Dr Kaushal Malhan - Male Osteoporisis

Fortis Cancer walk

Dr kaushal Malhan - Antibiotic Policy put on hold indefinitely Mumbai: The Union Health Ministry has shelved for an indefinite period the much-awaited National Antibiotic Policy which would clamp down on the over-the-counter sale of antibiotics. After sitting on the proposed National Antibiotic Policy for more than an year, the Health Ministry has now decided to put it on hold indefinitely, citing concerns over access to medicines, in rural areas. Ghulam Nabi Azad, Health Minister, said, "It should me made compulsory that no one can take antibiotics without doctor's prescription." And yet there is no question that India needs tighter monitoring of antibiotic sales, the emergence of the NDM-1 superbug and high incidence of bacterial resistance are something the government cannot afford to ignore. By the Health Ministry's own admission, 20-50 per cent of antibiotic use in India is unrestricted and inappropriate. And even though the authorities are opposing the presence of NDM1 superbug, last week, the capital's Ganga Ram Hospital revealed that the NDM1 presence was between 8-38 per cent. Early this year, Pune's Sassoon Hospital also found 20 ICU patients carrying NDM1. Back in 2008, Hinudja Hospital detected 23 NDM1 positive cases. The problem also is that we're most prone to picking up superbugs that are resistant to powerful antibiotics. The big question remains - without restriction on the sale and use, how will India tackle the problem of antibiotic resistance? The ambitious antibiotic policy aimed at a complete ban of over-the-counter sales of all higher antibiotics which fall under Schedule H1, some 536 drugs. They also proposed that only Head of Department's and not junior doctors, would be able to prescribe 3rd and 4th generation antibiotics. And this is the main concern with the policy, its impact on rural population. Dr Kaushal Malhan, Orthopedic Surgeon, Fortis Hospital, said, "Policy has to be customized according to the needs. I fail to understand if you bring in a policy like this how you are going to control it."

Lisa “Spirit of Life award”

Fortis Lisa “Spirit of Life award” – honouring the most inspiring cancer braveheart -~A special initiative by Fortis Cancer Institute Mulund recognizing the “can do” spirit in overcoming cancer~ Mumbai, September 21, 2011: In a unique event organized by Fortis Cancer Institute, International star and cancer conqueror Lisa Ray today honoured Dr Mary Francis with “Fortis Spirit of Life Award” for her courages battle against breast cancer. This initiative translates Fortis’ commitment towards creating a system of offering comprehensive care beyond medical treatment. Commenting on the initiative Ms Lisa Ray said, “We wish to celebrate the spirit of life that exists within each of the cancer conquerors through this award. Overcoming cancer is not about healing the body; it’s about healing the mind. As a patient, I had to go through fear and isolation, it is human. I have learnt that conquering cancer is all about attitude. I was blessed to find immense support because I sought for it. When you need help, ask for it! Being a cancer survivor I can surely say that this initiative will bring to the forefront many cancer advocates who are great inspirers” added Ms. Ray. Mr. Aditya Vij, CEO, Fortis India, said “At Fortis, our foray into Oncology was a few years ago. We have dedicated Oncology centers offering comprehensive cancer care services in several of our facilities. Taking this commitment forward we started the Fortis Cancer Institute in Mulund in 2010. We didn’t want to build just another Centre for Cancer treatment but a Centre of Excellence. With this in mind we assembled a fine team of surgeons, specialists and oncologists. We built a brand new block and we equipped it with the best machinery some of which are first in the city like VMAT (Volumetric Modulated Arc Therapy) & IORT (Intra Operative Radiation Therapy). Most of all we made sure that there were systems in place to offer our patients the Fortis 3C (Complete Comprehensive Care) that would embrace all forms of treatment modalities- medical, surgical and radiations and take a patient from diagnosis to cure, follow up and counseling under one roof. We created the perfect battlefield to support our cancer fighters in the formidable war they would fight. The emphasis was not just on survival but a glorious return to quality of life.” Also present on the occasion Dr. Lloyd Nazareth, President & COO, Fortis said, “Fortis Cancer Institute is one of the few centres in India to offer end to end cancer care from diagnostic to rehabilitation. Focus is on interdisciplinary patient care that involves medical professionals from a variety of disciplines, including medicine, surgery, radiation, education, wellness and support services. Our institute has also attracted the best of medical talent to offer these treatments. These full time specialists, experts in their field are supported with sophisticated technology and trained technicians, physicists and nursing professionals to offer a complete care. We also have a fully integrated cancer control program that emphasizes prevention and early detection. Currently we are treating the largest number of cancer patients in the city with our widespread network.” Mr. Varun Khanna, Regional Director, Fortis Hospitals (East & West) added, “Cancer is a disease which impacts the patient psychologically more than physically. The support from family members and the society keeps the spirit of the patient alive and help him fight the disease and live life to the fullest. It is important for society and family to uplift the spirit of the patient and help to battle the disease. We have inspirational stories of survivors and Lisa Ray, the epitome of bravery is here to honour another cancer fighter. Her attitude of taking the battle in the positive stride has inspired many and with this association we want to convey the message -“once you choose hope anything is possible”. While unveiling “Fortis Lisa Ray Spirit of Life Award” Mr. Khanna states this initiative is a part of our 3C commitment. As we lead our innovative way to build a healthier community, we are also announcing the launch of – Fortis 3C support group... the 3 C translates into comprehensive, customised, care for our patients. The support group intends to reach out to patients through a support system which will help them fight the disease saying ‘you are not alone - we are there with you’. Receiving the honour from Ms Lisa Ray, Dr Mary Francis who fought her battle against cancer said, “I faced cancer with confidence without letting the disease affect my zest for life. God has given me a new life and I would like to use it positively by spreading awareness about cancer and to urge people to face with the right spirit. If you have the will and determination, you can face this dreaded disease and come out victoriously”. Dr. Mary Francis, who owns a clinical research company, is a born fighter. She bravely fought against the disease. While she was undergoing surgery and chemotherapy, she continued doing her routine activities both at home and at work. She even dared to travel to France during her battling phase. Selection process for Fortis Lisa Ray Spirit of Life Award Out of 79 entries, the panel of judges short-listed 10 nominees, of which 3 were selected for final round. Criteria for selection of the award was based on parameters like willpower, positive attitude, ability to fight against cancer, compliance and completion of the treatment, tolerating treatment (radiation/chemotherapy), acceptance of the disease, ability to motivate, support other cancer patients and how fast the patient came back to normal life (physically & mentally).

