Category: Health

  • Are we heading towards cardiometabolic syndrome endemicity?

    Are we heading towards cardiometabolic syndrome endemicity?

    Surat (Gujarat) [India], July 1: With the evolution of human beings over billions of years, our ancestral genes eventually adapted to surviving on minimum food and putting in maximum activity to procure small amounts of food. This changed around 100 years back when the industrial revolution started. Since then, the maladaptation of our genes began, which might be the backbone of the etiology of the endemicity of cardiometabolic syndrome.

    Nowadays, our younger generation is suffering from heart attacks, high blood pressure, diabetes, high cholesterol, and even sudden cardiac deaths of so-called “healthy young individuals”.

    So let’s introspect. As I mentioned earlier, our genes were adapted to minimum food and maximum activity for billions of years, when suddenly, we got exposed to an abundance of food with the least physical activity. This could have led to confusion in our genetic makeup, subsequently leading to maladaptation, whose cumulative effects over the past 100 years could be a major behind the ever-increasing trend in cardiometabolic diseases.

    We are aware that there is a multifactorial etiology for cardiometabolic endemicity apart from bad genes, which includes insulin resistance in the form of diabetes,  high body fat percentage, high cholesterol, high blood pressure, physical inactivity, smoking and other forms of tobacco, high intake of saturated fat, refined carbohydrates, high intake of processed food, and so on.

    Are we missing something in the list mentioned above?

    Yes. We missed most of the important physiological need of our body to recover- Sleep.

    We are suffering from lack of sleep and mental stress which is equally responsible for bad cardiovascular health.

    A minimum of 8 hours of sound sleep is necessary, apart from a healthy diet and regular exercise for healthy heart and healthy mind.

    Also, have you heard about “gut microbial diversity?” Our intestines have trillions of microbial, which are essential for good health and are indirectly associated with a healthy heart too. Mother nature has blessed us with this abundance of“ gut microbial diversity”, but we are rapidly losing many healthy gut microbial families, which might lead to bad gut health. Probable reasons for the lack of gut microbial diversity are processed food, food with artificial sweeteners, junk food, excessively refined carbohydrate, fried food, and many more environmental factors.

    Now let’s discuss a bit about the circadian rhythm of the body. Our body was adapted to digest food and release certain healthy hormones according to the time of the day related to sunrise and sunset since time immemorial. For example, we get a high insulin spike if we eat simple carbohydrates or sugar at night which over time leads to insulin resistance, eventually giving rise to high chances of diabetes and an unhealthy heart.

    So if we think out of the box, we should go back to the lifestyle of our grandparents. They used to eat before sunset and sleep early; they used to do heavy physical activity, and they used to eat staple food which was fresh and available at their local place. They had never heard of pizzas, burgers or ice-creams. They were eating less as compared to the physical activity they were doing. And i want to stress this because, as a cardiologist, I feel really bad when I need to do angioplasties of young people who suffer from heart attacks and diabetes.

    Now, let’s come to the most highly discussed disease of recent times, Covid, and its effect on the heart. I feel that Covid, like a warning bell, has unmasked as well as accelerated the cumulative unhealthy cardiovascular health at a mass level. It has detrimental effects on our endothelium, which is the innermost layer of the arteries which supply blood to the heart muscle. But the negative effect of Covid on our endothelium is reversible and temporary if people would have adapted a healthier lifestyle like that of our forefathers as a rehabilitation programme. Rather we started becoming more unhealthy in the post covid era as a boomerang kind of behaviour.

    So to summarize, what should we do now to have a healthy heart??

    Check your risk factors for heart disease. Do you have any family history of heart disease? Are you diabetic? Are you a smoker? Do you have high blood pressure or high cholesterol? Are you living a sedentary or unhealthy lifestyle for many years? Then check your heart periodically even if there are no evident symptoms. And keep an eye out for the indicators of heart disease.

    Any symptoms which worsen on exercise or exertion, or activity might be related to a bad heart, whether it is chest pain or breathlessness or fatigue or palpitation.

    My dictum for heart disease is “ Any unusual symptoms from ear lobule to umbilicus which increase on walking or exercise, might be related to heart disease, go and get your heart checked in such cases.”

    Dr. Sanjay Vaghani

    MD, DM, FSCAI

    Interventional Cardiologist

    Surat

    drsanjayvaghani@gmail.com

    9825353036/9824118885

  • Sakhiya Skin Clinic: A Pioneer in Skin Care and Cosmetic Treatments in India

    Sakhiya Skin Clinic: A Pioneer in Skin Care and Cosmetic Treatments in India

    Surat (Gujarat) [India], July 1:  Surat, known as the city of diamonds and textiles, boasts the presence of Sakhiya Skin Clinic, a first-of-its-kind multi-disciplinary center that has been revolutionizing the field of skin care and cosmetic treatments for over 25 years.

    Founded by renowned dermatologist Dr. Jagdish Sakhiya, the clinic has become synonymous with the latest technology, state-of-the-art equipment, and a commitment to providing “beauty without cuts & bruises” while maintaining a “zero side effect” approach, much to the satisfaction of its patients across India.

    Sakhiya Skin Clinic has been a trailblazer in introducing Laser Hair Removal technology  since 1998. This innovative approach garnered immense popularity due to its promise of delivering exceptional results without the need for invasive procedures. The clinic attracts an impressive number of patients, with approximately 1 lakh visits recorded each year across its 25 centers in India.  

    Spanning an impressive 18,000 square feet, the Sakhiya Skin Clinic is a multifaceted facility dedicated to research, teaching, clinical medicine, and technology transfer. Holding an ISO 9001–2008 certification, the clinic upholds international standards in delivering top-notch skin care and cosmetic services backed by science and technology.

    With world-class equipment and a team of experienced dermatologists and assistant doctors, the clinic caters to a wide range of skin-related requirements, including Acne Treatment, Acne Scar Removal, Laser Hair Reduction, Pigmentation, Fillers, Skin Rejuvenation, Anti-Aging, Chemical Peeling, Skin Tightening, Tattoo Removal, Pre-Bridal services, and even Cosmetic Plastic Surgeries.

    Recognizing that every individual’s skin is unique and requires personalized care, Sakhiya Skin Clinic offers an extensive range of services to transform patients’ appearances swiftly. From acne and scar treatments to laser hair removal, chemical peeling, anti-wrinkle injections, fillers, anti-aging treatments, tummy tucks, bridal packages, and more, the clinic’s dedicated medical practitioners work diligently to meet their patients’ specific needs.

    At the forefront of Sakhiya Skin Clinic’s success in India is the visionary Dr. Jagdish Sakhiya. Since earning his medical degree in dermatology, Dr. Sakhiya has been dedicated to establishing himself as a leading authority in aesthetic and cosmetic dermatology. His expertise in the field has garnered recognition from his peers, making him a respected figure in Cosmetic Dermatology.

    Dr. Jagdish Sakhiya’s commitment to advancing his knowledge and expertise is evident through his extensive training across various countries. He has received advanced training in Anti-wrinkle Injections Therapy in Australia, Micro-Derma & Chemical Peels in Paris, Fractional CO2 Laser for Facial Resurfacing in the USA, Advanced Fillers in Dubai, Meso-therapy for Skin & Hair in Greece, Sclerotherapy in Bangalore, Light-based IPL Skin Treatments in Malaysia, Laser Hair Removal in Israel, Q-Switched Nd-Yag

    Laser for Skin in the USA, Radiofrequency for Skin Tightening in Spain, and Derma-Roller for various skin conditions in Australia.

    Beyond his clinical practice, Dr. Jagdish Sakhiya holds esteemed positions in professional organizations. He serves as the General Secretary of the Gujarat State Branch of Dermatology, President of the Pigmentary Disorders Society of India, President of the Varachha Road Medical Association in Surat, and an Executive Committee Member of the Cosmetic Dermatology Society of India. Additionally, Dr. Sakhiya is the founder of the P.J. Foundation Scholarship, which supports young and financially challenged dermatologists in attending international conferences and training workshops. Dr. Jagdish Sakhiya understands your skin hence with his 25+ years of experience in dermatology he developed skincare products  that can help you rejuvenate your skin.

    To know more call: 1800-1200-70000 (Toll-free)

  • Causes of increased hair fall in monsoon and how to prevent it with Homeopathy

    Causes of increased hair fall in monsoon and how to prevent it with Homeopathy

    New Delhi (India), July 1: Hair fall is the most dreaded phenomenon, especially in the monsoon, anyone can experience it, be it women or men. Apart from the average daily 100 hair strand fall, the pleasant monsoons can quickly turn unpleasant by being harsh on your hair if proper routine hair care and nourishment is not provided to your hair. And if your hair loss is worsening and unmanageable, then here we will enlighten you with the best hair fall control solutions available for you. Be sure to take care of those pretty tresses or you will lose them for sure!

    Why does hair fall happen in the monsoon?

    As it is universally known that wet hair is very delicate and falls apart very easily, you will need to take care of it like you are stepping on broken glass. Moreover, the humidity levels in the environment are very high and so the hair is all the more, weaker every minute of the day leading to excess hair fall and so in such situations, it is natural to seek for hair fall solutions.

