Tuesday, November 05, 2019

Want to end your misery of Spider’s veins?

Are you worried about those ugly looking Spider veins on your thighs, calves or legs? Do they cause pain or burning? Are they preventing you from wearing that favourite short dress of yours? Stop worrying right away! Spider veins are dilated veins that show up close to the skin’s surface and may resemble spider webs. Usually, they appear blue or red and are most common on the legs and face.  Almost 95 per cent of patients with spider veins are females. These veins are cosmetically disfiguring and can be a matter of concern.

Everything you need to know about the symptoms

However, due to lack of awareness and not many treatment options, many females tend to ignore them. In some cases, these spider veins too can cause symptoms such as pain, heaviness, burning or itching. They can progress to larger varicose veins too.

The causes                              
Spider veins occur in most people as a consequence of heredity, as often there is a strong family history of spider veins in parents or grandparents. But sometimes spider veins by their distribution and density will raise the possibility of venous hypertension from failed valves (incompetence) of superficial or deep veins of the leg. This may range from incompetent reticular veins to incompetent superficial veins such as the great saphenous vein, which courses deep in the fat and near the muscle of the leg.

This is how you can bid adieu to those grossly neglected spider veins
Cryo Laser and Cryo Sclerotherapy (CLaCS) recently introduced in India, is a revolutionary Brazilian technique for the treatment of spider veins of the legs.

What is CLaCS?
CLaCS is a combination of different technologies like augmented reality, transdermal laser, sclerotherapy and skin cooling for local anaesthesia. It was pioneered by Professor Dr Kasuo Miyake, a vascular surgeon from Brazil in 1999. Over the years, it has been used to treat thousands of patients with extremely good and long-lasting results.

The benefits of CLaCS
CLaCS is a painless procedure done under local anaesthesia. The high flow of ice-cold air directed onto the skin at the site of laser or needle application removes the discomfort and most patients have little pain from the treatment. The patient returns to work and usual activities with 4 -6 hrs. Exercise is permitted as well after 24 hrs.

Any precautions one needs to take after opting for it?
In CLaCS, there are no specific precautions after treatment. There is no need to wear stockings in the majority of cases.

this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     
https://gscrochetdesigns.blogspot.com. one can see my crochet creations  
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
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Thursday, September 26, 2019

Back pain for hubby- new treatment

For more than 5 months hubby has been having back pain. Earlier, it was mild, once he used to lie down the pain used to disappear. Then I had a suspicion if due to his falls, if he had a hairline fracture somewhere. Luckily no fracture, this was a young orthopedic than my surgeon who was very experienced and sadly he is no more, as when he did my surgery itself, he was in his 70s.

This young surgeon wanted to rule out any knee problem as hubby told him his legs buckle, hence he falls down. Luckily nothing wrong with the knees. His spine is slightly curving. He wanted him to have an MRI done, due to phobia for closed place first he refused, then when his pain was worsening, he agreed. It showed that he has problems in L4-L5 and in his tail bone. So, we\re worried if he was going to suggest any surgery, as he had double bypass surgery for his heart. 

Luckily, the treatment was such that he had to lie on his stomach, with a monitor / new type of scanner to show them the various points in spine, surgeon with an interventionist, gave injections in different places to numb the sensory nerves ! Hubby was fully conscious, the whole procedure lasted for less than 45 minutes. It was done by giving local anesthesia. When the surgeon asked him if he can see the scanner, hubby said, it would have clearer if it was in colour !

Yesterday, soon after the procedure, as his back was still numb, he said no pain, slowly as hours progressed, he started complaining of pain, but didn't want pain killer nor hot massage. But then this morning, he said the pain was comparatively less on getting up, as earlier, soon after getting up from bed itself, the pain was awful. The surgeon said, it varies from person to person, some feel total relief soon after the procedure, some make take days, so till then walking is limited to the bar essentials, no exertion till we see the surgeon after 3 weeks. 

Both of us need lumbar belt, at least in one thing, we agree, wearing belt !

So, I was with hubby in the hospital from yesterday morning  till this afternoon when he got discharged. As, I'm the one, who had 13 surgeries, when hubby used to run around to pay, now, it is my turn to repay back all his services !

I used my time in the hospital to finish 2 pairs of breast prosthetic and almost finishing 1 more now. Hence, I'ld not post any post yesterday.