Intra-operative Radiation

~IORT or Intra-operative Radiation Treatment helps a 72 year old lady win over breast cancer without the removal of her breast~

S L Raheja (A Fortis Associate) Hospital continues to be the pioneer in introducing cutting edge technology combined with clinical excellence. The Hospital has successfully treated a patient of breast cancer with conservative breast surgery and IORT. With this treatment, it is possible to avoid complete removal of the breast and only remove the cancerous growth. Normally to make sure that all cancer cells are destroyed and chances of recurrence are minimized, the patient would have to go through 25-30 sessions of external radiation treatment over 5-6 weeks.

IORT is a radiation therapy technique in which a concentrated dose of radiation is delivered to a cancerous tumor site during surgery after the tumor is removed. After surgery, recovery is normal and there is no need for any additional external radiotherapy.

Mrs. Vidhya Agarwal, a 72 year old housewife from Agra, was detected with breast cancer, after a routine mammography & FNAC test last year and was advised a mastectomy. In addition she suffered from hypothyroidism, hypertensive, had a problem with her weight and had difficulty in walking; all of which made taking external radiation therapy daily for 6 weeks, very difficult.

Mrs. Agarwal’s surgery and the IORT treatment did not take more than an hour. She was discharged in three days after surgery.

An elated Mrs. Vidhya Agarwal says, “I came to know about my condition through a checkup I underwent after noticing a lump in my right breast. I was devastated when the doctor advised a mastectomy. This treatment has been a blessing for me. To my delight, the treatment was affordable, convenient and hassle free.”

S L Raheja (A Fortis Associate) Hospital, Mahim, offers the IORT program as part of its progressive, comprehensive approach to cancer treatment. IORT removes the need for external radiation treatment over 6 weeks by giving a single, definitive dose during surgery. INTRABEAM IORT if used as Boost (targeted supplemental dose of radiation) to standard external beam radiation can reduce treatment duration by one to two weeks. This treatment time reduction enhances treatment compliance and clinical outcomes.

With IORT, the targeted radiation dose leads to negligible side effects (that are seen with external radiation therapy) on adjacent healthy breast tissue and other normal organs such as the lungs, heart and the opposite breast.

Dr. Sanjay Sharma and Dr. Nehal Khanna, the team of doctors for Mrs. Agarwal, are delighted with the results of the treatment. Commenting on his success, Dr Sharma,Surgical Oncologist, S L Raheja (A Fortis Associate) Hospital said, “Statistical data suggests that the recurrence rate with External beam radiotherapy (EBRT) is at

around 7% while that with IORT is just 1.7%. Unlike traditional radiation treatment, IORT uses a single radiation dose and treats a more limited area of breast tissue.”

Dr. Nehal Khanna, Radiation Oncologist, says, “IORT has been a revolution. The treatment has been done on different types of cancers with good results. It is most commonly done for early breast cancers followed by head neck, colo-rectal cancers, pancreatic cancers, vaginal cancers and brain tumors. It can also be taken for recurrent cases, cases who have received prior radiotherapy, palliative settings as well as boost radiotherapy to the tumor bed.”

Your drugs won’t work if stored wrong, say docs

Your drugs won’t work if stored wrong, say docs
Sonal Shukla , Hindustan Times

A fortnight ago, Priya Karve (name changed) was rushed to a city hospital with severe dehydration. The 12-year-old diabetic patient’s insulin level had dipped severely. Karve’s case confounded doctors because she had not skipped her insulin dose. It was later that they discovered that
improper storage of the insulin vial, which Karve has to inject thrice a day, had rendered the hormone supplement useless.