    Major causes of hair fall in monsoon

    The primary causes of hair fall in monsoon include:

    • Not drying your hair in time and leaving wet hair tied up for too long.
    • The humidity around us makes the hair weaker and combing wet hair can even worsen hair loss.
    • The natural oils of the hair are also stripped off and the hair root may become fragile, causing intensive hair fall.
    • Drying your hair too often with blow dryers and such other heating devices can cause havoc for your hair.
    • Due to the monsoon, people may be inattentive and not follow the routine hair care like washing and conditioning your hair effectively.
    • The uncertainty of weather from cool or dry to extreme humid, can cause frizzy hair and lead to hair damage.
    • The dampness in the scalp is a good breeding area for germs so infections are not uncommon in monsoon.
    • To top it all, not following a nutritive diet can be an additional major reason for hair loss.
    • Certain conditions may be the reason for hair loss, like stress, hormone issues, scalp infections, pregnancy, childbirth, etc.

    Is it normal to lose hair in the monsoon?

    It is quite common to lose hair in monsoon if proper precautions are not taken to preserve that beautiful head of hair you have. Monsoon can provoke worries about hair care, but you must not let it affect you and make your hair wonderful with these suggestions to prevent further hair fall:

    • Drying your hair properly with the help of micro-fiber towels instead of rubbing it with harsh cloth or tying it up helps.
    • Avoid using too much heat in the form of blow dryers, flat irons, curlers, etc.
    • Following excellent shampooing and conditioning routine to avoid hair fall.
    • Treating yourself to a warm oil massage, as it serves a dual purpose of relaxing you and also hydrating your scalp and enhancing your blood circulation.
    • Using a wide-tooth wooden comb to de-tangle your precious locks in order to decrease the static charge that can cause all the more hair loss.
    • Sleeping well and exercising regularly also helps a lot, along with avoiding alcohol and smoking that can all do wonders for your hair.

    How Homeopathy helps prevent hair fall in monsoon

    Homeopathy is a safe and effective treatment system available to us without any side effects and harm. It is important to make use of such an exemplary system of medicine which considers a patient as a whole and assesses his mental and physical states to reach a suitable medicine. The following are some of the remedies which are effective for hair fall:

    Phosphorus: In this medicine, the hair loss is seen in bunches. The hair becomes dry and gray, causing hair loss from vertex, crown area and forehead. Itching of scalp, and dandruff is often seen. The change of weather causes or worsens all of the hair problems.

    Lycopodium: This medicine is helpful in hair loss due to malnutrition, post-delivery, post-menopause phases. There is the presence of premature baldness and graying of hair. Intensive hair fall is experienced by an individual.

    Natrum Muriaticum: In this medicine, hair loss due to childbirth, anemia, and hormonal imbalance is very common. The hair follicles become very weak and fragile, leading to hair loss. Using this medicine, helps strengthen hair.

    Fluoric Acid: The hair falls out and besides that the new hair is dry, splits and breaks off easily. The hair loses its luster and hair is lost in spots. Fluoric acid can help regrow hair. It is advised in conditions, where hair falls out especially after fevers.

    Dr Batra’s International Hair fall Treatment

    Dr. Batra’s Homeopathy Clinic is a trust-worthy name for hair fall treatments that are extremely natural, non-invasive and non-surgical. The virtues of homeopathy, along with these internationally famed hair aesthetic treatments, form an exceptional treatment solution which is painless, safe, and long term. The following are the treatment solutions:

    Dr Batra’s Hair Booster:

    As the name suggests, it stimulates the follicles of the hair to enhance hair growth, so you can get thicker, healthier hair with this treatment.

    Dr Batra’s New Hair:

    It is a cutting edge, painless, and non-invasive treatment solution known to regenerate hair with the benefits of Homeopathy and biological growth stimulants.

    Dr Batra’s STM

    STM cell therapy is a side effects free process that works with the Korean serums containing plant stem cells and multi-vitamins. It shows visible results in 10 weeks and has a success rate of 88%.

    Dr Batra’s GroHair

    It is derived from 2003 Nobel Prize-winning French technology, which involves using electroporation along with use of hair serum to enhance the hair volume in a painless, non-invasive way.

    A Cumulative progress at Dr Batra’s

    At Dr Batra’s, our hair specialist understands the primary characteristics of hair condition within a 30-45 minutes consultation. A magnification of hair and scalp areas is done up to 200 times through the computerized video- microscope test to study the hair and scalp for proper diagnosis. A Personalized treatment plan is formulated by integrating homeopathy and international hair growth treatment for excellent results. You may also be offered nutritional and lifestyle tips for your holistic health and well-being. 

    Our hair solutions ensure safety and long lasting benefits as the problem is treated from its roots and not superficially like conventional medicine does. Dr Batra’s hair doctors have had incredible success in providing treatment to over 6 Lakh hair patients, with a 92% positive result of these treatments. It is important to note that for consulting a hair expert just search online for ‘hair doctor near me’ or ‘hair specialist near me’. In case you want to connect with our hair experts, visit our clinic or book an appointment with us online.

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  • On This Doctors Day: Gynaecologist’s Advice on PCOS, Menopause & Screening in Pregnancy

    On This Doctors Day: Gynaecologist’s Advice on PCOS, Menopause & Screening in Pregnancy

    New Delhi (India), July 1: Today, on Doctor’s Day, we gather to pay homage to a remarkable group of medical professionals – gynecologists, the champions of women’s health. These compassionate healers work tirelessly, providing comprehensive care and guidance to women in every stage of life. From adolescence to motherhood, from menopause to beyond, gynecologists are the stalwart advocates who empower women with knowledge, support, and personalized medical solutions.

    Dr. Seema Pandey, Director & Chief Consultant – Seema Hospital & Eva Fertility Clinic & IVF Centre, Atraulia, Azamgarh, MBBS, MD, FICOG, Fellow in Reproductive Medicine & Minimal Access Surgeries, Dip In USG, Uttar Pradesh

    PCOS, the most common lifestyle disease among young women, is characterized by hormonal imbalance. Symptoms include menstrual irregularities, unwanted hair growth (hirsutism), subfertility, and resistant weight gain. Elevated levels of male hormones (testosterone) and insulin resistance are the main culprits behind these problems. They lead to anovulation and increase the risk of other metabolic diseases. While there is no permanent cure for PCOS, its effects can be managed through lifestyle changes and guidance from a gynecologist. To maintain hormonal and physical health, engage in regular physical exercises such as walking and household chores. Practice mindful eating by following a balanced, hypo-caloric diet. Prioritize mental health through stress reduction techniques and enjoyable activities. Regular check-ups and adherence to prescribed treatments are essential. Seek support from loved ones or support groups if feelings of loneliness, anxiety, or depression arise. By implementing these recommendations, PCOS can be effectively managed, promoting overall well-being.

    Dr. Ramasamy Shoba, MBBS, DGO, DNB (O&G), MNAMS, M.Med (Family Medicine), Mangai Women’s Clinic, Chennai

    PCOS, a severe form of PCOD, is a metabolic disorder characterized by hormonal imbalance, causing irregular ovulation, menstrual problems, infertility, acne and skin darkening, loss of scalp hair, unwanted hair growth on the body and face, fatigue, weight gain, pelvic pain, and multiple small cysts in the ovaries. Heredity and stress play important roles. Excess androgen, insulin, and chronic low-grade inflammation are involved. Complications include type 2 diabetes, hypertension, vascular disease, stroke, obesity, mental health issues, sleep apnea, pregnancy complications, and endometrial cancer. Regular screening for BP, glucose, lipids, hormones, anxiety, depression, and sleep apnea is crucial. Lifestyle changes, diet modifications, and hormone treatment are key. Maintain a healthy weight, be active, exercise, follow a low-carb diet, and prioritize sleep. Both PCOS and PCOD are common disorders, yet they are often treated as something shameful, to be kept under wraps, due to their association with menstrual periods, which is considered a secret zone. Education about menstruation, sex, and sexuality is vital to combat stigma and misinformation surrounding these common disorders.

    Dr. Sandeep Talwar, Senior Consultant – Nova- Southend Fertility Clinic, New Delhi

    PCOS, the most common lifestyle disease among young women, is characterized by hormonal imbalance. Symptoms include menstrual irregularities, unwanted hair growth (hirsutism), subfertility, and resistant weight gain. Elevated levels of male hormones (testosterone) and insulin resistance are the main culprits behind these problems. They lead to anovulation and increase the risk of other metabolic diseases. While there is no permanent cure for PCOS, its effects can be managed through lifestyle changes and guidance from a gynecologist. To maintain hormonal and physical health, engage in regular physical exercises such as walking and household chores. Practice mindful eating by following a balanced, hypo-caloric diet. Prioritize mental health through stress reduction techniques and enjoyable activities. Regular check-ups and adherence to prescribed treatments are essential. Seek support from loved ones or support groups if feelings of loneliness, anxiety, or depression arise. By implementing these recommendations, PCOS can be effectively managed, promoting overall well-being.

    Dr. Suyesha Khanijao, IVF expert, Obstetrician& GynecologistFellowship in Advanced Endoscopy, Fellowship in Reproductive Medicine, ICOG Fellowship in Reproductive Medicine, Director – Angel’s Hope Clinic A Unit of Sawan Neelu Angels Hospital, Delhi
    In today’s era, it is crucial for us to understand the prevalence and impact of PCOS, as it seems that every second patient walking into my clinic is suffering from this condition. While much attention has been given to the hormonal aspects of PCOS, its effects on mental well-being are often ignored or overlooked. PCOS, the most common endocrine disorder affecting about 20% of women of reproductive age in Western society, is strongly associated with infertility, with at least 90% of women attending fertility clinics having PCOS. The symptoms of PCOS, such as hirsutism, obesity, acne, and infertility, can be painful, uncomfortable, and culturally defined as unfeminine and undesirable. Moreover, the disorder is linked to biochemical disturbances that can lead to mood disturbances. Interviews with women with PCOS reveal a prevailing theme of feeling “freakish” and being unable to conform to societal norms of femininity. Reduced quality of life is experienced by those with PCOS, manifesting as sexual dissatisfaction, depression, anxiety, bodily pain, weight difficulties, and impaired interpersonal functioning.