Wishing one and all good health, as one of the biggest festivals which is celebrated all over India with a lot of fervour starts from this Sunday and lasts for 10 days. The 10th day is celebrated as victory of good over evil !

this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   
https://gscrochetdesigns.blogspot.com. one can see my crochet creations 
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
https://kneereplacement-stickclub.blogspot.com. for info on knee replacement
 
    

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Sunday, December 23, 2018

Antibiotic overuse is high in common urology procedures


Antibiotics are being overused in patients undergoing common urological procedures, which exposes them to potential harm including an increased risk of  infection by C. difficile bacteria, researchers warned.

Clostridium difficile, often called C. difficile, is a bacterium that can cause symptoms ranging from diarrhoea to potentially fatal inflammation of the colon. 

The study showed that almost 60 per cent of patients were prescribed antibiotics in a way that did not follow the urologists guidelines, which recommends that antibiotics should be given for no more than 24 hours following most urological procedures.
"This study shows that antibiotics are often continued for several days after common urologic procedures, even when there is no clear indication for antibiotics," said lead author of the study.

"Reducing unnecessary antibiotic use in this setting is just one example of how physicians can be better stewards of antibiotics," said an expert.

It is common for patients undergoing a urological or any other surgical procedure to be given antibiotics as a precaution to prevent a surgery-related infection.  However, overuse of antibiotics can promote antibiotic resistance, according to the  experts.

For the study, the researchers investigated whether urologists are following the  guidelines for prescribing antibiotics. They manually reviewed the medical records of 375 patients who had one of three common urological procedures.

The findings showed that 217 patients (58 per cent) were prescribed antibiotics in a way that did not follow the  guidelines.

The most common deviation from the guidelines involved antibiotic-prescribing after the procedure: 211 patients (56 percent) were given antibiotics for longer than 24 hours following a procedure, the team said.

In fact, patients were often given antibiotics for three to five days following a procedure instead of the 24 hours or less that the guidelines recommend, the team added.

The study did not investigate why urologists are prescribing antibiotics for longer than recommended after a procedure.

 THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.                                                                                
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Friday, March 29, 2013

Gut Bacteria May Be Key to Gastric Bypass' Effects


Gastric bypass surgery may help people lose weight by 
changing the make-up of bacteria living in the intestines, 
suggests a new study conducted in mice.
Scientists  discovered that performing gastric bypass surgery 
on mice altered the composition of the bacterial colony living 
in the animals' guts. Even when they did not perform the 
surgery, and just transferred the new bacterial colony into the 
intestines of mice, those mice lost weight.
Simply by colonizing mice with the altered microbial 
community, the mice were able to maintain a lower body fat, 
and lose weight -- about 20 percent as much as they would if 
they underwent surgery,said the researchers.
The study suggests that the specific effects of gastric bypass 
on the microbiota contribute to its ability to cause weight 
loss, and that finding ways to manipulate microbial 
populations to mimic those effects could become a valuable 
new tool to address obesity.
Another expert agreed that the gut is intricately tied to weight 
loss.
The gut is a key player in metabolism, and this makes it even 
more than ever an ideal target for interventions for treating 
metabolic diseases and obesity.
It may someday be possible to use medication or changes in 
diet to help people lose weight by changing the make-up of 
germs in the intestine. 
For many years, researchers thought they(bacteria) were a 
contaminant because we get them from the environment as 
we eat. But, scientists now understand that the bacteria play 
a role in the way the body processes food. We eat for us, 
but we also eat for them [bacteria].
Scientists have suspected that gastric bypass procedures, 
which funnel food away from the stomach, change the 
make-up of bacteria in the gut.
 The bypass, by shortening the digestive tract, may actually 
change "the chemistry of the intestinal environment where 
these bugs live."
Scientists note that research with animals often fails to 
provide similar results in humans.
 -- the transfer of germs from one mouse to another -- will be 
a challenge in humans, said a researcher.
"The transfers were done to germ-free animals, but humans 
are not germ-free, and it will be difficult to take a pill and get 
germs to the right location [in the digestive system],said a 
researcher.

