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Mar23
Crystal Pyramids (Relationship pyramids)
Crystal Pyramids (Relationship pyramids)

Crystal Pyramids or as we often call them relationship pyramids are highly useful to mentain healthy relationship among two or more people. It simply generates a positive energy sphere around the person wearing it and prevents his/her mind from getting stressed or receiving negative thoughts as these are the two reasons which first effect the thought process of an individual and then his/her behaviour in a relationship. They are available in couplets, triplets, quadraplets and pentaplets for relationship or family purpose and co- relates each of the individuals dependency and tuning with each other. They can also be programmed in bulk for the use of an office or organisation to reduce individual disputes. Hence, it is an efficient tool to keep the human social network healthy.


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Mar23
Sensational news in medical tourism: Big fibroid operation refused in U.K. & successfully done in India
On 15th December they have operated on patient Mrs. Rashmikaben, U.K.based NRI patient for Big Fibroid laparoscopically was widely covered in many news Medias for their achievement & many compliments for their success. BIG FIBROID (20 cms Intramural Fibroid) REMOVAL REFUSED IN U.K. AND SUCCESFULLY DONE IN INDIA Fibroid is the one of the common problems in female. Previously it was removed by a "Laparotomy" operation (cutting open the stomach). Now, fibroids can be removed very easily and safely by Endoscopic operation. Day care surgery and resuming to her routine activities in two days and all the benefits attached to Endoscopic surgery better visualization and accessibility makes it safer and better to remove a fibroid through Endoscopy.

Dr.Pragnesh Shah, Dr.Himanshu Bavishi & Dr.Parulben Shah are experienced Laparoscopic Surgeons & they have experience of most of the advanced Gynecological Surgeries with world class infra structure in Ahmedabad for any difficult & complicated laparoscopic surgeries.

On 15th December they have operated on patient Mrs. Rashmikaben, U.K.based NRI patient for Big Fibroid laparoscopically was widely covered in many news Medias (on 20th December, 07, India) for their achievement & many compliments for their success.

Patient had searched on internet & communicated with many Laparoscopic surgeons in the world and also visited http://www.laparoscopyexpert.com & http://www.ivfclinic.com and found that Dr.Pragnesh Shah Indian Laparoscopic Surgeon had answered the most satisfactory answers for her quarries for Big Fibroid. This was a unique case where a fibroid was 20cms big. Usually fibroids are detected 5-8 cms in size and easily removed. When it is 20 cms big & intramural there is hardly any space in abdomen to operate the same through Endoscopy. It requires unique skill, lot of experience and expertise, instruments and equipments, setup and team.

He believes that patient does not come to India just to save money but they trust skill, expertise and experience of the doctors. Offering video of patient’s Laparoscopic surgery i.e. live operative files is the best example of transparency in medical practice for complicated case to all his patients. Human approach, personalized care and homely environment are free added benefits to them. Last but not least, at a very low cost compare to other countries.

Internet can be ultimate source for selecting right surgeon & right place for complicated case in the world. Patient gets very fast & reliable information. Doctors are invited to see her video to learn unique surgical technique, photos and all reports of this interesting case & contact on 9824050916

Patient Mrs. Rashmikaben had willingly agreed to communicate with any one on Mobile No.:9727425378 for any quarry for the benefit of anyone who had big fibroid and worried about operation.
Hospital is India based Advanced Gynecological Laparoscopic Training & center for Excellence for most of the Gynecological Endoscopic Surgeries. Dr.Pragnesh Shah & Dr.Parulben Shah are experienced laparoscopic Surgeons & they have experience of most of the advanced Gynecological Surgeries with world class infra structure in Ahmedabad for any difficult & complicated laparoscopic surgeries


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Mar23
Recent advances in Total Knee replacement
Consultant orthopaedic surgeon, Chennai

