of siblings is highly recommended in case a person suffers a sudden cardiac death especially at a young age.
Watch out for these symptoms at a young age: Abnormal heart rhythm, asthma that does not get better with inhaler, seizures that do not improve with medication, extreme fatigue or shortness of breath are warning signals and need immediate medical attention.
Genetic Testing: Family members may opt for genetic testing to check if they carried genes of an inherited disorder.
Genetic Counselling: Genetic counselling deals with problems like anxieties and fear of attacks, confusion over disease and emotional difficulties in accepting the situation.
We may not be able to change the family history but we can surely change our environment, lifestyle and habits. Eating healthy and following an active lifestyle does help in prevention and management of such diseases.
Are you experiencing irregular and fluctuating heartbeats? Is your heartbeat too fast or too slow? If yes, then it signifies that you are suffering from arrhythmias or abnormal heart rhythms. This is a disorder which affects the heart rate or heart rhythm and the heartbeat becomes irregular.
Causes of abnormal heart rhythms
Arrhythmias occurs due to problems with the electrical conduction system of the heart. In this case, abnormal signals might occur; the electrical signals might get blocked or slowed down, or the electric signals may travel in different paths throughout the heart. Abnormal heartbeats are commonly caused by the following:
- Abnormal potassium levels in the body
- Heart attacks or due to a damaged heart muscle, owing to a previous heart attack
- Inborn heart diseases
- Cases of an enlarged heart and heart failure
- Overreaction of the thyroid gland
- Several other substances or medicines may lead to arrhythmias, such as alcohol, stimulant drugs, caffeine, nicotine, and antidepressant medicines or blood pressure medicines.
Diagnosis of abnormal heart rhythms
For the diagnosis of arrhythmias, your doctor will use a stethoscope to listen to your heartbeat. Several health monitoring devices are used to detect abnormal heart rhythms. These include the Holter monitor and the event monitor, or a loop recorder.
Other diagnosis tests which are required to be carried out include coronary angiography, ECG or electrocardiogram, and an echocardiogram. A test known as an electrophysiology can be undertaken for getting a closer look at the electrical system of the heart.
Treatment for abnormal heart rhythms
When a case of arrhythmias is severe, urgent treatment is required for restoring the heart’s rhythm to normal. The different forms of treatment are as follows:
- Electrical shock therapy such as defibrillation or cardioversion
- Implanting of a heart pacemaker for a short term
- Certain medications which are given through the veins or orally
- A group of medicines known as anti-arrhythmic drugs is used for the prevention of recurrence of the condition and to keep the heart rate from fluctuating continually.
- Cardiac ablation may be carried out for destroying some areas in the heart from where the rhythm problems are caused.
- An implantable cardiac defibrillator is used in people who are at a risk of facing cardiac death.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am suffering from dry caught for last two weeks. When I get caught. My chest is paining. Headache also. What Should I do.
A heart attack allows you to get a double take on life. Once you survive it, you tend to realize how close your brush with death has been and how important your lifestyle choices can be. Most people go on to live a productive life after a heart attack provided they can adhere to making healthy choices. Here's what you can do if you have experienced your first attack and want to change for the better:
1. Start at the hospital: A person usually stays in the hospital for 3 days after an attack to monitor their condition. This duration increases if you have complications that involve procedures like a bypass surgery. Your first significant change will come to your medication routine. Your existing dosages may be adjusted and you'll possibly prescribed newer medicines that will treat and control your symptoms. You'll not only need to know the names of all your medicines but when you have to take them. Its best you know exactly why are taking each of them, if there are other more economic alternatives since this may last a lifetime and what side effects they may have.
2. Maintaining your mental health: Once bitten, twice shy applies for heart attack victims too. Not only do they live in a constant worry about another attack, every small symptom like a harmless muscle pull can trigger the fear factor. You also get into the "heart patient" dependent mode based on how much help you need to recover. Check for support groups and other heart attack survivors in your locality to see how they are coping. Read more about your recovery and try to keep a positive frame of mind.
3. Go for cardiac rehab: Many hospitals have a rehabilitation program that you can participate in as an outpatient or you can go to a clinic that specializes in it. Such programs help speed up your recovery. It is run by people who will hand hold you in bringing positive changes in your life to protect and strengthen your heart. You'll learn activities that positively improve heart functions and reduce your chances of developing complications or dying from heart disease. You'll also benefit from exercises that'll be taught by a certified exercise specialist.
4. Making lifestyle changes: Quitting smoking is an obvious one. You'll now have to lead a more active lifestyle with daily exercise. You'll also need to actively manage your diabetes and obesity. None of these changes can happen in a day. In fact, behavioural scientists suggest that you need to practice a new activity continuously for twenty one days for it to become a habit.
Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.
A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).
But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!
Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.
Regular use of 750 mgs of vitamin c helps to prevent deposition of LDL in blood vessels
If LDL is a normal component of blood, why it is deposited in the arteries at first place?
LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart. In case you have a concern or query you can always consult an expert & get answers to your questions!
Cardiomyopathy includes diseases involving the heart muscle. These diseases have various causes, types, symptoms and modes of treatment.