“I found out that Priya was having tests in school and was keeping her insulin injection in her compass box. As the insulin was not stored at the right temperature, the injection lost its potency and led to an insulin deficiency,” said Dr Anil Bhoraskar, senior diabetologist,

Dr Bhoraskar added that at least 2 to 3 % of his patients have suffered due to not storing their medicines properly. “Patients sometimes forget to keep the insulin in the refrigerator or keep in the deep freezer instead of the butter box. This can change the profile of the insulin,” said Dr Bhoraskar. While discharging patients, some hospitals have now begun specifying how their medication should be stored. Other medicines including some antibiotics, anti-fungal and cardiac drugs if not stored properly could turn risky. Some cardiac drugs need to be protected from sunlight and moisture. “Cardiac drugs such as nitrates which are used for emergency treatment of heart pain, if exposed to sunlight lose their potency and the patient may continue to suffer from heart pain (angina) despite its usage,” said Dr Rajiv Karnik, interventional cardiologist. Nicorandil, which is also used for heart pain, loses its efficacy if stored at the wrong temperature. “At least a third of my patients are at fault while storing their drugs, mainly due to lack of awareness,” said Dr Karnik.

“Keep medicines in a cool, dry place, like a hallway linen closet, bedroom closet or even a kitchen cabinet away from the stove and moisture,” said Dr Phulrenu Chauhan, an endocrinologist.

Does Indian team diserve to be World Champion!!!!!

Surgery help college principal walk after 14 years..

Surgery help college principal walk after 14 years..

Snack Attack !!!!!!!!!!

Tuesday, August 09, 2011

Indian snacks can really hit the spot! They are loaded with spices, flavours, textures and unfortunately, calories. Rhea Dhanbhoora and Samreen Samad show you how to make the right choice when it comes to choosing between a warm vada pav and spicy samosa

While low fat products, nutrition bars, diet snacks and organic goodies are doing the rounds, things such as those deliciously oily bhajiyas and deep fried samosas are taking a backseat. But, no matter how health conscious we are, cravings for sev puri and vada pav aren’t going to die down anytime soon. Indian snacks are known for their spicy flavours and focuses on vegetables, chutneys and fried items. But, with the use of flour, ghee, potatoes, bread and puris — they’re not exactly healthy snack options.

No matter what food you’re consuming, you have to make sure that it’s healthy and safe. Nutritionist Dr. Purwa Duggal tells us, “To maintain good health, it is important to cook snacks and meals using healthy ingredients such as whole wheat, vegetables, legumes, beans, fruits and low fat dairy products. You have to be cautious while consuming meats and restrict your intake of fats, processed grains and sugars.” But, instead of cutting out on those heavily fried Indian snacks, you can switch around the ingredients in a bid to make them slightly healthier.

The Lowdown
We spoke to Dr. Purwa Duggal to find out who the major culprits are and how we can enjoy these snacks once in a while... without too much guilt. Turn the page to find out how she rated them.

1. Falooda
You can’t live in the city without a taste of falooda. It may not be your staple diet and while it isn’t as unhealthy as a fried snack, the creamy drink can add to calories too.
Calorie per serving: 445 kcals (300ml)
Why it’s unhealthy: It contains ice cream rich in fat and falooda made from cornflour, which is the source of pure carbs.
Make it healthier: Use low fat milk, avoid ice cream and use sugar-free instead of sugar.
How often is it allowed? Indulge in falooda once a week. If you’re making it using the healthier ingredient options, you can indulge in it
more often.
Health rating: 5/10

2. Sabudana vada
Sabudana vadas are usually eaten during the fasting period. Sago, the main ingredient of this snack, is healthy but the groundnuts, oil and potatoes make it unhealthy.
Calorie per serving: 352 kcals per piece
How often is it allowed? The snack is pure starch with potatoes and groundnuts and is deep fried.
Make it healthier: Use raw bananas instead of potatoes.
How often is it allowed? You can eat this snack once in a month.
Health rating: 8/10

3. Sev Puri
The spicy treat from your local bhelwalla may not be the best option because of the outside water, risk of jaundice and all sorts of other diseases. But, even when made in a safe environment (such as your own kitchen), the snack can mean you’re letting quite a few calories sneak in.
Calorie per serving: 299 kcals
Why it’s unhealthy: The puris and the sev that is used absorb a lot of oil.
Make it healthier: Use wheat based baked puris. Instead of potato, try using moong.
How often is it allowed? You can indulge in a calorie laden sev puri once a week.
Health rating: 7/10

4. Vada pav
Vada pavs are the quick snack that the city can’t seem to get enough of. Whether its at railway stations, small restaurants or as a quick evening snack — they’re always around and usually we’re not thinking about how many calories we’re piling on because of them.
Calorie per serving: 295 kcals
Why it’s unhealthy: It’s deep fried, essentially potato and loaded with calories.
Make it healthier: Use minimal amounts of oil but avoid re-using it.
How often is it allowed? Keep vada pav treats down to once a month.
Health rating: 9/10

5. Bread Pakodas
Bread pakodas with chutney is a popular snack in the city. It is made of maida which is harmful for your health.
Calorie per serving: 289 kcals
Why it’s unhealthy: The snack is made of maida, potatoes and is deep fried.
Make it healthier: Opt for a grilled or toasted sandwich instead.
How often is it allowed? Twice a month.
Health rating: 8/10