Osteoarthritis of knees affects predominantly the senior citizen age group. Increasingly large numbers of these elderly people in our towns and cities are electing to have a total knee replacement to end their agony and lead a better quality of life. They survey the market and hope to get the best deals in terms of functional outcome, surgical and post surgical care and costs. Many a time they are dissuaded by skeptical relatives or friends to have the surgery. Since cultural, social and religious requirements of Indians are different from the West, the operation has to be tailored to the specific needs of our countrymen. In this article I shall discuss some recent advances and the implications of these on the outcome of the surgery.
The main factors that deter people from having any major operation for a non life threatening condition are fear and perceived high cost. Fear may stem from the thought of postoperative pain the risks of anesthesia, surgery itself. Specifically the fear of infection is a big bugbear. Ideally a major replacement should be done by well trained and qualified surgeons. Experience of joint replacement is gained by overseas or Indian fellowship training. Infrastructure of the hospital is vitally important. The operating theatres should provide “Ultra clean air” with ideal parameters. Exponential Laminar airflow is ideal where air is changed 25 times per hour. The delivered air is treated by special HEPA (High efficiency particulate air filters) with 99.99 % efficiency so that the chance of infection is reduced to the level of < 1 %. No colony forming units of bacteria should be present. It would be correct to say that facilities are limited for these standards.
Costs are not exorbitant when compared to the west and only amount to one tenth of the cost in the West. A price range of 1.75 lakhs to 2.5 lakhs rupees is quoted by surgeons and hospitals for standard prosthesis designed and manufactured in the west. Increasingly large numbers of UK and USA citizens are coming to undergo this surgery because of these low costs. The quality of care in selected hospitals matches that in the west.
Let us look at some of the recent advances in a total knee replacement.
1) Minimally invasive surgery- If you ask your friend who has undergone a knee replacement, about the worst thing about the surgery, he or she is likely to blame the amount of post operative pain. Some amount of Post op pain is inevitable from any operation. The amount of tissue dissection in normal knee replacements causes iatrogenic damage to the lining of the joint and results in pain postoperatively. A minimally invasive knee replacement is carried out through a smaller incision and produces less amount of pain. In this procedure the same prosthesis is implanted using smaller incisions and specially designed instrumentation. Duration of hospitalization will be lesser, there is no need of transfusions, pain is lesser and the cosmetic effect is better. Rehabilitation will also occur faster, a return to normal activity may be possible in 6 weeks. Fig.1.Knee replacement scar measures 5 inches only



Chronological Bilateral knee replacements done spinal anesthesia

2. Alternative modes of anesthesia- Many anesthetists and surgeons prefer regional and local modes of abolishing operative pain. Spinal, Epidural and local nerve blocks may be administered by skilled anesthetists. The benefits are increased safety as there is less stress upon the body. Diabetics, Hypertensives, and people with ischemic heart disease can undergo safe surgery. As the patient is not unconscious and is only sedated, he is unlikely to feel postoperative nausea and vomiting. A drink or light meal can be given soon after surgery as tolerated and this comes as a big boon to many elderly who are unable to tolerate overnight starvation and thirst.
3. Multi modal pain relief- Instead of relying on opioids, multimodal analgesia employs a battery of pain relief methods and drugs. Pain relief is near total and the patient will not regret that he experience at all. Ice packs, oral drugs, pain pumps, epidural anesthesia are all used to make your experience as pleasant as possible.
4. High flexion knee prosthesis-Special knee implants are available which provide more flexion or bending at the knee to suit Indian, and South Asian habits of kneeling for prayer, or sitting cross legged on the ground for meals or social purposes. Muslims in particular need this to offer prayers. Even westerners have begun to appreciate the benefits of high flexion knee prosthesis as they can pursue hobbies like gardening and are also gratified for the ability to do recreational acts. The design features of such knees incorporate cut outs at the front, rotating platform or mobile bearings, increased bony


resection at the back amongst others. Fig 4.Patient squatting after knee replacement with high flexion prosthesis.

5. Navigational surgery- In this age of computers, navigational surgery has some benefits to offer. Not only can the trained surgeon perform the operation through smaller incisions, the seating of the implants could be more accurate. Perfectly positioned implants are less likely to loosen over time. Only selected prosthesis and not all types of knee prosthesis can be implanted through less sophisticated systems and this could be a disadvantage. Costs could be slightly higher in such centres.

A knee replacement offers permanent pain relief from osteoarthritis and could be made more attractive by doctors who have embraced the latest techniques and advances.
The author is a Knee specialist in Chennai and can be contacted by mobile 9282165002. More information on knee and shoulder problems is available on websites www.kneeindia.com, www.shoulderindia.com


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Mar23
Stress and Meditation
* Stress and Meditation



When our bodies are exposed to a sudden stress or threat, we respond with a characteristic "fight or flight" response. This is sometimes called an "adrenaline rush" Because the hormones epinephrine (adrenaline) and norepinephrine are released from the adrenal glands, resulting in an increase in blood pressure and pulse rate, faster breathing, and increased blood flow to the muscles. deep relaxation in which our breathing, pulse rate, blood pressure, and metabolism are decreased.