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Friday, March 11, 2011

BONE MARROW TRANSPLANT -what it is, why done, procedure, indications, risks, prognosis


What is bone marrow transplant?
Bone marrow transplant is a procedure in which healthy bone marrow is transplanted into a patient whose bone marrow is not functioning properly. Problems in bone marrow are often caused by chemotherapy or radiation treatment for cancer. This procedure can also be done to correct hereditary blood diseases. The healthy bone marrow may be taken from the patient prior to chemotherapy or radiation treatment (autograft), or it may be taken from a donor (allograft).
What is bone marrow?
Bone marrow is the soft, sponge-like material found inside bones. It contains immature cells called stem cells that produce blood cells. There are three types of blood cells: white blood cells, which fight infection; red blood cells, which carry oxygen to and from organs and tissues; and platelets, which enable the blood to clot.
Why is it done?
If a patient develops a disease of the blood cells, especially cancers such as leukaemia, he may require high doses of chemotherapy to destroy the cancer. However, this also destroys normal blood cells.

Alternatively, hereditary or acquired disorders may cause abnormal blood cell production. In these cases, transplantation of healthy bone marrow may save a patient's life. Transplanted bone marrow will restore production of white blood cells, red blood cells, and platelets.

What is the procedure?
Bone marrow transplant patients are usually treated in specialised centres and the patient stays in a special nursing unit (a bone marrow transplant unit) to limit exposure to infections. The hospitalisation period is from 4 to 6 weeks, during which time the patient is isolated and under strict monitoring because of the increased risk of infection and/or bleeding.

Donated bone marrow must match the patient's tissue type. It can be taken from the patient, a living relative (usually a brother or a sister), or from an unrelated donor. Donors are matched through special blood tests called HLA tissue typing.

Bone marrow is taken from the donor in the operating room while one is unconscious and pain-free (under general anaesthesia). Some of the donor's bone marrow is removed from the top of the hip bone. The bone marrow is filtered, treated, and transplanted immediately or frozen and stored for later use. Then, transplant material is transfused into the patient through a vein and is naturally transported back into the bone cavities where it grows to replace the old bone marrow.

Alternatively, blood cell precursors, called stem cells, can be induced to move from the bone marrow to the blood stream using special medications. These stem cells can then be taken from the bloodstream through a procedure called leukapheresis.

The patient is prepared for transplantation by administering high doses of chemotherapy or radiation (conditioning). This serves two purposes. First, it destroys the patient's abnormal blood cells or cancer. Second, it inhibits the patient's immune response against the donor bone marrow (graft rejection).

Following conditioning, the patient is ready for bone marrow infusion. After infusion, it takes 10 to 20 days for the bone marrow to establish itself. During this time, the patient requires support with blood cell transfusions.
What are the indications?
Bone marrow transplant may be recommended for:
Bone marrow deficiency disease caused by:
  • abnormal red blood cell production, such as thalassaemia or sickle cell disease 
  • aggressive cancer treatments (chemotherapy, radiation therapy), especially for leukaemia or lymphoma 
  • lack of normal blood cell production (aplastic anaemia)
    Immune system disorders (immunodeficiency) such as: 
  • congenital neutropenia 
  • severe combined immunodeficiency syndrome
Bone marrow transplant is not recommended for:
  • patients with heart, kidney, lungs, or liver disorders 
  • patients with other diseases that may limit survival
What are the risks?
The risks for any anaesthesia are:
  • reactions to medications 
  • problems breathing
Chemotherapy given prior to bone marrow transplant (conditioning) can cause significant toxicity, such as mouth sores, diarrhoea, liver damage, or lung damage. While waiting for bone marrow to grow, the patient is at high risk for infection as also bleeding.

The major problem with bone marrow transplants (when the marrow comes from a donor, not the patient) is graft-versus-host disease. The transplanted healthy bone marrow cells may attack the patient's cells as though they were foreign organisms. In this case, drugs to suppress the immune system must be taken, but this also decreases the body's ability to fight infections.

Other significant problems with a bone marrow transplant are those of all major organ transplants - finding a donor and the cost. The donor is usually a sibling with compatible tissue. The more siblings the patient has, the more chances there are of finding a compatible donor.
What is the prognosis?
Bone marrow transplant prolongs the life of a patient who would otherwise die. Relatively normal activities can be resumed as soon as the patient feels well enough and after consulting with the doctor.

The patient will require attentive follow-up care for 2 to 3 months after discharge from the hospital. It may take 6 months to a year for the immune system to fully recover from this procedure.

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