    Dr. Amreen Singh, MBBS, MD, ISAR Aspire Fellowship in Reproductive Medicine, Sr. Consultant, Fertility and IVF department, Yatharth Hospital, Noida
    Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects many women, causing symptoms like irregular periods, acne, weight gain, hair loss, and insulin resistance. These symptoms make it challenging to maintain a healthy lifestyle and increase the risk of other health issues. Hormone regulation is crucial for managing PCOS symptoms and improving overall health outcomes. To achieve this, conscious steps must be taken towards a better lifestyle and habits. Some simple tips for hormone regulation in women with PCOS include maintaining a healthy diet, achieving and maintaining a healthy weight, exercising regularly, managing stress through techniques like meditation and yoga, considering supplements like chromium and omega-3s, avoiding smoking and excessive alcohol, managing insulin resistance with healthcare provider guidance, and prioritizing quality sleep. By following these tips, women with PCOS can take control of their hormone regulation, leading to better health and well-being.
     
    Dr. Shreyasi Sharma, MBBS, MD (ObGyn), DNB, Fellowship in Fetal Medicine, Fetal Medicine Foundation UK (FMF UK) accredited, Founder and Director Fetal Medicine and Genetics Centre, Gurgaon
    Polycystic ovarian syndrome (PCOS) is among the most common causes of infertility in women. The proportion of women being diagnosed with PCOS has increased over the last decade. This increase can be primarily attributed to lifestyle choices. The features of PCOS include irregular menstruation, acne, weight gain, and hair loss/gain. The exact cause of PCOS is unknown, but factors such as insulin resistance, excess androgen production, and genetic predisposition could play a role.

    Diagnosing PCOS involves a combination of assessing medical history, physical examinations, performing laboratory tests, including measuring hormone levels and conducting ultrasound imaging of the ovaries. Managing PCOS requires treating individual components through therapy and counselling. The choice of therapy depends on whether the patient is seeking pregnancy or not.

    PCOS is a manageable condition, and women should not become overly worried. The foundation of management lies in making lifestyle changes, such as maintaining a healthy diet, engaging in regular exercise, and managing weight.

    Dr. Suruchi Desai, DNB, DGO, DFP, FCPS, Obstetrics & Gynecology, Senior Obstetrician and Gynecologist, Nanavati Max Super Speciality Hospital, Mumbai

    Menopause marks the end of menstrual cycles, diagnosed after 12 consecutive months without periods. It can occur in the 40s or 50s. The average age for Indian women to stop menstruating is around 48 to 50 years. Premature menopause refers to menopause before 40 years, while delayed menopause occurs after 52 years. This natural process brings physical symptoms like hot flashes, night sweats, difficulty losing weight (especially around the abdomen), and emotional disruptions such as sleep disturbances, reduced energy, anxiety, and anger. Vaginal dryness, decreased libido, increased urinary frequency, and irregular cycles are also common. Thinning hair, increased facial hair, breast changes, and dry or pigmented skin can be distressing. Diagnosis is straightforward, and treatment varies based on symptom severity and medical conditions. Topical lubricants or estrogen can address vaginal dryness, while medications, hormonal or non-hormonal, can alleviate hot flashes. Hormone replacement therapy may be prescribed under medical supervision. Lifestyle adjustments, calcium supplements, vitamin D, exercise, sunscreen, and meditation aid in managing menopausal symptoms. Regular follow-up with a gynecologist is crucial for heart and bone health.

    Dr. Aanchal Sablok, MS (OBG), DNB (OBG), Fellowship Fetal Medicine (FMF-UK), Consultant Fetal Medicine, Apollo Cradle and Children’s Hospital, Moti Nagar, New Delhi

    On this Doctor’s Day, I would like everyone to acknowledge the importance of the First-Trimester Genetic Scan.

    Down syndrome (DS) is the most common cause of developmental delay and accounts for 15-30% of individuals with intellectual disability. In India, 21,400 children with DS are born every year.

    The NT/NB scan, when performed properly at 11-13+6 weeks of pregnancy, has an accuracy of around 70% in screening for DS. If the Double Marker test is added to the NT/NB scan, the sensitivity increases to 92-95%. Apart from screening for DS, the first-trimester scan can detect structural abnormalities (birth defects) in the developing baby. New guidelines also suggest that it is an excellent time to screen for the risk of developing hypertension and preterm labor in pregnancy. Therefore, screening for both fetal and maternal conditions at the right time ensures a healthy pregnancy outcome.

    “Screening for maternal and fetal conditions in pregnancy and timely intervention ensures a healthy pregnancy outcome!”

    Gynecologists, with their specialized knowledge, diagnostic skills, and up-to-date research, offer valuable insights into the management of PCOS and hormonal imbalances. They provide personalized treatment plans, lifestyle recommendations, and ongoing support to help women regain hormonal balance and improve their overall well-being.

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  • Doctor’s Day Special – Oral Hygiene & Braces Treatment: Dentists Advice for Smiles that Shine

    Doctor’s Day Special – Oral Hygiene & Braces Treatment: Dentists Advice for Smiles that Shine

    New Delhi (India), July 1: On the occasion of Doctor’s Day, we bring you valuable insights and advice from dentists on maintaining excellent oral hygiene and braces treatment while sharing the impact these will have on your overall health. Dentists play a vital role in preserving our smiles, preventing dental issues, and safeguarding our well-being. Let’s celebrate the dedication and expertise of dentists and embrace their wisdom for optimal oral hygiene and the treatment of braces.

    Dr. Sajid S. Shaikh, (MDS), Consultant and Lecturer, Observer – Tata Memorial Hospital, Smile 4U Family Dental Clinic, Mumbai

    At Smile 4U Family Dental Clinic in Kurla, Mumbai, we offer a comprehensive range of dental treatments, including orthodontic solutions like braces and aligners, to address all your dental needs. Our goal is to provide exceptional care and enhance your dental health, confidence, and facial aesthetics. With the advancement of braces technology, we can now correct dental or skeletal malocclusion and irregular teeth more efficiently, reducing treatment duration. At our clinic, we proudly use the Damon System for braces, which employs cutting-edge technology to straighten teeth with fewer complications and greater comfort. The Damon Framework utilizes a patented slide component that minimizes friction and promotes better oral hygiene by eliminating elastic ties. This enables our orthodontic experts to achieve more precise adjustments and expedite your treatment. Additionally, we specialize in clear aligners, which offer a convenient and virtually invisible solution for straightening teeth, improving your smile’s appearance and functionality. Our aligners are removable and transparent and provide results comparable to traditional braces but with shorter treatment times. Trust Smile 4U Family Dental Clinic to fulfil your dental aspirations and help you achieve the perfect smile you’ve always desired.
     
    Dr.  Sonali Bassi, BDS, Chief Consultant Surgeon, Oracare Cosmetic Dental Clinic, Gurgaon
    It is wisely said, “You don’t have to brush all your teeth but brush all the ones you want to keep”. Maintaining consistent oral hygiene habits is of utmost importance for optimal dental health. It is crucial to brush your teeth twice a day using fluoride toothpaste and to floss daily. These essential practices should never be overlooked. If you wear braces, incorporating a special orthodontic brush or water flosser can help you effectively clean those hard-to-reach areas, preventing plaque build-up. Regular dental check-ups are especially vital, particularly during orthodontic treatment, as they allow for early detection of any issues. Professional cleanings also play a crucial role in removing plaque and tartar, safeguarding your teeth from decay and gum disease. Minimize your consumption of sugary and acidic foods, and instead, opt for a nutrient-rich diet that includes ample fruits, vegetables, and calcium. Furthermore, it is crucial to avoid detrimental habits like nail biting, chewing on pens, or using your teeth as tools, as these behaviours can cause damage and compromise your oral health. By following these recommendations and maintaining open communication with your dentist, you can achieve and maintain a healthy and beautiful smile.

    Dr. Saptarshi Datta, Head of the Department – Ramakrishna Mission Seva Pratisthan (Sishu Mangal), Medicare Dental Clinic, Kolkata

    Dr. Saptarshi Datta is one of the best dentists in Kolkata and Baghajatin in South Kolkata. He practices at Medicare Dental Clinic in Baghajatin, Kolkata. Dr. Saptarshi Datta completed his BDS from Dr. R. Ahmed Dental College Hospital in 1998 and advanced international studies in Surgical Implant Dentistry from the University of California, Los Angeles in 2003. With over 25 years of experience, he is recognized as the best dental surgeon and implantologist in South Kolkata. His special field of interest includes conservative dentistry (RCT, crown, and bridge, etc.), surgical extraction, cosmetic/aesthetic dentistry, surgical dentistry, and precision attachment dentures. He is renowned as the best implantologist and a top dentist in South Kolkata.