All we need to do is to sit in a comfortable position and relax. We sould not fight with the thoughts striking our mind. If they are coming, Let them come. Try to feel as if you have no body and soon you will recognise that your breath is getting shorter and shorter. When the breath will become limited to our nostrils only, our body will start receiving Cosmic Energy from the universe and all our diseased and stressed veins will fill with energy. We will start feeling stonger and healthier.

A daily practice will boost your immune system and you will notice an improvement in your physical and mental efficiency.


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Mar22
No good deed goes unpunished
We have all been approached by our colleagues, friends, relatives and acquaintances for medical problems formally and sometimes embarrassingly informally at social gatherings and even at road side berms or in the corridors. We usually hesitatingly oblige them although we know that we are not practicing good medicine. These encounters frequently lead to inappropriate treatment. In the socially related patients, very often an inadequate history or l examination is performed. Many acquaintances just barge in to the consultation clinic embarrassing the treating doctor who is midway of his consultation with another patient. The situation gets further compounded, when the treating physician has previously been in a subordinate position, such as a medical student, or a junior attending physician. This can often adversely influence the treatment plan of the younger physician. In such situations if the treating physician is not able to maintain the control of the medical management of the patient, the medical literature recommends to terminate the doctor-patient relationship. It is also important to keep in mind that the visits with the acquaintance patient may, paradoxically, take longer than the typical office consultation. The social, hospital, and practice issues will often insinuate themselves into the conversation. Thus it is a good practice to schedule them at times when they will not interfere with other appointments. The anxiety of treating such patients and our effort to be extra vigilant makes us begin to doubt our usual protocols. There is a tendency to want to change our routine. It is important that the treating physician continue to practice what he or she would do for any patient with a similar problem without beginning to doubt what has worked well for all previous patients.
Finally, there may be a strong temptation to discuss the patient’s ailment with colleagues or other acquaintances resulting in the risk of rising of the ethical issues of a doctor – patient relationship. There are some proposed guidelines for the treating physician which should make him ask the following questions before treating an acquaintance patient:

1. Can I remain objective in maintaining the doctor-patient relationship or is an inappropriate collegial rapport likely to ensue?
2. Do I have an excessive amount of anxiety that may jeopardize my ability to care for a colleague or friend?
3. Am I treating this patient in the same manner that I treat all of my other patients (e.g., with regard to history and physical examination, diagnostic testing, and treatment considerations)?
4. Have I carefully explained to this patient about the illness and the prognosis in the same detail that I would for a ordinary patient?
5. Have I clarified the boundaries of the prior existing relationship and made it comfortable for the patient to discuss freely, and to continue or terminate the relationship without sentiments of guilt or anxiety?
6. Can I maintain this patient’s confidentiality?
7. Can I always act for the good of this patient even if it means making decisions that may jeopardize the friendship?

Thus we should always try to ask these questions before continuing any doctor patient relationship otherwise there is a definite risk of causing avoidable medical errors and blunders, and our initial acts of pleasing our acquaintances will ultimately lead us to discover the truth in Clare Boothe Luce’s observation that ‘‘no good deed goes unpunished.’’


