laparoscopic management of early appendicular lump
Laparoscopy in complicated appendicitis is still controversial.Care has to be taken in dissection and securing the appendicular base as the cecum will be friable. Laparoscopy is very useful, especially when the diagnosis is in doubt. Even in complicated a
Breast augmentation, From Australia to India Dr.MS Venkatesh
The breasts are a symbol of beauty for a woman.Women with hypoplastic(small) breasts often suffer from low self esteem,lack of self confidence and do not perform well in their professions.Breast augmentation is a simple procedure which can change the prof
Jul
13
Wrinkle Treatment Hyderabad Now At Affordable Prices Meso- Lift Meso-lift Is Another Anti-aging Technique To Help Maintain A Healthy Glowing Skin And It Is Particularly Excellent For Those Fine Lines That Fillers, Such As Restylane, Can Not Correct. Mesotherapy Skin Rejuvenation Or “mesolift” Infuses Your Skin With Hyaluronic Acid (body's Natural Filler Substance), Retinoic Acid, Potent Vitamins, And Anti-oxidants To Restore The Hydrated Plumpness And Fresh Appearance Of Your Skin. The Treatment Actually Rejuvenates, Revitalizes And Tightens The Skin. Even The Physical Treatment Itself Has Been Shown To Promote Production Of Collagen And Elastin And Stimulate The Metabolism. The Meso-lift Is Usually Performed In An Initial Series Of 3 To 5 Treatments (sometimes More), Spaced Out One Or Two Weeks Apart. The Results Are Maintained By Touch-up Treatments Once Or Twice A Year. Some Patients May Not Need Any Touch-up Treatments For Many Years. Fillers: Restylane Is A Commercially Available Hyaluronic Acid Derivatie Which Is Also A Component Of Natural Collagen In A Component Of Natural Collagen In The Skin Give Cushioning Effect And Reduces Wrinkles. Meso Glow Our Face Is One Of The Few Regions On Our Body In Which Patients Desire A Plump, Full Appearance, As It Equates To Youth And Vitality. Unfortunately, As We Age We Loose Volume In Our Face, A Process Which Is Accelerated By Sun Exposure. Though Mesotherapy Has Gained Prominence As A Fat Reduction Treatment, It May Also Be Manipulated To Replenish Fat In Areas Such As Face And Neck. Mesoglow Treatments Infuse The Dermis Layer Of Skin With Hyaluronic Acid, Collagen-stimulating Minerals And Antioxidants To Nourish Skin And Return It To The Radiant, Firm, Glowing Complexions Of Their Youth. Http://www.ojasaesthetic.com/fillers.html
Read More »
Jan
27
Why Am I Feeling So Anxious About Everything? Many People Have This Thought Once In A While. Anxiety Is A Protective Phenomenon Fitted In The Brains Of People By Nature. Yes Buoyant Individuals Without Any Anxiety Whatsoever About Anything Rarely Can Perform Well In Life. This Statement Can Be A Great Reliever For Neurotic People Feeling Anxious About Anxiety Per Say! Hypochondriacal People Always Have Heightened Susceptibility To Stimuli That Lead To Excess Anxiety And Worry About The Apparently Casual Situations. In Such Cases, Anxiety Becomes Morbid At Times And Out Of Proportion To The External Circumstances. Also It May Last Long After The Threatening Situation Is Gone. This Kind Of Anxiety Needs Intervention And Good Psychological Counseling. Causative Factors Of Anxiety- (1) Psychological Illnesses Like Depression, Schizophrenia, Etc (2) Long Standing Illnesses (3) Certain Familial Traits And Genetic Contribution To Anxiety Cannot Be Denied (4) Unexpected Life Events With Poor Tolerance Level (5) Sometimes It May Be The Result Of Relatively Minor Day To Day Events (6) Some Physical Illnesses Like Hyperthyroidism, Hypoglycemia, Alcohol Withdrawal, Epilepsy, Pheochromocytoma, Arrhythmias, Etc Clinical Features Of Anxiety- (1) Fear Of Impending Disaster Is One Of The Chief Presenting Symptoms In Most Cases (2) Excessive Irritability (3) Restlessness With Fidgety Feeling All Over The Body (4) Tremors, Sweating, And Palpitations May Be There (5) Some Patients Complain Of Dizziness, Headache, Sudden Diarrheic Spells, Enhanced Frequency Of Urination, Etc (6) Breathlessness, Headache, Insomnia (typically During Initial Sleep), And Poor Concentration Are Observed Too (7) Severe Anxiety Can Result In Some Or The Other Physical (somatic) Illness Including Fever, Malaise, Dullness, Body Ache, Etc Some Peculiar Types Of Anxiety- There Are Many Types Of Anxiety; However, Mainly We Can Classify It Into Phobic Anxiety (phobia) And Panic Disorder. An Abnormal Fear Brought On By A Particular Object Or Situation Because Of Which The Person Avoids That Stimulus Is Termed As Phobia. Phobias Are Commoner In Women And Genetic Contribution Is Important To Consider. Scientists Have Attributed These Types Of Phobic Anxieties To Some Traumatic Event On The Childhood Of The Patient. This Boosts The Homeopathic Physician’s Concept Of Seeking Detailed Childhood History Of The Patient, In Which Lies The Answer To His Or Her Anxiety In Adulthood. Panic Disorder Is Sudden Onset Of Unpredictable And Severe Anxiety. They Usually Are Not Related To A Specific Situation And They Are Linked With Depressive Disorder. In This Variety, The Physical Symptoms Like Palpitations, Chest Pains Etc Are Prominent. The Patient Fears That He Is About To Die. Management Of Anxiety- Choice Of Treatment Goes A Long Way In Establishing The