6. Samosas
Samosa’s go hand in hand with vada pavs. Satisfying and delicious, they’re also deep fried and loaded with potatoes, with a fried coating that will be the death of your diet.
Calorie per serving: 149 kcals per piece
Why it’s unhealthy: The snack is deep fried, salty and loaded with calories.
Make it healthier: Use minimal oil. Potatoes can be substituted with moong dal.
How often is it allowed? Stay away from samosas for the most part, indulge in one every three weeks.
Health rating: 9/10

7. Poha
Poha is made of flattened rice and is considered a healthy snack but the potatoes and fried groundnuts can add some calories.
Calorie per serving: 199 kcal
Why it’s unhealthy: The fried groundnuts and potatoes add calories.
Make it healthier: Replace the nuts and potatoes with lots of low calorie vegetables.
How often is it allowed? If you cook it without the unhealthy nuts and potatoes, this snack can be eaten daily.
Health rating: 2/10

8. Kachoris
Kachori is an easily available snack and quite popular to serve guests at home. But, this tasty snack is loaded with calories.
Calorie per serving: 190 kcal
Why it’s unhealthy: It’s deep fried and salty.
Make it healthier: Have it baked instead
of fried.
How often is it allowed? Keep kachori treats down to once a month.
Health rating: 8/10

9. Idlis
Idli is the most popular South Indian snack. It’s filing and healthy, not very high in calories but the fermentation can make it unhealthy.
Calorie per serving: 130 kcals
Why it’s unhealthy: The fermentation makes this snack a bit unhealthy.
Make it healthier: Use daliya (broken wheat) instead of rice.
How often is it allowed? Idlis are healthy and can be eaten daily.
Health rating: 2/10

10. Dosa
And the winner is — dosa! This Indian snack has the least amount of calories. It’s tasty and easy to make. However, replace the potatoes from your masala dosa to healthy low calorie vegetables.
Calorie per serving: 100 kcals
Why it’s unhealthy: Dosa is not unhealthy at all if you cut out the potato filling.
Make it healthier: Use healthy vegetables
for fillings.
How often is it allowed? Dosa is healthy and you can eat it everyday.
Health rating: 2/10

Expert Speak
“Indian snacks traditionally are more salty, sweet and deep fried. But western options such as burgers with French fries, pizzas, bakery items and such are rich in trans/hydrogenated fats which are extremely harmful and must be avoided. It’s best to try and make your snack healthy.”
— Purwa Duggal, Nutritionist

India, emerging as the global Hepatitis capital of the world

By: Priyanjali Ghose Date: 2011-08-09 Place: Mumbai

What you need to know about the potentially life-threatening liver infection caused by the Hepatitus B virus

A recent finding by doctors from MIOT Hospital in Chennai claims that India is likely to emerge as the global capital of the dreaded Hepatitis B virus, which is responsible for 60 per cent of liver cancer cases.

Ashok Borisa, a Gastrointestinal and Laparoscopic Hepato-Pancreato-Biliary surgeon, Fortis Hospitals says, "The number of HBsAg carriers in India is estimated to be over 40 million or four crores."

Lack of awareness about the virus is a large reason for the spread of the virus, claim doctors. Viral Patrawala, gastroenterologist, Hiranandani Hospital defines Hepatitis B as a serious liver inflammation and infection caused by the hepatitis B virus (HBV).

Five kinds of virus
A, B, C, D and E are the five kinds of Hepatitis. Patrawala broadly classifies A and C to be food and water-borne infections, while B and C are spread through contact with blood or other bodily fluids including saliva, semen and vaginal fluid of an infected person.

Patrawala explains that carrying the virus does not mean that an individual has the disease. He declares that HBV can cause both short-term (acute) disease and long-term (chronic) disease.

"Not everybody develops chronic infection. Only five per cent of those carrying the infection develop the chronic disease," clarifies Patrawala. He adds that being affected by Hepatitis B does not depend on age or gender though children are more prone to develop the chronic disease, as compared to adults.

Consultant gastroenterologist Prassana Shah from Breach Candy says, "Anybody can acquire acute Hepatitis B.
However, in most cases the body produces antibodies and suppresses the virus with regular administration of drug tests. The person is cured mostly in six months," says Shah.

He says that in India, 90 per cent cases show that the infection mostly spreads from mother to foetus and most of them are chronic. Most pregnant women suffering from Hepatitis B are given injections to protect the child from the virus. Also, according to him, blood transfusion, dental treatment and the use of infected needles and razors are other major causes of the spread of Hepatitis B.

Symptoms and cure
Borisa says that the signs of Hepatitis B appear in about three months after being infected. Abdominal and joint pain, dark urine, loss of appetite, nausea and vomiting, weakness and fatigue, and jaundice are some of the symptoms. In case of acute HBV, the doctors may not suggest any treatment and instead work to reduce the symptoms and recommend follow-up blood, liver and viral load tests to make sure the virus has left the body.

However, Borisa informs that those suffering from chronic HBV infection often do not feel any discomfort even after carrying the infection for decades. According to him, 15 to 20 per cent of the patients suffering from chronic Hepatitis B die of liver cancer and cirrhosis, the scarring of liver.

"If you've been diagnosed with chronic hepatitis B infection, your doctor may recommend antiviral medications or getting a liver transplant," says Borisa.