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Mar22
Cardiology-Sudden Cardiac Death
Sudden Cardiac Death
According to the American Heart Association, Sudden Cardiac Death (SCD) affects approximately 450,000 people each year in the United States and an estimated 95% die before reaching the hospital. SCD kills more Americans than lung cancer, breast cancer and AIDS combined. SCD or Cardiac Arrest is reversible in most victims if it’s treated within first 3 minutes by the delivery of an electrical shock.
With the development of hospital coronary care units in the 1960s, it was found that electrical devices that shocked the heart could turn an abnormally rapid rhythm into a normal one.
Later, it also became clear that cardiac arrest could be reversed outside the hospital if specially trained emergency rescue teams reached the person quickly. The chances of survival are reduced by 7-10% with every passing minute. However, even after survival, the prognosis continued to be dismal. The first-year recurrence rate in survivors of SCD was 20-40%.
SCD victims range from young children to the elderly.
SCD is caused by the rapid and/or chaotic activity of the heart known as ventricular tachycardia (VT) or ventricular fibrillation (VF). This is the problem of electrical conduction system of heart and should not be confused with a heart attack (myocardial infarction), which is caused by a blocked blood vessel leading to loss of blood supply to a portion of the heart muscle. However, some people may experience SCD during a heart attack. However it has been observed that people are scared of heart attack but do not understand the concept of SCD.
Both ventricular tachycardia (VT) and ventricular fibrillation (VF) are life-threatening heart rhythms. In hospital these arrhythmias can be treated with external defibrillators by the paramedics or medical personnel. However, for long-term out of hospital treatment option an electronic device (ICD) is implanted in the patient’s body to treat these arrhythmia.
An Implantable Cardioverter Defibrillator (ICD) monitors the heart’s electrical conduction system and delivers electrical energy (shock) to the heart to convert VT/VF to a normal rhythm.
In the mid-1980s, the ICD was designed and was called “an emergency room in the chest”. Today, ICD’s do much more and have been proven to be 99% effective in treating these ventricular arrhythmias and preventing SCD. As of today, ICD is about the size of a small stopwatch and is implanted in the upper chest, below the clavicle bone. It continuously monitors the electrical conduction system of the heart, watching for dangerous patterns and delivering electrical impulses when needed that may range from a tiny pulse like a cardiac pacemaker or a life-saving shock that can return the heart to normal rhythm.
Risk of SCD is high in patients with:
*At least one experience of VT/VF
(malignant rhythm arising from lower chamber of heart)
*Previous cardiac arrest or abnormal heart rhythm that caused patient to pass out
*A fast heart rhythm that keeps returning and could cause death
*A fast heart rhythm that cannot be controlled with drugs
*Severe side effects from drug therapy used to control these fast rhythms
*Previous heart attack and a low ejection fraction (poor heart function)


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Mar20
Cosmetic Surgery is Necessity not Luxury
Cosmetic Surgery is Necessity not Luxury
Written By:
Dr.B.P.Singh M.D.,FACCS,FIAMS,FIACS
Board Certified Cosmetic Surgeon
CERTIFIED BY INTERNATIONAL BOARD OF COSMETIC SURGERY
Fellow of International Academy of Cosmetic Surgery
Fellow of Australasian College of Cosmetic Surgery
Fellow of Academy of Medical Specialties
Member International Board of Cosmetic Surgery
Member International Academy of Cosmetic Surgery
Chairman : IMA Academy of Medical Specialties Punjab
National Academic and Research Committee Member IMAAMS New Delhi
C E N T R E F O R L A S E R C O S M E T I C S U R G E R Y
B H U P I N D E R N U R S I N G H O M E
261, Mota Singh Nagar, Jalandhar 144001 Punjab INDIA
Phone : 91-181-2224228, 2223376, , Mobile : 91- 99142 18261
Websites : www.cosmeticsurgerybp.net ; www.cosmeticsurgeryinindia.com ; www.ienhanceu.com