     
    Dr. Shiv Chadda, BDS (Pune), Fellowship Microdentistry (Mumbai), Master Clinical Implantology (NYU), Dentist Since 1995 more than 25 Years, Dr. Chadda’s Smile Dental Care, Mumbai

    Maintaining oral health is crucial for overall well-being and healthy teeth. Issues like cavities, bleeding and infected gums, and missing teeth can cause problems such as improper chewing, stomach issues, headaches (TMJ), facial pains, and acid reflux. To ensure good oral health, proper self-care is vital. This includes brushing teeth at least twice a day with fluoride toothpaste, flossing between teeth, and using mouthwash regularly. A diet that includes raw fruits and vegetables, particularly in the form of salads, along with fibrous foods can help clean the teeth while chewing. It is also important to reduce the consumption of sugary and acidic foods and beverages to prevent tooth decay and enamel erosion. Regular dental check-ups and cleanings, typically recommended every six months, are essential for early detection and treatment of dental problems. Additional treatments like fluoride treatments, dental sealants, or orthodontic interventions may be recommended based on individual needs. By following these practices and seeking professional care, one can maintain optimal oral health and enjoy a healthy smile for years to come.

    Prof. Dr. Ashish Gupta, BDS, MDS, DNB, Phd, MOrth RCS (Edin, UK), FDS RCS (Edin, UK), FICD, FPFA, FWFO, FICCDE, Consultant Orthodontist and Invisalign Specialist, Gupta Dental Centre -The Multispeciality Centre, New Delhi

    Medical check-ups for kids should include visits to the dentist and orthodontist to align their teeth and achieve that perfect smile.

    When deciding to get teeth aligned, there are important points to consider. Orthodontic treatment requires a long-term commitment, with visits scheduled once a month or every two months. Find an orthodontist who is adequately qualified, experienced, and available full-time. During the first visit for evaluation, take time to fully understand the diagnosis, treatment plan, and pros and cons of each appliance. Obtain diagnostic records like X-rays, scans, and photographs for accurate diagnosis and treatment planning. Avoid preconceived notions about tooth extraction or non-extraction and age barriers. The first visit to the orthodontist should ideally be around 7 years of age. Focus on understanding the treatment plan, costs, payment options, and retention period.

    Follow instructions for oral hygiene and dietary restrictions. Maintain regular follow-up visits and wear retainers as recommended. Avoid relying on remote services without professional supervision. Treatment costs vary, so avoid comparing them between different patients. Have realistic expectations and trust the orthodontist’s expertise to achieve a confident smile.

    On this Doctor’s Day, let us recognize and thank the dentists who tirelessly work to create healthy and beautiful smiles. Their dedication to improving oral health, their personalized care, and their commitment to patient well-being is truly commendable.

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  • On This Doctor’s Day: Experts’ Advice on Prostate Cancer

    On This Doctor’s Day: Experts’ Advice on Prostate Cancer

    New Delhi (India), July 1: Prostate cancer, the second most common cancer in men worldwide, is a disease that demands the expertise of skilled urologists and uro-oncologists. On this special occasion of Doctor’s Day, we pay tribute to these medical professionals who devote their lives to the comprehensive care of individuals affected by prostate cancer.

    Dr. Waheed Zaman, MBBS, MS(GEN SURGERY), MCh (Urology), DNB (UROLOGY), MNAMS.DIP LAP UROLOGY (France), Robotic Urology Training, Roswell Park Institute, Buffalo (USA) – Director Urology  and  Renal Transplant, Max Super Speciality  Hospital, New Delhi

    Prostate cancer, one of India’s top 10 leading cancers, predominantly affects men aged 65 and above. Diagnosis relies on the tumor marker Serum PSA, enabling effective treatment even in advanced stages. Prostate cancer can be silent, underscoring the importance of regular check-ups despite the absence of symptoms. Symptoms may include difficulties passing urine, frequent nighttime urination, weak urine flow, blood in urine or semen, painful urination or ejaculation, back, hip, or pelvic pain, body pain, fatigue, and sudden weight loss. Treatment options vary based on disease stage: early-stage localized cases may benefit from robot-assisted radical prostatectomy (RARP), offering faster healing, reduced blood loss, and less post-operative pain. Recurrence indicators include blood in urine, fatigue, weakness, bone discomfort, back pain, and frequent urination. Regular monitoring through Serum PSA tests aids in assessing disease progression. While screening guidelines are absent, those with lower urinary tract symptoms or aged 50 and above should consider yearly or biennial Serum PSA tests. Additional investigations encompass kidney function tests, urine analysis, ultrasound, multiparametric MRI, and PSMA PET Scan to identify metastatic locations. Prostate cancer, although common, can be effectively addressed.

    Dr. Kumar Mrigank Singh, MBBS, MS General Surgery, FMAS, MAUA, MCh Urology (PGI- Gold Medalist), Director – Advance Urology Center, Deoghar, Consultant Urologist & Kidney Transplant Surgeon – Medica Hospital, Ranchi

    Prostate cancer is a common cancer in males. The prostate is a glandular organ situated around the urethra just below the bladder. It grows in size with advancing age, and the normal size is 12-20 cc.

    The symptoms include a decreased stream of urine, recurrent UTI, increased frequency at night, incomplete voiding, blood in urine, decreased appetite, and bone pains.

    To recognize it early and seek treatment, if you are experiencing any of the above symptoms, consult a nearby urologist. They will advise you on certain investigations such as KFT, Urine Test, Urine flow test, Ultrasound, and PSA. Based on these tests, they will conclude whether it is a benign condition or malignant, and the treatment will start accordingly, either with medicines or via endoscopic surgeries.

    Dr. Pradeep V. Mahajan, MBBS, MS, FICA, AFIH, D.U.(Austria), Diploma(ABRM) (USA), MS (General Surgeon), Faculty & Director Fellowship Course With MUHS, Chairman & Managing Director –Stemrx Bioscience Solution Pvt. Ltd., Professor of Surgery- Indiana University (USA), Researcher in Regenerative Medicine Technologies and Faculty, Mumbai

    Prostate cancer, a leading cause of cancer-related deaths in men, remains a silent threat demanding attention. It develops in the walnut-shaped prostate gland located below the bladder and in front of the rectum. Though its exact cause is unknown, several risk factors have been identified, including advanced age (the risk increases with age), family history, gene mutations, race (African-American men have a higher risk), and lifestyle choices such as a high-fat diet and a sedentary lifestyle.

    Early stages may lack noticeable symptoms, but as the disease progresses, symptoms like difficulty urinating, weak urine flow, and bone pain may arise. Immunotherapy, a groundbreaking treatment harnessing the body’s immune system to target cancer cells, brings hope to prostate cancer patients. Traditionally, surgery, radiation, and hormonal therapy have limitations. Immunotherapy, particularly immune checkpoint inhibitors and therapeutic cancer vaccines, show promise. Challenges exist, but ongoing research may revolutionize treatment and improve patients’ quality of life.

    Dr. Shanawaz Alam, MBBS, MS, MCh (Urology & Renal Transplant), Consultant Urologist and Andrologist, Orchid Medical Center, Ranchi

    Prostate cancer is a common type of cancer in males, with approximately 1 in 8 males receiving a diagnosis of prostate cancer in their lifetime. However, only 1 in 41 of these individuals will die from the disease. This low mortality rate can be attributed to the effectiveness of treatments in the early stages and the slow-growing nature of cancer in later stages.

    During the early stages of prostate cancer, there are often no symptoms present. However, males who do experience symptoms may notice certain indicators. These can include difficulty starting and maintaining urination, a frequent urge to urinate (especially at night), a weak urine stream, blood in the urine or semen, and pain in the back, hips, or pelvis.

    Fortunately, screening can help detect changes that may indicate the presence of prostate cancer. The screening process involves a test that measures levels of PSA (Prostate-Specific Antigen) in the blood. If the PSA levels are high, it suggests that cancer may be present. Regular screening can be a valuable tool in the early detection and treatment of prostate cancer.

    Dr. Yusuf Saifee, Consultant Urologist & Kidney Transplant Surgeon, Saifee Hospital, Mumbai, Vishesh-Jupiter Hospital, Indore

    Prostate cancer is a type of cancer that develops in the prostate gland, a small walnut-shaped gland located below the bladder in men. In the early stages, prostate cancer may not cause noticeable symptoms. However, as the disease progresses, symptoms may include difficulty urinating, weak urine flow, blood in the urine, pain or discomfort in the pelvic area, and bone pain.

    Prostate cancer is typically diagnosed through a combination of tests, including a digital rectal exam (DRE), a blood test to measure prostate-specific antigen (PSA) levels, and a biopsy. Treatment options for prostate cancer depend on various factors such as the stage of the cancer and the overall health of the patient. Robotic surgery has proved to be a boon for prostate cancer surgery. With robotic prostate cancer surgery, there is negligible pain and a quick return to work.

    Dr. Mangesh Patil, MBBS, MS (General Surgery), DNB (Genito-Urinary Surgery), MNAMS (General Surgery), Robotic surgery training (USA), Consultant Urologist & Robotic Uro-Oncosurgeon (Robotic Surgery) – Reliance Foundation Hospital, Girgaon, Saifee Hospital,  Breach Candy Hospital, Urocare Clinic, Andheri East, Mumbai

    Prostate cancer is the second most common cancer and the fifth leading cause of death. It is a prevalent malignancy that affects the prostate gland, which is a vital part of the male reproductive system. It develops when abnormal cells in the prostate gland multiply uncontrollably, forming a tumor. Prostate cancer typically progresses slowly, and early-stage cases may not exhibit noticeable symptoms.