Vaccination, a must?
Experts unanimously agree that vaccination is the best protection against the Hepatitis B virus. Ajay Choksi, gastroenterologist from Nanavati Hospital informs that World Health Organisation has recommended that HBV vaccination should be provided to all adults and infants at the time of birth. "The WHO has made a recommendation, but in India vaccination has not yet been made mandatory in all private and government hospitals. There is no such regulation though most pediatricians normally vaccinate children."

Shah gives the example of Taiwan where Hepatitis B vaccination programme was implemented in 1984. As a result, Taiwan saw a considerable decline of hepatocellular carcinoma or liver cancer in children.

In India each shot, according to Choksi is priced between Rs 50 to 100. Three shots of the vaccine are needed for proper protection. Though there is no age limit, it is advisable to take the HBV vaccine before the age of 40.

Apart from proper vaccination, Borisa advises that maintenance of national registry for Hepatitis, treatment of carriers, educating the common man, availability of treatment for chronic HBV for all classes and proper check on blood blanks be done to curb the spread of the virus.

42 million Indians suffer from Hepatitis B: Study
A recent study by a team of doctors from MIOT Hospital in Chennai conducted a survey which showed that 42 million Indians suffer from chronic Hepatitis B. the virus is also responsible for 60 percent of liver cancer cases in the country, claim the doctors. It was also found that not even one per cent of school children are provided with HBV vaccine though it was developed in 1970. PVA Mohandas, director, MIOT Hospital, reveals that there are 400 million people chronically infected by the HBV and 40 per cent of them are at the risk of suffering from cirrhosis and liver cancer.

Do's and Don'ts for those living with HBV

Dos
> Restrict alcohol intake to a peg twice or thrice a week if you have chronic HBV.
> Practice safe sex. Use condoms each time you have sex. If you are in a monogamous relationship and have had unprotected sex outside your relationship, confide in your partner, as you might be putting them at risk of contracting the virus or an STD (sexually transmitted disease).
> If you are pregnant and carrying the HBV tell the doctor immediately.

Don'ts
> Alcohol, even wine, is an absolute no-no if you have contracted the virus.
> If you are infected with the Hepatitis B virus, don't donate blood or organs.
> Don't share razor blades or toothbrushes. These items may carry traces of infected blood. If you use IV drugs, never share your needles and syringes with anyone.

Myths and truths about Hepatitis B

Myth: Hepatitis B can be transmitted through casual contact such as kissing, handshakes or sharing of food and water.
Truth: The disease can only be contracted on an intimate basis such as sharing bodily fluids through unprotected sex or sexual contact or through blood transfusions with an infected person.

Myth: There is no treatment available for chronic hepatitis B.
Truth: While the disease is not curable, it is manageable. Chronic HBV can be treated with a number of effective medications that can suppress, slow or reverse the liver disease. All chronically infected patients need life-long monitoring.

Myth: Healthy patients with chronic HBV (often called "carriers") do not need regular medical follow-ups.
Truth: Inactive carriers can progress to cirrhosis or liver cancer at any time. Continued screening should take place at regular intervals throughout the patient's lifetime.

Myth: Hepatitis B vaccine prevents liver cancer and enhances healing in infected patients.
Truth: The vaccine prevents infection and thereby cancer. There is no reason to vaccinate a patient who is already infected.

How to end a deadly affair

By: Sheetal Sukhija Date: 2011-08-09 Place: Mumbai

Actor Michael Douglas announced his intention to quit but was caught smoking soon after. Active! gives you tips on how to quit for good

Nicotine addicts mock claims about alternative solutions to help kick the butt as the need to take deep drags often gets to the best of them. So, when throat cancer surviving actor Michael Douglas announced that he would kick the butt, there were skeptics who smirked at the thought. He proved them right, as he was spotted smoking away in style while on a holiday.



The World Lung Foundation revealed a year back that India, apart from China, forms the world's biggest tobacco consumers. Doctors reveal that tobacco is smoked in many forms in the country and statistics prove that 229 million men and 12 million women across the country smoke tobacco and find it hard to kick the habit.

"Nicotine is the most commonly found drug in tobacco. When you smoke, it enters your system and causes physical and psychological dependence. You need to believe that the habit is going to harm you and that is where you start," says Dr Girish Nair, Neurologist at Fortis Hospital, Although doctors have little scientific evidence about hypnosis as a therapy, it has proved helpful. "Hypnosis can be used as a powerful tool to motivate people to quit," explains Dr Nair.

Not addicted, really?
Doctors claim that the habit often sticks for long, if not kicked off early in one's smoking days. "Those who have a craving to smoke even one cigarette a day are addicted in some form. If they stay away from cigarettes for long, they may feel uncomfortable. A common misconception is that cutting down will help people quit. If one needs to quit, they should do just that ” quit completely," says Dr Nair.

Harmful chemicals gain entry
Dr Tejindra Singh, Oncologist, Fortis Hospital, says, "There are around 4,000 chemicals in a cigarette. Around 200 of these chemicals are known to cause cancer. These chemicals change the molecular structure of the DNA and the DNA gets damaged and doesn't repair."

He adds, "Nicotine and other chemicals are carried through the blood to the heart, brain liver and spleen. They affect the hormonal system, a person's metabolism and eventually damage the brain."