The heart muscle gets enlarged, thick or rigid. In several cases, the heart muscle tissue is replaced with a scar tissue. As this condition worsens, the heart gets weaker and the ability to pump blood is disrupted, which can cause heart failure or irregular beating of the heart. The weakened state of the heart can lead to valvar diseases.
The different types of cardiomyopathy are:
- Hypertrophic Cardiomyopathy: This is a common form and affects people of all ages. Men and women are affected equally. This condition arises due to the enlargement and thickening of the heart muscle. The ventricles, the septum and the lower heart chamber usually thicken, which causes obstruction in pumping of blood by the heart. This disease also causes stiffness in the ventricles, and cellular changes in the tissue.
- Dilated Cardiomyopathy: This form of cardiomyopathy develops due to the enlargement and weakening of the ventricles. The issue arises from the left ventricle and develops over time. It may even affect the right ventricle. More effort is put in by the heart muscles for pumping blood and slowly the heart is unable to pump blood effectively. This condition may lead to heart failure, valve diseases or blood clots in the heart.
- Restrictive Cardiomyopathy: This disease occurs due to the stiffening of the ventricles, without thickening of the walls of the heart. The ventricles are not allowed to relax and do not receive a sufficient volume of blood supply. This condition causes heart failure and valvar problems over time.
- Arrhythmogenic Right Ventricular Dysplasia: This rare form of cardiomyopathy occurs when fat or fibrous tissues replace the muscle tissue of the right ventricle. This causes arrhythmias and disruption in the electrical signals of the heart. It generally affects teens and may cause cardiac arrest in athletes.
- Unclassified Cardiomyopathy: Some types of cardiomyopathy of this category include left ventricular non compaction where the ventricles develop trabeculations. Takotsubo cardiomyopathy is another disease where immense stress causes failure of the heart muscles.
Treatment: Many cases of cardiomyopathy come and go away on their own. Treatment for other cases depends on the severity and symptoms. The major treatment methods are:
Lifestyle changes meant for a healthier heart.
Modes of surgery for treatment of cardiomyopathy include:
- Septal myectomy
- Heart transplant
Implant devices such as Cardiac resynchronization therapy (CRT) device, Implantable cardioverter defibrillator (ICD), Left ventricular assist device and pacemakers are fitted into the heart for better performance.
Cardiomyopathy can be of many different types, each arising from different situations and conditions. The mode of treatment depends on the severity of the complication or on the basis of symptoms. In case you have a concern or query you can always consult an expert & get answers to your questions!
Most families refer to their newborn baby as their 'bundle of joy'. The news of a child being born brings immense joy to the entire family. However, due to various reasons, a child could be born with some medical abnormalities, which would be known as congenital abnormalities.
If your child has a congenital heart defect, it means that your child was born with a problem in the structure of his or her heart. Some congenital heart defects in children are simple and don't need treatment. Other congenital heart defects in children are more complex and may require several surgeries performed over a period of several years.
There are several different types of heart defects that can be congenital. These usually manifest themselves either immediately after birth or in the early years of life. In some cases, the abnormality could be detected on prenatal ultrasounds. In others, it may not be and the family could be caught off guard about the condition. This causes a lot of stress, both for the child, who does not receive regular postnatal care and for the parents immediately after the delivery process.
If the baby has the following symptoms within the first few hours of life, there could be a serious underlying condition, which requires medical attention. The presence and severity of the symptoms would depend on the actual abnormality.
- The skin is pale gray or blue in color due to excessive venous flow in the system
- Excessive sweating
- The child is exerting to breathe regularly
- Rapid breathing causes added load on the heart accompanied by a grunting noise
- Flared nostrils i.e. the baby attempts to take in more oxygen with each breath causes flared nostrils
- Swollen legs, eyes, and abdomen: Fluid retention in the legs and abdomen is quite common, and this could be characteristic of newborns with congenital heart disease
- Shortness of breath, even during feeding
- Clubbed fingernails
- Lethargy and low energy, even with feeding, therefore very poor feeding pattern
- Chest pain, which may cause the newborn to cry incessantly
- Low weight gain, as they feed less
In some children, symptoms manifest only during the teenage years or early adulthood. These conditions are not very severe and the symptoms include:
- Swelling of the hands, feet, and ankles due to fluid accumulation
- Lowered energy levels, leading to easy fatigue
- Shortness of breath with even minimal physical activity
- Inability to exercise
- Developmental delays and changes in growth milestones
- Recurrent respiratory tract infections including sinus infections, bronchitis, and pneumonia
- Pulmonary hypertension
- Heart failure, where the heart is not able to effectively function and pump blood to all parts of the body.
Some or more of these symptoms should trigger a warning to get the child tested for congenital heart disease. While some would just require a monitoring until severe symptoms develop, severe conditions like holes, abnormal valves, narrowed arteries, and blood vessel abnormalities might require immediate intervention. If you wish to discuss about any specific problem, you can consult a cardiologist.When to see a doctor
Serious congenital heart defects are often diagnosed before or soon after your child is born. If you notice that your baby has any of the signs or symptoms above, call your child's doctor.
If your child has any of the signs or symptoms of less serious heart defects as he or she grows, call your child's doctor. Your child's doctor can let you know if your child's symptoms are due to a heart defect or another medical condition.
In case you have a concern or query you can always consult an expert & get answers to your questions!