    Risk factors for prostate cancer include age, family history, and certain genetic mutations. While the exact causes remain unknown, regular screening tests like the prostate-specific antigen (PSA) test aid in early detection.

    PSMA PET scan helps in diagnosing the stage of cancer. Treatment options range from active surveillance to surgery, radiation therapy, hormone therapy, and chemotherapy, depending on the cancer’s stage and aggressiveness. Robotic prostatectomy is the standard of care with early recovery and fewer complications.

    Dr. Anil Kumar T, MBBS, MS (General Surgery), MCh (Genito-Urinary Surgery, CMC Vellore), Fellowship in Minimally Access Surgery, Fellowship in Uro-Oncology and Robotic Surgery, UICC Fellowship (Geneva), Director & Head- Urology, Uro-Oncology -Zymus Hospital, Sr. Consultant Urologist -South Mark Clinic, ISRO layout, Former Consultant Uro-Oncology & Robotic Surgery, HCG Cancer Centre, Bengaluru

    On this Doctor’s Day, as an Uro-Oncologist, I want to share crucial advice on prostate cancer. Prostate cancer affects the prostate gland in men and is the second most common cancer in males. Early detection is key and as a specialist in the field, I emphasize the importance of regular screenings. Tests like the prostate-specific antigen (PSA) blood test and digital rectal examination (DRE) help identify potential cases at an early stage. Prevention is vital too, and I encourage a healthy lifestyle with regular exercise, a balanced diet, and avoidance of tobacco and excessive alcohol. As an Uro-Oncologist, I provide personalized treatment plans, working closely with patients to determine the most suitable options, such as surgery, radiation therapy, or hormonal and targeted therapies. On this Doctor’s Day, I express deep gratitude to my fellow healthcare professionals for their dedication. Together, let us raise awareness, promote prevention, and improve the lives of those affected by prostate cancer.

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  • Doctor’s Day 2023: Understanding Symptoms of Early-Stage Osteoarthritis

    Doctor’s Day 2023: Understanding Symptoms of Early-Stage Osteoarthritis

    New Delhi (India), July 1: On Doctor’s Day, here are the top 10 orthopedic doctors across the nation advising how you can understand the symptoms of early-stage Osteoarthritis while preventing it.

    Dr. Sushrut Babhulkar, MS (Orth), MCH (Orth) (UK), Sushrut Institute of Medical Sciences, Nagpur
    Osteoarthritis, a degenerative joint disease, often develops gradually, making early detection crucial. Patients should watch out for warning signs, such as joint stiffness, particularly after periods of inactivity or upon waking up in the morning. The affected joints may feel tender to the touch, and individuals might experience mild pain or discomfort during movement. Look for a reduced range of motion in the affected joint and the presence of a grating sensation or audible crackling sounds. Swelling and inflammation may occur, and muscles surrounding the joint might weaken. If any of these symptoms persist for an extended period or are progressively worse, it is advisable to consult a healthcare professional promptly for accurate diagnosis and appropriate management.

    Remember, timely intervention can help slow the progression of osteoarthritis and improve patients’ quality of life. Encourage individuals to prioritize their joint health, maintain a healthy weight, engage in regular exercise, and seek medical guidance for proper diagnosis and treatment options.

    Dr. Bhanu Pratap Singh, MBBS, MS (O FIJR (Germany), FIJR (Scotland), FIJR (Australia and London), Chairman & Director – Ivy Pace Institute of Orthopedics and Joint Replacement, Chandigarh
    Knee Osteoarthritis or degenerative joint disease of the knee, is a common form of arthritis that affects the knee joint. It occurs when the protective cartilage gradually wears away, leading to pain, stiffness, and reduced mobility. Several factors contribute to its development, including age, obesity, previous knee injuries, and genetics. The primary symptoms include pain, stiffness, swelling, reduced mobility, and a crackling sensation when moving the knee. Treatment aims to relieve pain, improve function, and slow down disease progression. Lifestyle modifications such as weight management and avoiding aggravating activities are important. Physical therapy, medications like pain relievers and corticosteroid injections, and assistive devices such as braces or canes can provide relief and support. In severe cases, surgery options like arthroscopy or knee replacement may be considered. Consulting a healthcare professional is crucial for an accurate diagnosis and personalized treatment plan for knee osteoarthritis.

    Dr. Anurag Awasthi, Director- Orthopedics, Sports Injury & Joint Disorders – Kimaya Healthcare, Senior Consultant at Artemis Hospital & C K Birla Hospital, Gurgaon
    Osteoarthritis can occur as early as 35-40 years of age and is more common among Indian women. Symptoms include joint pain, stiffness in hands or knees, and difficulty climbing stairs. Inflammatory conditions like Rheumatoid Arthritis or Urate Arthropathy can also cause early-onset arthritis, while Rheumatic fever or JRA can lead to arthritis in children. The condition arises from progressive damage to the hyaline cartilage of synovial joints, resulting in increased friction and pain. Timely diagnosis through blood tests and X-rays is crucial. Any persistent joint pain or stiffness lasting more than 3 weeks should be evaluated by an orthopedic specialist. Lifestyle changes, exercise, physiotherapy, and supplements can help manage early-stage arthritis; while more advanced cases may require medication, injections, or surgery for pain control and to delay further cartilage damage.

    Dr. Karun Jain, MBBS, D’Ortho, MS (Ortho), MCh Ortho (UK), Senior Orthopedic, Sports Injury & Joint Replacement Surgeon, Pushpanjali Medical Centre & Shri Mahaveer Ortho Clinic, Delhi

    Early osteoarthritis of the knee may exhibit symptoms such as joint pain, characterized by a dull ache or soreness that intensifies after activities like walking, running, or climbing stairs. Stiffness and limited movement may be experienced, particularly upon waking up or after prolonged sitting, although movement often alleviates stiffness. Swelling, caused by excess fluid accumulation in the knee joint, may be noticeable, and crepitus, a grating or crackling sensation, may be felt or heard when moving the knee joint due to cartilage roughening. It’s worth noting that these symptoms can vary among individuals, and some cases of early knee osteoarthritis may not present noticeable symptoms. If any of these symptoms arise or knee osteoarthritis is suspected, consulting a healthcare professional is advised for an accurate diagnosis and appropriate treatment options. Adopting a healthy diet, regular exercise, and weight reduction are also key preventive measures against joint osteoarthritis.

    Dr. Sanjeev Varma, MBBS, MS (Ortho), MBA (HCS), Orthopaedic & Wellness Consultant – Sanjeevan Bone, Joint & Wellness Clinic, Sr. Consultant – Fortis Hospital, New Delhi
     
    Understanding the signs and symptoms of early-stage osteoarthritis (OA) is crucial. OA, a degenerative joint disease primarily affecting the knee, results from wear and tear. Early detection and awareness are essential to minimize pain, slow progression, and maintain quality of life. Causes include age, joint injury, obesity, overuse, musculoskeletal abnormalities, weak muscles and bones, genetics, gender (more common in women), environmental factors, and comorbidities. Early symptoms include increased pain, stiffness after activity, limited range of motion, joint clicking or popping, and swelling. Muscle weakness, heaviness, joint instability, and a buckling sensation may also occur. Signs include tenderness, palpable swelling, deformity, and instability. As orthopedicians, we must raise awareness, emphasize preventive measures, and promote outdoor exercise, obesity management, and improved immunity, bone, and muscle strength. With 33 years of experience and an MBA in Health Care Services, I lead by example and encourage my patients to prioritize a work-life health balance.

    Dr. Krunal SoniM.Ch Ortho (UK), D. SICOT (Canada), M.S. Ortho, FIASM, FIJRDirector – Advanced Knee & Shoulder Arthroscopy Center, Consultant Sports Orthopedic Surgeon, Knee & Shoulder Expert, Ahmedabad
    Early recognition of osteoarthritis is paramount to preserving the health and function of the knee joint. By identifying and addressing this degenerative condition in its initial stages, we can implement timely interventions to slow down its progression and improve patient outcomes. Remember, early detection is the key to preserving your knee joint and maintaining an active, pain-free lifestyle. At our Orthopedic Centre, we specialize in the early detection of osteoarthritis, paving the way for proactive and effective treatment. With a multidisciplinary team of experienced Orthopedic specialists and rheumatologists, we prioritize comprehensive assessments and utilize the latest evidence-based tools to identify the earliest signs of osteoarthritis. By implementing personalized treatment plans and emphasizing patient education, we empower individuals to take control of their joint health and mitigate the progression of this debilitating condition. Trust our dedicated Orthopedic Centre to provide exceptional care and help you maintain a high quality of life for years to come.

    Dr. Amber Mittal, MS Ortho, Joint replacement surgeon, Apple Hospital, Indore
    Osteoarthritis is the most prevalent joint disease globally, primarily affecting the knee, which is the most commonly impacted joint in the body. It predominantly targets individuals over 45 years old. Early signs of knee osteoarthritis include pain during movement, morning stiffness, limited range of motion, discomfort after prolonged sitting or lying, joint line tenderness, and swelling. The primary treatment for symptomatic knee osteoarthritis involves patient education, physiotherapy, weight loss, and the use of braces. Studies have demonstrated that a combination of supervised exercises and a home exercise program yields the best outcomes. For weight loss, controlling one’s diet and engaging in low-impact aerobic exercises is the recommended approach. In cases of osteoarthritis, knee bracing can be employed, particularly offloading-type braces that alleviate stress from the affected knee compartment, especially in the presence of a valgus or varus deformity.