Therapy to the rescue
Doctors suggest that the best way to get de-addicted is to use alternate ways to satisfy the nicotine need for a smoker. "There is a psychological preparation called Buspirone that helps people overcome the craving for nicotine. The non-pharmacological methods consist of therapy and counselling that help you quit. Apart from that, a person could start with nicotine sprays, gums and patches," concludes Dr Nair.

Yes you can quit smoking, says Obama
Being the man in power, who presently seems to be tensed because of the US downgrade, it sure seems like a time when Barack Obama would want to pop one of those sticks to do away with the world's tensions.

However, Obama, who set an example for many in various walks of life, has finally managed to quit the habit.

Having picked up the habit early in life, Obama stuck to it for a long time and would smoke at least eight cigarettes a day. He had earlier said that his wife was the motivation behind him kicking the evil habit and had promised her to quit when he embarked on his campaign to become president. However, it was only a few months back that the man in power eventually gave up the stick, for a peaceful healthier life -- as nicotine gums came to his rescue.

PARATHRYOID HORMONES

ICMR to study if probiotics can replace antibiotics

Shalini, Nikita Mishra, CNN-IBN

New Delhi: The Indian Council of Medical Research is now taking up a large scale research to study if probiotics can be an used as an alternative medicine for women and children's health. The Rs 20.6 million industry in India, has been quite a rage since probiotic products hit store shelves five years ago.

One can pick from curd (already a natural probiotic product), tofu, milk, even get their ice-cream fermented with millions of good bacteria.

Starting from August 15, the ICMR is going to study 400 strains of probiotics as possible alternatives to antibiotics in severe viral infections, infectious diarrhea, reducing pre-term birth and even to prevent transmitting the HiV virus through breast milk.

Mumbai Fortis Hospital Nutritionist Purva Duggal said, "The mechanism by which it actually facilitates or promotes health is by something known as competitive elimination where actually the probiotics, once ingested, compete for nutrient and space in our body thereby, they stop the growth of unwanted bacteria and once ingested, they will result in production of lactic acid which actually helps in eliminating the growth of the harmful bacteria."

Probiotic products can ease indigestion and acidity. In fact a study at Ohio University this year found a particular strain of probiotics, was nearly as good as antibiotics in treating diarrhea in children. But products need constant refrigeration - which was not mentioned on product labels, until the ICMR recently released guidelines.

Stress, alcohol, caffeine and medications are all killers when it comes to one's body's natural good bacteria. Probiotics can boost one's immunity, but till now, they are no substitutes of regular medications. Also, some people tend to have an intolerance towards probiotics, so one should always check with their doctors as to what suits them

Nothing to kid about

Having kidney stones is not a light matter and it is perhaps one of the most unfortunate and uncomfortable conditions. Dev Goswami tells you all that you need to know about them…

Suffering from kidney stones is a very strange experience. On one hand you experience constant bouts of extreme pain, yet most of your daily functions won’t be disturbed as they often are with other medical conditions. You will not have to apply for leave at work nor will you have a plethora of visitors coming in to check up on your condition. But, at the same time, suffering from kidney stones can be a serious situation. If left untreated it can lead to a range of other health conditions such as kidney damage, urinary tract blockage, urinary tract infection and urinary fistula.

Symptoms
The symptoms faced on contracting a kidney stone depend on the size of the stone and to what extent it can irritate the body. Extreme pain in the back or the side region that does not subside is the first major sign that you may be suffering from kidney stones. Dr. Ramesh Mahajan, an urologist at Fortis Hospital says, “Apart from the pain, other symptoms include blood in the urine, nausea and vomiting.” Also, since the body readies itself to fight with the condition, it may result in inflammation setting in, resulting in fever which sometimes maybe accompanied by chills.

Causes
Unlike most other conditions, suffering from kidney stones can be a result of factors which are not entirely in your hands. These causes include having a hereditary condition, having diabetes and diseases of the urinary tract. However, those which depend on you are habits such as not drinking enough water, excessive intake of carbonated drinks, eating too much of junk food and a poor lifestyle quality in general. The unfortunate nature of this condition becomes clear when we hear what Dr. Ramesh has to say, “A person who is pre-disposed to form kidney stones will always remain so for the rest of his life and there is nothing that can be done about that.”

Precautions
While you may not be able to completely prevent the condition from happening, you can take precautions that can decrease the risk considerably. Drinking adequate water should be first on the list of precautions.
Dr. Ramesh says, “No matter what the climate, you should drink enough water to produce about 2 to 2 ½ litre of urine everyday. Also, take care to eat a balanced diet which does not include excessive intake of junk food and carbonated drinks.” Those who are pre-disposed to the condition should especially take these precautions and also make sure that they undergo periodical tests. Keep in mind that in the early stages, when the stone is quite small in size, it will be easier to naturally flush it out of the system if you take proper care. If not diagnosed early enough, the stone may get bigger and you will have to opt for surgical treatments to remove it.