Cosmetic Surgery is a new superspecialty of body shaping, sculpturing individual body parts to enhance beauty, figure and looks. But, the need and concept to beautify oneself is time immemorial. Uses of flowers, leaves, plant twigs were used in early stages of human civilization. Use of stones and animal bones are well known. Ivory products are known to enjoy high position and preferential status in society from olden times. Even today some cultures still use ivory and stone ornaments. Uses of pearls are well known. Now-a-days jewelry made of silver, Gold, Diamond, Platinum and precious stones are preferred choices of elite classes.
Use of various cosmetics to enhance beauty is in practice for almost all body parts, namely, lips, eyebrows, eyelashes, forehead, full face, hairs and nails of hand and feet. Use of pricks and studs in ears, nose, umbilicus and many many more parts, may be difficult to imagine their utility by some persons, but, are the need of many.
Need to look better than others and to stay young with youthful appearance have kept the mankind in race to search better and newer options. One such practice is COSMETIC SURGERY. Number of people accepting cosmetic surgery as the final answer to their requirements is increasing every day. The fact that total cosmetic surgery procedures done world wide every year outnumbers the sum total of all other surgeries put together is enough recognition.
Let us try to understand why one will need to go for cosmetic surgery. Clothing, ornaments and use of cosmetics can give feeling of betterment to those bodies that are basically in shape and figure. Faces with wrinkled skin, crooked nose, bulky and fatty belly cannot and will not look better with the use of non surgical means listed above. Media has played a vital role in spreading message of the significance, value and importance of human appearance. Wisdom prevailing in individuals takes them to the doors of cosmetic Surgeon for the definitive corrections.
Other class of persons who are not happy with the given shape, size or profile of one or more body parts suffer from ‘complex’ in their minds. These fail to perform efficiently. Cosmetic surgery comes to their rescue to transform their lives.
In every one’s life, time comes when they look for an ideal life partner. No one is ready to compromise on any thing less than the best. Education and status are important and are adequately matched. Verdict on appearance and presentable personality is final. When a boy is rejected on the ground that his nose was not of right shape or girl refused for thick lips or flat chest, imagine the magnitude of suffering which gloom in their head. After two or three such failures, hidden dejection comes to surface; it shows its presence on every one in family, thus attaining the picture of a social problem. Importance of Cosmetic Surgery as necessity is not better understood by any one else than such sufferers sailing in the same boat.
Similar situation arises when all suitable educated well trained and competent people queue-up for a job. Selection of most beautiful candidate leaves behind rest with small faces, depressed and dejected lot. Those who have faced such agony can only appreciate the plight of such defeated lot. Their feeling is that of ‘defeated from one self own’. Since they do not want to lag behind any one, their answer is in getting themselves improved, or enhanced or beautify themselves with the help of a competent, qualified, experienced, certified and recognized cosmetic surgeon. He restores their confidence and brings them to fore, second to none.
Few happily married people also come for cosmetic surgery. These are who do not want to see any short coming in their partner. Their submission is, if we can correct the needful shape and size of the breast or any other part, why not to do it. Wisdom which prevails in their mind is not to compromise and their counterpart has to look in perfect shape.
Remember, a lady who kept her shape and figure with utmost care, regular exercising, very judicious control on diet and intakes gets her family with cute little babies, but, lost her figure and shape while she is not even 30. Whole of the life is in front and now no charm in wearing choicey outfits, accepting the glare of watching people as if she is middle aged woman. She has right to live her life the way she wants. She wants to be in shape. She joins yoga classes and many more promising institutions wasting lots of her precious time and hard earned money – with no result outcome. Their looseness on tummy is still there, flanks are full and shaped as folds, breast sagging, face pigmentations, glow and charm on face is lost. Much needed enjoyment between the partners is missing. Noticeable change in attitude of husband is disturbing. To go for cosmetic surgery becomes an imperative need.
It is imperative that your dress code and activities should be in accordance with the prevailing rules of society. You should be ‘In Fashion’. To be a part of beach culture, pubs and parties, you need to dress up with ‘in fashion’ outfits; really showing most of the curves and delicately shaped attractive body. You wish to be ‘In focus’ and admired by others. An experienced cosmetic surgeon will quickly get your point, how so ever small it may be. Sculpturing your body to your need is an art. Perfect execution of which classifies cosmetic surgeons as ‘Good’ or ‘Average’. Uncompromisingly, desire to stay on top, drives you to the cosmetic surgeon, who will show his ability and technical skills of art and science sculpturing and crafting your delicate body.
Quite good number of middle aged patients comes for cosmetic surgery because the teenagers want their parents to look young and smart. Particularly, when younger one wants their friends or would be partners meet their mom and dad. They do not want to loose any point. Necessity role of cosmetic surgery comes to play.
Divorced persons before starting hunt for new partners addresses themselves to know what has gone wrong with their body now. With the help of a cosmetic surgeon they get corrections what they need. Most common are liposuctions, tummy tuck, breast uplifting, sizing and shaping, facial cosmetic surgery, peels and vaginoplasty-size and shape corrections.
Database of the patients coming for cosmetic surgery are stating that male to female ratio is almost equal. Almost all age groups are represented as patients. Need for cosmetic surgery is almost as equal to lower and middle income group as to upper and affluent classes.
Accidental injuries are part of life. When it comes to injury on face or other visible parts, every one is upset. If patient gets services of a cosmetic surgeon; who helps in avoiding bad prominent scars to minimally visible or almost invisible scars; feels satisfied and happy too.
Struggle for existence and survival of fittest are laws of the nature. Meaning and relevance of these are now better understood with increasing competition. Role of cosmetic surgery is in keeping humans fit in shape and figure, young and youthful - to stay in front.
Gone are the days when people use to say that cosmetic surgery is only for rich people who can afford to enjoy luxury. Scenarios presented above are the every day stories and happenings of most of us. Yet some people shy in admitting its need, while, more and more people are coming forward to obtain solutions of their daily problems.