    Dr. Satish Mutha, MS, DNB Orthopaedics, Orthopaedic & Sports Medicine Consultant, P D HINDUJA, Khar & Siddhi Clinic, Mumbai
    Osteoarthritis is a complex condition that refers to age-related changes, such as wear and tear, in the joints of our bodies, which is a normal occurrence as we age. The age of onset and the rate of progression are determined partly by our genetic and hereditary makeup, and partly by our lifestyle. It is the latter aspect that we can control – our lifestyle. Let’s consider the knee joint as an example. Several crucial factors contribute to the early and rapid progression of osteoarthritis, including body weight, lack of exercise, and certain occupations that involve strenuous activities for the knee. Weight loss is an incredibly effective measure, although it is easier said than done.

    Engage in regular strengthening exercises for the knee muscles, which significantly reduce the burden on the joint and thus help alleviate pain. Knee replacement is the final and highly effective method for treating this condition. This procedure can be performed with the assistance of robots, resulting in faster recovery. There is no need for physiotherapy or the use of a walking stick, and patients are able to use the washroom within 12 hours of the surgery.

    Dr. Rishabh Jaiswal, MBBS, MS Ortho (Sion, Mumbai) DNB Ortho, MNAMS, Fellow MUHS Joint Replacement Surgery (Nanavati, Mumbai) Fellow DMH Arthroscopy (Pune) CPCR Certified Rheumatologist HO AL Knee course RCS, Sahara Hospital, Lucknow 
    In today’s world, with a changing lifestyle, people are developing painful joints. Older individuals often suffer from arthritis, while younger individuals may experience joint pain due to sports or ligament injuries. Thanks to advancements in medical treatment, we can effectively address the concerns of both these age groups, achieving a high success rate with minimal pain. Modern techniques such as minimally invasive knee and hip replacements have revolutionized the treatment of arthritis, delivering excellent outcomes, small scars, minimal blood loss, and painless postoperative periods facilitated by PCA Pumps. In complicated cases, robotics are employed to ensure precision and optimal results. Moreover, arthroscopy is utilized to address ligament injuries (such as ACL and PCL tears), tendon tears (like rotator cuff tears), and shoulder dislocations (such as Bankart injuries), employing cutting-edge techniques that promote excellent outcomes and early mobilization. Arthroscopic treatment for sports injuries using advanced techniques guarantees optimal results and facilitates early recovery with minimal complications.

    Dr. Om Parshuram Patil, MBBS, MS Orth, FCPS, FCISS, Consulting – Cozderm Skin Clinic, Chembur & Patil Clinic Dadar, Consultant Orthopaedic and Endoscopic Spine Surgeon, Mumbai – Apollo Spectra Hospital, Fortis Hospital, SRV Hospital & ACME Hospital, Mumbai

    Early-stage spine arthritis is a reminder that our bodies are incredible, intricate systems that deserve attention and care. By embracing minimally invasive surgical techniques, such as endoscopic spine surgery, we can effectively restore mobility, relieve pain, and help patients reclaim their lives, all while preserving the delicate balance of the spine.

    On this Doctor’s Day, let us celebrate and express our gratitude to orthopedic specialists for their unwavering dedication to understanding and addressing the symptoms of early-stage osteoarthritis. Their expertise, compassion, and commitment to improving the lives of individuals with this condition inspire us all.

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  • Doctor’s Day Special – Don’t Ignore Repeated Infections in Kids: Best Pediatricians Advice

    Doctor’s Day Special – Don’t Ignore Repeated Infections in Kids: Best Pediatricians Advice

    New Delhi (India), July 1: In the world of medicine, there are few roles as crucial, compassionate, and awe-inspiring as that of a pediatrician. These dedicated professionals possess a unique blend of expertise, patience, and boundless love for children, making them true heroes in the eyes of parents and little ones alike. 

    As this Doctor’s Day approaches, it is only fitting that we pause to honor these extraordinary individuals who devote their lives to nurturing and safeguarding the health and well-being of our youngest generation.

    Dr. Venugopal Reddy I, Medical Director and Consultant Pediatrician – Ovum Hospital, Bangalore
    Babies are born with immature immune system encountering all viruses, bacteria, and other antigens for the first time. As a result, babies tend to get infections, usually 4 to 8 per year such as numerous colds, ear infections, or gastrointestinal upsets in a single year. Each child’s response to viruses can vary, and the number of diseases decreases with age.

    If your child had over four courses of antibiotics in a year, more than four new ear infections annually after the age of 4, developed pneumonia twice at any time, or more than three episodes of bacterial sinusitis in a year, required preventive antibiotics to reduce the number of infections, or developed unusually severe infections that originated from common bacterial or viral infections. If any of these conditions apply, they may have an immunodeficiency disorder.

    It is crucial to provide your child with appropriate nutritious food and ensure they get enough sleep. Additionally, vaccinate your child against common childhood diseases and maintain a hygienic environment.

    Dr. Rajeev Kumar Mittal, MBBS, DCH (Lucknow), PGPN (Boston University), Sanjivani Medical Center, Meerut

    A child with recurrent infections may be experiencing immunodeficiency. There is no definitive consensus on the number of infections that can be considered normal. Children with recurrent infections can be classified into four basic diagnostic categories: probably normal child, allergic child, children with chronic diseases, and immunodeficient child.

    As parents and doctors, it is important for us to be alert if a child experiences recurrent infections. We should take general precautions such as practicing proper hygiene, promoting healthy eating (especially avoiding junk foods), and discouraging drinking habits like consuming carbonated drinks or drinks with preservatives. Additionally, seeking proper medical advice is crucial.

    Dr. Shubham Jain, MBBS, MD(Peds), FPGH(Peds Gastro), FIAMS, Pediatric gastroenterologist & Hepatologist, Senior consultant & Director, Department of Pediatric gastroenterology & Hepatology, Shubham Hospital & Child Care Center, Meerut
    Our body’s immune system is constantly fighting germs, and signs of repeated infection may indicate a weak immune system, showing signs of immunodeficiency. This usually happens when your body lacks the ability to produce antibodies that attach to germs and destroy them. Immunodeficiency is classified as primary and secondary. Primary immunodeficiency is due to defects in the body’s immune system. Therefore, repeated infections should not be ignored, and the irrational use of antibiotics for all infections should be avoided. Good eating habits and proper hygiene should be practiced because the first lines of defense against infection are your skin and the membranes lining the respiratory and digestive systems.

    Dr. Alpa Shah, MBBS, DCH, DNB (Pediatrics), Pediatrician and Newborn specialist, Special Interest -Pediatric Immunisation, Pediatric Allergy, Mumbai 
    It’s crucial to address repeated infections in kids. Recognize the potential significance of recurring infections and take appropriate action. Ignoring these infections may lead to chronic conditions or complications. Early detection and intervention can help prevent long-term consequences. Common types of repeated infections include upper respiratory infections, such as colds and sinusitis, ear infections, urinary tract infections (UTIs), skin infections, and gastrointestinal infections, including diarrhoea and gastroenteritis. Possible causes are a weakened immune system, medical conditions, genetic factors, environmental factors such as exposure to allergens, pollutants, or secondhand smoke, and poor hygiene practices.

    Red flags to watch out for are persistent or recurring symptoms, unexplained weight loss, delayed growth, and recurrent or severe infections in multiple organ systems. If you notice a pattern of repeated infections in your child, it is essential to consult a healthcare provider for a thorough evaluation. Doctors may perform blood tests, imaging studies or other diagnostic procedures to identify any underlying causes or contributing factors. Prioritize their health and create a healthier future together.
     
    Dr. Poonam Singh, Pediatrician & Neonatologist, MBBS (Hons), MD (Pediatrics), Fellowship in Neonatology (NNF), Noida 
    Repeated infections in children should not be ignored. While occasional illnesses are common, persistent or recurrent infections may indicate underlying health issues. Identifying the cause is crucial for appropriate treatment and preventive measures, improving the child’s quality of life. Recurrent infections may point to a weakened immune system due to factors like nutritional deficiencies, chronic illnesses, immune disorders, or exposure to allergens. Untreated infections like otitis media can lead to hearing loss, while untreated strep throat can result in complications such as rheumatic fever. 

    Structural abnormalities like enlarged adenoids or tonsils can also contribute to recurrent infections and may require surgery. Seeking medical evaluation, noting infection patterns, and maintaining good hygiene practices are vital. Consulting a pediatrician is advisable for recurrent infections. Thorough evaluation, including medical history review, physical examination, and laboratory tests if needed, can guide treatment options or specialist referrals. Timely intervention, prevention, and hygiene practices ensure the child’s well-being and a healthier future.

    Dr. Vykunta Raju, Prof and HOD of Pediatric Neurology, Indira Gandhi Institute of Child Health, Bangalore

    Childhood brain infection is a leading cause of death and long-term morbidity in children in developing countries like India. Various microorganisms, including viruses, bacteria, tuberculosis, and fungi, cause these infections. Despite some improvements in living standards, infections remain prevalent due to poor vaccination coverage and the re-emergence of old infections, like the COVID-19 pandemic. Preventing brain infections requires improving the environment and administering vaccinations. Vaccines are available for viral infections such as Japanese Encephalitis, measles, mumps, varicella, rubella, and influenza, as well as for bacterial infections like pneumococcus, meningococcus, and tuberculosis.