Recurrence
A person who has suffered from kidney stones is at a high risk of contracting them again if proper care and precautions are not followed. Dr. Ramesh says, “Once a patient gets kidney stones, there is a 25-30% increased chance of stones forming again.”
To ensure that this does not happen, it is essential to take the precautions mentioned above. Also, Dr. Ramesh advices that you should undergo sonography and urine tests once a year for at least 3 years after you have been cured of them.
One last thing you need to keep in mind is that this is a condition where you need proper advice and guidance from the first stage itself. So, make sure that you undergo proper tests and visit a doctor to stop it from turning into a major health problem for you.

Expert Speak
“When it comes to kidney stones, diet does not play that big a factor. If you are either pre-disposed to stone formation or your lifestyle is unhealthy, food will not help you to either prevent it or completely cure it. However, a balanced diet when combined with a healthy lifestyle will definitely help you reduce the risk of you suffering from kidney stones.”
— Dr. Ramesh Mahajan, Urologist, Fortis Hospital

Critical cases reach hospital late due to bad roads: docs

Critical cases reach hospital late due to bad roads: docs

HT Correspondent, Hindustan Times
Mumbai, July 30, 2011
Problems caused due to potholes – which have become a recurring feature in the monsoon – are not just limited to traffic congestion and bumpy rides for commuters. Pothole-filled roads in the city and the resulting traffic jams are endangering the lives of emergency and trauma patients,
who need to reach the hospital in the golden hour – the first 60 minutes following a serious injury.

“Precious time is lost because of delay in reaching the hospital, owing to the traffic snarls caused by potholes and waterlogging. Many emergency patients don’t reach hospital on time,” said Dr Khusrav Bajan, head of emergency at Hinduja Hospital.

The golden hour is the most critical period – a matter of life and death for the victim. This is particularly important for those who have suffered a heart attack, a brain stroke, or been seriously injured in an accident.

“In the event of a heart attack, if the patient does not receive the essential life-saving treatment in the first 90 minutes, irreversible damage can be caused,” said Dr Rajiv Karnik, interventional cardiologist, Fortis Hospital.

In fact, Dr Bajan said, doctors now follow the platinum half-hour rule, as even 60 minutes could be a little too long.

Nearly 50-60% of the emergency patients reach hospitals late in the monsoon. “The gap between an emergency call and the arrival of the patient in the hospital is significantly more presumably due to bad road conditions and traffic jams,” said Dr Karnik.

Not just the travel time, the commute also makes things doubly dangerous for patients. “Patients have to endure jerks. This is a major concern when we are handling cardiac and fracture cases,” said Sweta Mangal, chief executive officer, Ziqitza Health Care Ltd. which operates 35 ambulances as part of the Dial 1298 for Ambulance service in the city.

Ambulance providers also find it difficult to maintain the monitoring equipment. “In cardiac cases we have to continuously monitor the patient’s pulse. Some times the medical equipment get switched off due to the jerks and need to be restarted, which takes a few minutes,” said Mangal.

DNA

DNA

Parag Dhurke

About 75 per cent of Mumbaikars lack Vitamin D

About 75 per cent of Mumbaikars lack Vitamin D
Nikita , CNN-

Mumbai: There's no shortage of sunlight in the country and yet 75 per cent of Mumbaikars surveyed have a severe deficiency of the sunshine vitamin, Vitamin D, which our bodies produce naturally, when exposed to sunlight.

Dr Vimla Puri, Head of Dept of Lab Medicine, Hinduja Hospital said, "Its is an underlying epidemic which is very alarming, and these are the elite group of people who come to Hinduja hospital. I cant imagine what levels would be in the rural population."

It's not just this survey of 1100 Mumbaikars by PD Hinduja hospital. Studies by the Arthritis Foundation of India have found that an average of 70 per cent of urban Indians have a Vitamin D deficiency.

Many of us work in air-conditioned offices, go back to air conditioned homes and commute in air-conditioned cars. Think of it, in a sunny country like ours, we don't spend more than 30 sunscreen-free minutes in the sun.

Sunscreen may protect against harmful UV rays, but doctors say it can also block elements the body needs to produce vitamin D.

Dr Kaushal Malhan, Ortho Fortis said, "We are sitting in the sunlight today, we are getting a lot of Vitamin D, but to get adequate benefits of sunlight I need to have at least 15 per cent of my body exposed to sunlight. So if I am all covered with clothes even if they are cotton clothes the sunlight will not work. If I am sitting in a room with glass all around and even if the sunlight is coming all through the glass it will not work."

There is no substitute for a regular dose of sunlight with the lack of vitamin D being linked to bone disorders, diabetes and some cancers.

http://ibnlive.in.com/news/about-75-per-cent-of-mumbaikars-lack-vitamin-d/149602-17.html