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Mar19
Cosmic Healing and Beauty
It has now become a trend that we blindly take cosmetic products for every kind of skin problem we have. There are a lot of people having pimples on their faces, some have dark spots, wrinkles and a lot other such problems. The problems overshadow our beauty and apperence and hence we start spending enormous money on various kinds of cosmetics and surgeries available in the market.

We always forget that our body is not designed for such harsh treatments and hence we damage our skin in a terrible mannar. A polished advertisement with an actor or actress makes us believe on the product and we without even cosidering the ingredents involved, start using those products.

But the question that arises is from where exactly these problems arises? To know the root cause of the problem, we need to look inside ourself as what we are watching on our face or body is just a mini reflection of what is happening inside the body. It all appens due to hormonal imbalance and disturbed metabolism. I know these are very impressing terms but to simply the problem, it all starts with our lifestyle. The way we sleep, the way we eat, the way we breathe are all interconnected and together form the symptoms of positive or negative lifecycle.

The damage we do to our body is due to our indisciplined lifestyle and it is what reduces our skin radiance. I understand that it is very difficult to change our lifestye but atleast in return of so much work that our body does for ourself, we need to provide it with something better than sleep.

Believe me, an hours meditation will give more energy than an 8 hour sleep. You need to meditate, if not an hour than atleast 10 mins on a daily routine and just stop taking your lunch. It does not mean you need to stay hungry. Eat a plate full of fruits and vegetables and watch the difference.

If you gift your body just two of these things, then you need not to spend a single penny on 'Loose your weight shops' or 'Skin clinics' or any beauty creams or facials or whatever.

You can save a lot of your money which you spend unnecessarily and all you need to do is a the above mentioned exercises with discipline. Start doing them once and slowly you will become habitual. Allow your body to show its magic.
ITS ALL IN YOU. . . . . .


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Mar19
Common questions on pimples by Skin specialist Dr. Rajan T.D. MD,DVD,DNB.
Q. My parents say that they never took treatment for pimples. As a specialist what is your opinion about youngsters seeking treatment for this complaint?

In the past decade several new chemicals have been introduced for treating pimples which were not available when your parents were young. Also, some of the currently available agents help to remove blackheads and thereby minimise the chances of large pimples. In this manner we can minimise marks and scars. Although acne or pimples are a problem related to age, it is better that treatment is promptly taken to prevent ugly-looking scars which are difficult to clear.

Q.Why is squeezing of pimples harmful?
Imagine squeezing a pipe - the contents will move in both the directions! There is no doubt that when the pimple is squeezed it expels some amount of pus. At the same time it causes aggravation of the inflammation in the deeper part of the skin. Also, if the nails are not kept clean it could add to the bacterial contamination of the oil glands in the skin. Therefore, it is not advisable to fiddle with the pimples.

Q. I am an 18-year old girl suffering from severe pimples. I have stopped consuming fried and oily foods for the past 6 months, yet my face is not showing any improvement. Please advise.
Although it was believed in the past that the diet is srongly related to the occurrence of acne the current finding do not give much weightage to diet alone. Pimples are caused by several factors interacting with each other. Of these, diet is only a minor factor and hence you are not advised to stop intake of oily foodstuffs completely.
It is also important to remember that boys and girls suffering from severe form of pimples need to take proper oral medicines as well as creams to get good recovery. Simply depriving oneself of the good things of life does not solve the problem!



Q. I have extremely oily skin over my face and I occasionally get pimples. Which cream or cosmetic should I use to make my skin dry?
You are fortunate not to have too many pimples despite having an oily skin. The amount of oil produced by one's skin cannot be altered by external applications. Wash your face with soap and water at least three to four times a day to remove excess oil. Consult a specialist if your pimples are persistent or if they produce lot of discomfort so that an appropriate medicine can be prescribed.