    Early recognition is vital for prompt treatment and prevention of long-term complications like intellectual disability, epilepsy, and learning problems. If a child presents with fever, seizures, or altered sensorium, brain fever should be suspected. Diagnostic tests like CT brain, MRI, and CSF analysis confirm the diagnosis. Early treatment ensures speedy recovery without lasting complications.

    Dr. Sreenath S Manikanti, MBBS, MD(Ped), DCH (London), MRCPCH (UK), Senior Consultant Pediatrician & Neonatologist, Kauvery Hospital, E-City, Bangalore

    A child with recurrent infections needs to be evaluated carefully, as it could be due to immunodeficiency. There is no definitive consensus among experts to determine the number of infections that can be considered normal. Children with recurrent infections can be included in four basic types of diagnostic categories: probably normal child, an allergic child, a child with chronic disease, and an immunodeficient child.

    I would suggest that if there are recurrent infections in a child, both parents and doctors need to be alert. It is important to take general precautions such as maintaining proper hygiene, developing healthy eating habits, providing a nutritious diet, encouraging outdoor play, and ensuring adequate exposure to the sun. Additionally, it is crucial to seek proper medical advice and ensure that all vaccinations are received as per the schedule, including annual flu vaccinations. Remember, prevention is better than cure.

    Dr. S. Kumar, MBBS, DCH, MD, Pediatric, DM (chest + Resp), International Post graduate

    Pediatric Certification, Consultant, Arihant Hospital, Gurugram

    Do not disregard the significance of recurrent infections in kids. It is imperative to recognize that children can transition from simple viral infections to more complex and severe bacterial infections, such as bloodstream infections and pneumonia. These conditions warrant careful attention.

    Recurrent infections encompass both typical infections and an escalation in their frequency over a period of time. Consequently, it is essential to remain vigilant. The presence of recurring infections in children may indicate underlying factors, such as immunodeficiency, previous hospitalizations, or the requirement for frequent or multiple courses of antibiotics within a span of six months to one year. As pediatricians, we must regard these indicators as crucial red flags, necessitating thorough evaluation and appropriate management.

    By proactively addressing repeated infections and their potential causes, we can ensure the well-being and optimal health outcomes of our young patients.

    Children are more susceptible to infections due to their developing immune systems and exposure to various environmental factors. Pediatricians serve as the guiding light in diagnosing and managing these recurrent infections, providing specialized care that focuses on the unique needs of children.

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  • Doctor’s Day 2023: 8 Expert Advice to Care for Your Health

    Doctor’s Day 2023: 8 Expert Advice to Care for Your Health

    New Delhi (India), July 1: On this Doctor’s Day, here are the best and most compassionate psychologists who stand at the forefront of mental health, ready to share their insights, experiences, and invaluable knowledge, urging society to prioritize the well-being of individuals and the significance of psychological support.

    Dr. Vikas Bhateja, PhD (Cognitive Psychology), Senior Consultant – Indus International Hospital, Chandigarh

    Health is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. Physical health enables you to have better overall health, including in your relationships. Knowing your body and your family’s health history can help identify what’s “normal” for you. Mental health encompasses emotional, psychological, and social well-being that affects how we think, feel, act, make choices, and relate to others. Mental health is more than the absence of a mental illness; it is essential for your overall health and quality of life.

    Self-care plays a role in maintaining your mental health and supports your treatment. Remember to eat a balanced diet; get immunizations up-to-date; avoid tobacco, vaping, alcohol, or drugs; exercise regularly; stay aware of your emotions; reduce screen time and get enough sleep. If you think something may be wrong, see your healthcare consultant. Always remember that this is your body, and maintaining it will lead to a happy and healthy life.

    Dr. Mithila Desai, MA, PhD, Clinical Psychologist and Therapist, Award Winner in Mental Health, Practicing for 35 years, Mumbai

    In the midst of life’s darkest moments, it’s common to feel lost and overwhelmed. My patients often seek help when their usual coping mechanisms no longer works. However, generic advice on physical health or relationships may not address the root of emotional challenges. It’s crucial not to overlook our emotional well-being amidst career pursuits and other demands. Feelings like mood swings, anger, irritability, hurt, jealousy, guilt, blame, overthinking, and worry can weigh heavily on us. Along with self-criticism, rejection, high standards, comparisons, self-esteem issues, and social difficulties, these thoughts can lead to anxiety and depression.

    Take steps to regain control: identify emotional triggers, tune in to your body’s signals, pay attention to areas like the chest, stomach, neck, shoulders, and head, address the root cause, and seek professional help when needed. It can be a transformative step towards healing. Remember, you hold the power to embark on a healing journey towards well-being.

    Dr. Harsha Agarwal, PhD (Clinical and Health Psychology), Masters (Clinical, Health & Child Psychology), Bachelors (Hons) Psychology, Currently  Heading   Psycho Oncology department of Rajiv Gandhi Cancer Institute and Research Centre, Delhi

    YOU HAVE A RIGHT TO FEEL BAD TOO!

    Mental health, an important aspect of our overall well-being, affects how we think, feel, act, make choices, and relate to others. Even a minor act of self-care in our daily routine can help in managing stress, decreasing the chances of falling sick, and channelizing our energy in the right direction. Involve yourself regularly in setting daily goals, practising mindfulness and gratitude, focusing on positivity, engaging in regular exercise, maintaining balanced nutrition and hydration, making sure to get healthy sleep, and staying connected. Self-care differs for each individual, so find what suits you best and follow it wholeheartedly. Feel free to seek professional help if you experience any distress in your daily routine.

    Dr. Harshant Upadhyaya, Doctorate in Psychology, Practicing Psychologist and Psychotherapist, Founder of Way to Hope, Mumbai

    After nearly two decades of counselling and assisting people worldwide, I can confidently state that learning to live in the present moment is one of life’s most precious accomplishments. The key to happiness lies in finding peace with the past and nurturing hope for the future. Distress often arises from harbouring resentment towards the past and fearing what lies ahead. Life situations are rarely perfect or conducive, and it may be challenging for you or your loved ones to navigate the right path. Seeking the guidance of a psychologist can not only provide direction but also help you discover your true self. Low self-esteem, lack of assertiveness, depression, anxiety, guilt, loss, stress, work, or relationship issues can lead to distress. No matter what you’ve experienced or are currently going through, have the courage to seek help. While mental health awareness is increasing, many remain unaware that effective assistance and recovery are readily available. From my personal experience, 99% of individuals who sought help experienced 100% satisfaction with their treatment. You can reclaim your former self or embrace an even better version of who you are.

    Ms. Saumya Sharan, M.Phil Clinical Psychology (Gold Medalist), Senior Consultant, Clinical Psychologist (RCI regt.), Gurgaon

    It’s time we incorporated a more holistic approach towards health by mindfully including a Mental Fitness outlook.

    There has been a lot of dialogue on Mental Health awareness, especially after the pandemic, but the world needs more than just awareness. A sustainable, action-oriented approach is much needed to drive change. Here are a few everyday life suggestions to start this journey towards Mental Fitness: prioritize Mental Health, allow yourself to feel and process emotions, understand the importance of social connectedness, practice a rest ethic as much as we practice a work ethic, cultivate intentional awareness of the present moment, and know that help is available and accessible when you need to reach out while understanding that ‘the grass is greener on the gratitude side’.

    Dr. Shachee Dalvi, Child and Women Psychologist, Doctorate in Child Psychology (Gold Medalist) PhD, Mumbai

    Across the eons, the purpose of humans has been to find happiness in life, which stems from a healthy mind. Therefore, mental health awareness is crucial in understanding the conditions individuals may be suffering from and providing access to help and guidance, ultimately fostering peace and happiness. Emotional Quotient (EQ), a key aspect of mental well-being, entails effectively managing emotions for a stress-free environment. Psychologists not only address mental health issues but also nurture a high EQ through therapeutic approaches, highlighting the importance of positive emotions. EQ brings numerous benefits, such as stress reduction, a positive mindset, efficient life prioritization, self-confidence, improved interpersonal interactions, emotional management, better decision-making, patience, self-control, creativity, adaptability, empathy, effective relationship management, and academic or work success. EQ training in schools has shown promising results, reducing disciplinary problems and substance abuse. Ultimately, a high EQ contributes to overall happiness, making it vital for human well-being.

    Dr. Priya R Nair, MBBS, DPM, MRCPsych, PGDHA, Consultant Psychiatrist, Neya Psychiatric Clinic, Hyderabad

    Recognizing and combatting depression is crucial for mental well-being. While occasionally feeling fed up or miserable is common, if persistent feelings of fed up or misery impact daily life for weeks or months, it may indicate depression. Causes range from triggers like the loss of a loved one, relationship breakdowns, or job loss to long-term health issues and childhood trauma. Recognizing signs such as persistent low mood, loss of interest, social withdrawal, difficulty concentrating, guilt, hopelessness, restlessness, and sleep disturbances is important. Seeking help is vital if depression affects daily life or if thoughts of self-harm arise.

    Coping strategies include talking to someone, staying active, maintaining a balanced diet, avoiding substance abuse, establishing a sleep routine, engaging in relaxing activities, practising self-care, and seeking support. In cases of moderate or severe depression, antidepressant treatment may be prescribed to aid recovery. Proactively addressing depression helps regain control and achieve a healthier mental state.