MRI fails to support Kalmadi's dementia claim
New Delhi: The MRI report for Suresh Kalmadi, which was done at Delhi's LNJP Hospital, does not suggest that he is suffering from dementia. CNN-IBN has accessed the MRI report that claims that the former Commonwealth Games Organising Committee chief is suffering from 'diffused cerebral atrophy' instead.
According to the MRI report, the problem of Kalmadi has been diagnosed as 'diffused cerebral and cerebellar atrophy with old ischemic changes in brain parenchyma with calcified granuloma in caudothalmic groove on left side'.
But does that mean Suresh Kalmadi is suffering from dementia?
"The diagnosis of dementia is not just based on one report, but by putting in multiple reports. The clinical report of the patient, the blood work, may be sometimes the imaging report, psychological evaluation - all of these need to be combined and then we can say if the person has dementia," said Fortis Hospital, Neurologist Dr Girish Nair.
The report will be sent to the All India Institute of Medical Sciences (AIIMS) for a second opinion.
Tihar Jail authorities had earlier told newspapers that Kalmadi is suffering from dementia, a condition that leads to loss of brain function, and referred him to AIIMS.
"We are going by what Mr Kalmadi has stated. He complained of dizziness, so he was referred. We will be consulting the neurosurgeon at AIIMS and we will follow whatever course of action they recommend. The court had asked for a copy of his medical report and we have submitted it," said Tihar Jail PRO Sunil Gupta.
AIIMS doctors whom CNN-IBN has spoken to have said that it is not yet possible to identify Kalmadi's condition as dementia - the report indicates there are slight changes in the brain in less in volume but can be very normal.
The question arises now is - how will this report impact the trial in the CWG corruption cases? And more importantly, is this a ploy being used by Kalmadi to ensure that the judicial system goes soft on him?
"To prove mental incapacity to the point of saying that he was suffering from insanity and therefore not committed a crime, I don't think that is even suggested," said advocate Harish Salve.
Suresh Kalmadi's medical report that has been prepared by Delhi's LNJP hospital will now be sent to AIIMS. The report is going to be submitted to the court this week itself. The content of the final report prepared by the AIIMS will decide the way forward in the CWG trial.

http://ibnlive.in.com/news/mri-fails-to-support-kalmadis-dementia-claim/170541-3.html

Source - CNNIBN

With 5 times failed hip, Iraqi teacher gets stands uptall again post a successful revision surgery

With 5 times failed hip, Iraqi teacher gets stands uptall again post a successful revision surgery”

~Deniedof medical support abroad, Iraqi woman finds India for clinical excellence~

Setting yet another milestone in orthopedic surgery, DrSachin Bhonsle performed a complicated hip replacement revision surgery on a52 year old Iraqi lady who had undergone 6 failed hip surgeries before.

Dr Sachin Bhonsle, Consultant Orthopedic Surgeontook up a challenge to perform the 6th followed by 7th revisionputting the patient back on her feet. Sixth is a preparatory for the final revision(7th surgery).

Patient Ms Nadia, a teacher from Baghdadhad a childhood injury to her right hip which damaged the joint progressivelytill it developed arthritis. When shewas 40 years of age she decided to opt for a total hip replacement which wasperformed in her own country. The surgery did not yield good results and herjoint soon dislocated. She had to undergo second surgery to revise the socket.This surgery gave her benefit but only for two years.


In 2002 the hip developed problems onceagain and she had to have a revision surgery for the third time. This failedagain after three years.

In 2005 a fourth surgery was performed tochange the entire hip joint. She got a good pain relief after this surgery.This hip joint had loosened out by 2010 when a fifth surgery was performed tochange the joint surfaces. She did not get any benefit from this surgery.

Reasons for failure:-

Unstable joint replacement and poor soft tissue balance
Early wear and tear because off poor alignment
Loosening because of inadequate fixation in bone and suboptimal cementing
Extensive soft tissue scarring and inexistent muscles because of repeated operation in same place

Meanwhile destiny gave her a sixth chance,having suffered for so long Ms Nadia mustered the courage to rectify herproblem and decided to come down to India and get operated upon her hip onceagain.

Dr Sachin Bhonsle says “This case is a fineexample of a very complicated hip replacement operation as Nadia had undergone severalhip replacements before and those operations were failures. Bone had becomebrittle due to intense scarring and there was a major possibility of fracture.Nerve damage was possible during approaching such hips because of nerveentrapment in severe scarring. Her poorly controlled diabetes proved a furtherchallenge.”

Dr Bhonsle had to first perform the surgery(6th) to remove all the implants, bone cement and clean up the infection. Heperformed the final revision surgery (7th surgery) during 1st week of July.

“I opened up the wound and thoroughlycleaned it again. I first prepared her socket (used a cement less socket of amodern design which can last for many years) and put some bone grafts in thedepth. Then i went on to prepare the femur which proved a huge challenge. Therewere many holes and breaks in the femur. I had to use a titanium stem of greatlength to span breaks in the bone. In addition i had to strengthen the boneusing- bone grafts, titanium mesh, plates and screws. It took almost 7 hours tocomplete the procedure with satisfaction.” adds Dr Bhonsle.

The surgery was successful with anuneventful recovery and Nadia was able to walk within 48 hours of surgery. Dr.Bhonsle is very optimistic that the patient will lead a normal life and willnot require another revision in her lifetime.

“Having undergone 5 surgeries before,doctors abroad told me that a sixth correction could never be performed on myhip. I thought that I will have to lead a challenged life for the rest of the years.But like the saying goes every cloud has a silver lining! I too got hope after 12years of suffering from Dr Bhonsle who took up the challenge and cured me. AllI want to say is there is a solution to every problem, only thing is we need tohunt out for the opportunity and everything else falls in place”, says Nadiawith a comforting smile on her face.