Q. My face is quite oily but I had a very clear complexion till I underwent a facial 4 months ago. Since then I keep getting large clusters of pimples which cause lot of pain. Could there be a connection between the two?
Pimples develop through two main mechanisms: excess oil (sebum) production in the skin and blockage of the pores (sebaceous ducts) which carry the oil outwards. It is possible that when you underwent facial, the preparation used was massaged deeply into the skin. This may have clogged the already narrowed pores resulting in pimples. You should avoid massaging any oily preparation into your skin or it could further aggravate the condition.


Q. I have several red eruptions and tiny blackheads on my cheeks since few months. How long does the treatment take to clear my face?
By and large an 8-week course of medications help to clear the pimples and blackheads. This does not mean that they clear permanently. After the course of treatment the pimples and blackheads reduce by about 80% and the fresh eruptions can be promptly treated with mild local agents which prevent scarring.

Scars produced in the past will take several months to clear with local gels. Even if no treatment is taken, the scars fade gradually.

Dr. Rajan T.D., MD,DVD, DNB
Specialist in Skin & Sexually Transmitted Diseases
102B Samrock Apts, Juhu Lane,
Andheri West, Mumbai, India
Tel: 0091-22-26705557 / 66982747


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Mar18
THE MAGIC OF PLASTIC and COSMETIC SURGERY !
THE MAGIC OF PLASTIC and COSMETIC SURGERY !
Written By:
Dr.B.P.Singh M.D.,FACCS,FIAMS,FIACS
Board Certified Cosmetic Surgeon
CERTIFIED BY INTERNATIONAL BOARD OF COSMETIC SURGERY
Fellow of International Academy of Cosmetic Surgery
Fellow of Australasian College of Cosmetic Surgery
Fellow of Academy of Medical Specialties
Member International Board of Cosmetic Surgery
Member International Academy of Cosmetic Surgery
Chairman : IMA Academy of Medical Specialties Punjab
National Academic and Research Committee Member IMAAMS New Delhi
C E N T R E F O R L A S E R C O S M E T I C S U R G E R Y
B H U P I N D E R N U R S I N G H O M E
261, Mota Singh Nagar, Jalandhar 144001 Punjab INDIA
Phone : 91-181-2224228, 2223376, Mobile : 91- 99142 18261,
Websites : www.cosmeticsurgerybp.net ; www.cosmeticsurgeryinindia.com ; www.ienhanceu.com


The setting is that of a hospital. As you walk in you can see the patients sitting, waiting for their turn at the reception. One is an obese, the other has a cut lip, yet another has a deformed nose. A grim and grotesque scene for a casual passerby. As you move further, you can see a doctor giving consultation to a lady who is excessively overweight. "Just three sittings" he says," and you will be fine". Another patient goes in to consult the doctor. A young man has multiple scars on his face.They have a small discussion. The doctor assures him of wiping out these scars completely. He comes out of his office. Suddenly, a man comes forward and gives him a tight hug. There were tears of happiness in his eyes. His sister's face was burnt and scarred in half. This doctor had restored her face and had given her a fresh lease of life. Tomorrow his sister was getting married. He held in his hand an invitation for the doctor. Surprises are a part and parcel of this hospital. These are some of the humanistic scenes one is bound to encounter everyday. This is a hospital for Cosmetic & Plastic Surgery.
In today's competitive and fast moving world, one's personality counts a lot in all kinds of situations. Every one has to keep up appearances on many occasions with a variety of important people in everyday life. The extraordinarily huge increase of the private and corporate sector has also brought in the trend of better dressing and a well-groomed look. People all over the world have become very conscious about their looks, their weight, their walk and their overall physical appearance. It is not easy for an obese person to look away from the staring eyes of the people. Nor is it easy for a person to hide a scar of an accident. It is life sentence for a girl who cannot marry because her face bears White marks. These small handicaps can tarnish one's career while on a high profile job. Now, there is a way out for every person who wants to live his/her life on his/her own terms. The relief comes in the form of Cosmetic & Plastic Surgery, which has restored millions of lives all over the world. Along with the womenfolk, these procedures are also very popular among men all around the world.
The term Plastic Surgery actually means to mold or to give form. It is an effective tool to rectify functional and structural deformities of the human body.
Reconstructive surgical procedures are carried out with the goal of restoring form and in many cases function of body parts that are deformed due to injury, disease, or congenital defects. The primary consideration here is the fact that the procedure is carried out on abnormal parts or tissues in an attempt to restore it to a more normal appearance and to improve function. For example, removal of skin cancers, repair of cleft lips and palates, improving upon private parts etc.
On the other hand, Cosmetic procedures are operations done purely to enhance the appearance of body parts, which fall within the normal range of appearance and function. Cosmetic surgery deals with the beautification of different parts of the body. For instance, a person can have a bad looking nose, a beautiful young girl is unhappy by the size of her breast, some extra deposits of fat have taken away the attractive figure of a young mother, lines of ageing clearly seen on once face and lot more. These can be easily corrected through a small cosmetic surgery operation.