Normal Homeostasis In The Emotional Sphere Of Patient’s Life. Many People Deny That Anxiety Needs To Be Treated. But It Is Evident That Without Treatment, Sulking, Brooding, Irritability, And Excessive Worry Do Not Lessen But Aggravate To Take Graver Form. Therefore, Management Of Anxiety Is A Very Important Step Towards The Person’s Brighter Future. Psychological And Homeopathic Approach- Psychological Counseling Is The Most Important Pillar Of Anxiety Treatment. An Expert Psychologist Can Reassure The Patient And Can Inculcate In Him The Confidence That He Can Get Better. As Homeopathy Deals With Mind Effectively, A Homeopath Himself Is A Great Psychologist. Seeking Apt Data From The Patient Is An Art And Only That Homeopath Succeeds In Treating The Patient, Who Has In-depth Understanding Of The Patient’s Psyche. Therefore We Can Say That Psychological Counseling And Homeopathic Case Taking And Analysis Go Hand In Hand. They Cannot Be Separated. Even For Psychosomatic Anxiety, Importance Of Counseling Cannot Be Underestimated. Specific Relaxation Techniques Help A Great Deal In Patients Of Anxiety. Specific Yoga Techniques, Pranayam, And Homeopathy Together Can Work Marvelously Well In These Patients. Anxiety Is A Disorder In Which Conventionalists Have Very Limited Role. If You Do Not Want To Fall Prey To Heavy Doses Of Anti-depressants That May Leave You Dizzy All Day Long, Seek An Expert Counselor Homeopath That Can Help You Find The Best Equilibrium In Your Physical, Mental, And Emotional Realms. Talking To A Homeopath Is A Great Way To Find The Best Emotional Catharsis For Sure!
Read More »
Sep
28
As A Counsellor, I Am Fortunate (?) To Experience A Varied Gamut Of Human Relationships Through The Cases That Come To Me For Therapy.one Such Case Was That Of A Young Adolescent Boy, Who Was Referred To Me For Academics, As Well As Behavioural Issues. On Meeting The Boy, He Seemed Compliant Enough For The Questions And Answered Them Willingly, But I Could Sense Intense Rage Within Him. On Probing, I Found That His Primary Anger Was Directed Against His Mother. Reason? She Insults Him In Front Of His Uncle And The Servant! The Mother Looked Surprised That This Was A Topic Of Dissent With The Boy. Her Logic Was That If He Is Scolded In Front Of Someone Else, Then He Would Learn To Behave Better. When I Asked Her What Her Expectations Were She Had Only One Thing To Say: I Want Him To Respect Elders.i Found Her Need To Be Very Amusing… Considering She Was Using Humiliation As A Tool To Discipline Her Son.everybody Has This Need In Them To Be Respected, Whether Young Or Old. How Could The Mother Expect The Child To Develop A Sense Of Respect And Reverence, When Everytime She Would Deride And Belittle Him Not Only In The Privacy Of Their Home But Also In Public? It Is, According To Me, The Lowest Form Of Disciplining Tactics, Which Would Have The Person At The Receiving End Seething Inside With Humiliation. I Remember, When I Was Working In A Publication Firm, We Would Have This Monthly Meetings, Which Were Called “hall Of Shame”. The Names Of All Those Editors Who Had Not Met Their Targets Would Be Written On The Board, And They Would Be Asked For Detailed Feedbacks And Explanations. This Could Also Be Done In The Cabins Of The Senior Professionals, But I Think They All Got A Perverse Pleasure, Seeing Them Squirm In Front Of An Audience. What Irreparable Damage Was Being Done To The Psyche Of The Person, I Dread To Think. A Personal Memo Calling The Person Filthy Names Is So Much Better Than This Public Flogging. Coming Back To The Case, When I Started Handling The Issues With The Mother, I Could Understand Where She Was Coming From. She Was A Perfectionist, And Theirs Was The Most Passive Marriage I Have Ever Seen! When Asked If She Expected Others To Respect Her As A Person And Her Opinions, She Wanted To Know What I Was Talking About! For The Husband, She Was Just A Wife; One Who Took Care Of His Physical And Biological Needs. He Could Not Describe The Person That She Was: Her Identity Was That She Was His Wife. She Was Labelled A Bad Mother Because Her Son Did Not Behave ‘properly’. So To Get Social Approval She Was Being Punitive With The Son. Her Life Revolved On Social Approvals. She Could No Longer Establish Her Own Identity, And Establishing The Importance Of Being Herself Became The Focus Of Counselling. She Was Gradually Able To Understand That You Do Not Demand Respect; You Command It. And You Can Only Teach How To Respect If You Practise It. The Point Took A While To Sink In; But When She Was Able To Withdraw From The Controlling Relationship, And Also Refused To Take Responsibility For Her Son’s Misbehaviour, And Refuse To Accept The Label Of Being A ‘bad Mother’ Simply Because He Misbehaved, Things Started Turning Around. When People Around Realised That She Was Not Accepting The Blame For His Behaviour, They Started Handling The Boy Differently; And He Too, In Subsequent Sessions Was Able To Understand The Scenario. Sessions Are Still On; The Husband Continues To Be Passive, Though He Is Beginning To Think There Is More To A Marriage Than Just Staying Together, And Is Slowly Willing To Enrich The Relationship.it Is Not ‘all Is Well’ As Yet…. But I Hope It Would Be.mohana Narayanan
Read More »