    Dr. (h.c.) Mala Vohra Khanna, PhD, Child and Clinical Psychologist, Psychotherapist, Founder – Raj Psychological Services, Delhi

    Happiness isn’t the ultimate goal. Many believe they’ll be happy if they complete a task, secure a job, or get married. But happiness requires balancing ups and downs, or otherwise, we will keep waiting for happiness. Accepting our weaknesses, embracing fluctuations, and acknowledging our situation are vital. The more we accept ourselves, those around us, and our circumstances, the easier it becomes to handle them. Identify your values and live by them. Discover your strengths, the things that provide you with a deeper sense of fulfilment, and what truly satisfies you.

    Cultivate mindfulness; it helps you become more aware of your thoughts and emotions without judgement. Our minds are always preoccupied with something. Recognize your thoughts and identify the patterns in your mind. Diffuse unhealthy thoughts. Instead of blindly believing what your mind tells you, reason with it and move forward. Embrace discomfort as happiness coexists with it. Accept emotions, practice self-compassion, and navigate struggles with kindness. Move forward, for happiness is found in the journey.

    On this Doctor’s Day, let us celebrate the remarkable contributions of these healthcare professionals who selflessly dedicate their lives to improving the health and well-being of their communities. Their tireless efforts, especially during challenging times, demonstrate their unwavering commitment to the oath they took to serve and heal.

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  • On This Doctor’s Day:  Understanding Symptoms of Early-Stage Osteoarthritis

    On This Doctor’s Day:  Understanding Symptoms of Early-Stage Osteoarthritis

    New Delhi (India), July 1: On Doctor’s Day, here are some of the top 8 doctors across the nation advising how you can understand the symptoms of early-stage Osteoarthritis while preventing it.

    Dr. Ramkinkar Jha, MS (Ortho, AIIMS), Chief & Head Orthopedics (III), Robotic Joint Replacement and  Sports Injury specialist – Artemis Hospitals, Delhi NCR/ Gurgaon
    Osteoarthritis is an advanced degenerative joint disease caused by the wear and tear of joints. Ageing and obesity are the two most common etiologies. The knee is most commonly affected in the Indian scenario. Mild pain or swelling in or around the knee joints is an early symptom. This pain increases while walking or taking stairs and when sitting cross-legged on a hard surface/floor. Sometimes, crepitus (cracking sound) may also occur.

    Deformity and limitations in bending the knee are late symptoms. A painful or swollen knee may also result from trauma, overuse injuries, or underlying other disease and should be consulted with an orthopedician. Diagnosis is usually clinical but may require a battery of tests.

    Dr. Santosh Shetty, MBBS, MS (Ortho), MCh (Ortho), Robotic Joint Replacement, Criti Care Asia Group of Hospitals, Director & HOD of Orthopedics and Joint Replacement – Surana Group of Hospitals, Mumbai
    Arthritis is a common condition that affects millions worldwide. It is important to recognize the signs as early intervention can lead to better management and improved quality of life. Here are some symptoms to watch out for: Persistent or recurring pain in joints, especially after physical activity. Stiffness or limited range of motion in the joints, particularly in the morning or after prolonged periods of inactivity, may be a sign of early arthritis. Swelling around the joints, accompanied by redness and warmth, can be an early indicator of inflammation caused by arthritis. Unexplained fatigue or a general feeling of being unwell may accompany early-stage arthritis. The affected joints may feel tender to the touch, and even light pressure can cause discomfort.

    If you experience any of these symptoms, it is important to consult a healthcare professional for an accurate diagnosis. Early detection and appropriate treatment can help manage symptoms, slow down the progression of arthritis, and enhance your overall well-being.

    Dr. Navin Sahu, MBBS, Mch (Seychelles), D. Ortho, Diploma in Orthopaedics surgeon, Om Shiv Bone Joint & Dental Clinic, Gurugram

    Osteoarthritis is a type of arthritis that occurs when the flexible tissues at the ends of bones wear down, resulting in the gradual and worsening deterioration of the protective cartilage. Common symptoms of osteoarthritis include joint pain when engaging in activities such as walking up stairs, short-lived morning stiffness, joint stiffness after periods of rest, changes to the joint’s shape, joint swelling, limited joint movement, sensations of joint weakness or giving way, grinding, creaking, crackling, or popping sounds, alterations in walking and movement, and difficulties with daily activities.

    To prevent osteoarthritis, it is important to control weight as excess weight places more stress on bones and joints, engage in exercises that strengthen the core muscles of the body, avoid injuries, and maintain a proper diet by consuming adequate doses of vitamin D, omega-3 fatty acids, and vitamin B12.
     
    Dr. Samir Pilankar, MS Ortho, DNB, MNAMS, Fellowship training – Germany, Switzerland & Spain, Senior Joint replacement & Arthroscopy surgeon, Sujay & Nanavati Max Hospital, Mumbai
    Knee arthritis is a condition where the smooth cartilage, responsible for the free and painless movement of the knee, wears down and becomes rough. This deterioration leads to friction and pain. Rampant obesity, improper exercise, and neglected ligament injuries are fuelling the steep rise in knee pain among the younger population. The primary symptom of knee arthritis is pain experienced during prolonged standing and stair climbing.

    When it comes to preventing knee arthritis, it is recommended to avoid running on hard concrete surfaces, weight reduction, and proper exercise. Regarding the treatment options for knee arthritis, Dr. Pilankar suggests that in the early stages, supplements like glucosamine and collagen peptide work well in conjunction with weight reduction and activity modification. However, in advanced cases, knee arthroscopy and robotic unicompartmental replacement are considered good treatment options.
     
    Dr. Saksham Mittal, M.S. Orthopaedic (Gold Medalist), Fellowship in Joint Replacement and Arthroscopy, Consultant Orthopaedics – CK Birla Hospital, New Delhi

    Arthritis, as the name suggests, is inflammation of the joints. Age-related arthritis is the most common type, primarily affecting the knee joints. The mean age of onset of arthritis has decreased, probably due to changes in lifestyle, obesity, and dietary habits.

    The symptoms in the early stages include pain that increases with exertion, swelling, and stiffness. Early stages can be treated with medication, lifestyle modifications, and exercises. Early diagnosis is the key to preventing its progression and living a pain-free life.

    Dr. Shishir Kumar, Senior Consultant Orthopedics & Spine Surgery, Metro Hospital and Jaypee Hospital Noida
     
    Osteoarthritis is the wearing out of the cartilage of the joint due to age, often accelerated by obesity or injury, and commonly affecting the knee. Loss of cartilage increases the friction between bones, causing pain when ascending and descending stairs, walking long distances, and sitting cross-legged. Further erosion causes persistent pain, with the appearance of swelling and crepitus (crackling sound) as the broken pieces of bone cause inflammation. The breakdown of the bone leads to a haphazard reparative new bone formation called ‘osteophytes,’ which impinge on soft tissues and cause further pain and limitation of movement. Continuing wear finally leads to deformity of the knee.

    The diagnosis is essentially clinical, and investigations (X-ray and MRI) are required only to plan treatment. Since early intervention in the form of simple exercises, drugs, and lifestyle changes can prevent or retard the progress of the disease, orthopedic consultation should be sought early to mitigate symptoms.

    Dr. Abhishek Gupta, MS Ortho, FASM (USA), FSSI (Seoul, S Korea), Senior Consultant, Arthroscopy & Joint Replacement, SHALBY Hospital, Jaipur, Director -Ortho Wellness & Joints Clinic, Jaipur
     
    Early-stage osteoarthritis presents with occasional pain and stiffness in joints, especially during specific activities that challenge the affected joint, along with a feeling of discomfort throughout the day. Additionally, if the patient is suffering from postmenopausal syndrome, hormonal issues can worsen the symptoms. Other factors such as age-related or senile osteoporosis, thyroid disorder, diabetes, obesity, rheumatoid arthritis, urate crystal deposition, and deficiencies in Vitamin B12 and D can further aggravate the symptoms.

    In most cases, this problem can be well-managed through good physiotherapy exercises and modalities, dietary and lifestyle modifications, weight control, and treating the underlying cause. In some instances, arthroscopy or minimally invasive keyhole joint procedures are recommended, especially when the patient is young and the condral defect is focal. Nutraceuticals, viscosupplement/PRP injections can help delay surgery and provide reasonable symptomatic relief without added morbidity. The choice of treatment is individual-specific, and an experienced orthopedic doctor will guide you in selecting the best option for you.

    Dr. Fahad Bin Hamid, D.Ortho, DNB (Ortho), Consultant Orthopedics, Arthroscopy & Sports Injury Specialist – Eshan Multispeciality Hospital, Bareilly

    Understanding the symptoms of early-stage osteoarthritis is essential for timely intervention and improved management. Joint stiffness is a prominent sign, typically worse in the morning or after periods of inactivity. Persistent joint pain during or after movement is another common symptom, which tends to worsen gradually. Increased tenderness and sensitivity around the affected joint(s) may also be experienced, making touch or pressure uncomfortable.

    Osteoarthritis can lead to a reduced range of motion, limiting flexibility and making previously easy activities challenging. Recognizing these early signs empowers individuals to seek appropriate medical guidance, adopt preventive measures, and slow down the progression of the disease. Consultation with a healthcare professional for an accurate diagnosis and a personalized treatment plan is strongly recommended when experiencing these symptoms.

    On this auspicious occasion of Doctor’s Day, we extend our heartfelt appreciation and gratitude to the orthopedic doctors who dedicate their lives to the field of orthopedics. Their expertise, skill, and unwavering commitment to patient care have a profound impact on the lives of individuals suffering from musculoskeletal conditions.

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