Cosmetic Surgery incorporates various procedures, which give a better look to our overall appearance. Some such procedures are Face Lift, Blepharoplasty (Eyelid Surgery), Rhinoplasty (Nose job), Breast reconstruction, augmentation and reduction, Liposuction, Lipoinjection etc.
A Facelift is a surgical procedure designed to reduce the visible signs of aging such as creases in the face, slackness in the jaw line and accumulation of fat around the neck. This procedure gives the patient a visibly younger looking face by removing the signs of aging. Most patients who consider facelifts are in there 40s and 60s but it can be successfully performed on people in there 70s as well. Similarly, there is a procedure called Blepharoplasty that is simply known as an Eyelid surgery. It is a procedure to remove fat, and sometimes excess skin and muscle, from the upper and lower eyelids. It is simply used to remedy the sagging skin and weakened muscles that occur around the eyes over the time and can make a prospective person look older and tired. After just a few weeks of this procedure the patient gets a very youthful and alert look.
One of the most popular Cosmetic surgeries all over the world is Breast Augmentation and Reduction. These are basically two procedures, which have brought welcome relief to women all over the world who want to give a shapelier look to the upper part of their bodies. Breast augmentation and reduction are procedures, which are performed to balance a difference in breast size and improve the body contour. In the same way, the Chemical Peel technique is also helping a large number of women around the world. It is a non-invasive technique that is designed to restore wrinkled, blemished, unevenly pigmented or sun -damaged facial skin. Using a chemical solution, the skin's top layers are peeled away, allowing for new cells to grow that produce a smoother, tighter, younger-looking skin surface. This procedure is also very popular among men.
A very important and successful cosmetic procedure is Liposuction. This is a cosmetic surgery operation to correct figure and shape the body permanently. All over the world people are becoming very conscious about their extra fat and weight. Today, they have realised the negative aspects of overweight and are making efforts to bring down their extra body weight. But inspite of all this there are some regions of the body, which remain fatty and don't come to an acceptable shape. Liposuction is a procedure to remove unwanted fat deposits from specific areas of the body such as the face, abdomen, buttocks, thighs and elsewhere. Fat is sucked out along with fat cells; hence, give permanent results of correcting figure.
Another significant procedure which is the very opposite of Liposuction is called Lipoinjection. This is the procedure through which fat is put into various parts of the body to give it a more rounded and firm look like cheeks, breasts, neck etc. This procedure is especially popular among persons who are very thin and want a shapelier look to them.
Another popular technique is the procedure of Hair transplant. This procedure is currently in vogue among all kinds of persons, especially middle-aged men, in a number of countries. The surgery of the nose or Rhinoplasty is another technique by which the shape of the nose is greatly improved to near perfection. Commenting on this procedure Dr. Singh says, "A Cosmetic surgeon ought to have a good aesthetic sense for a nose job. The patients can present their needs but it remains upon the surgeon to decide which shape would suit a certain face properly. The surgeon should be absolutely honest about this procedure to the patient." In the similar way, Otoplasty or ear surgery restores the size of the ears to normal and also brings prominent ears closer to the head.
Stigma of white patch needs special mention. According to doctors a stationary white patch is not a disease, it is only a cosmetic defect in skin due to non functioning of colour producing cells. But, a person having such white spots has to face rough and discriminating attitude of the society. He/she has to suffer always in spite of their all merits. Cosmetic surgery can alleviate this social problem by transplanting colour cells on the stationary white areas so that normal skin tone is regained. Not only a person, society as a whole is benefited.
There is a general misconception among people all over the world that Cosmetic surgery is a very expensive affair. They are also misguided in their notions that it can be afforded by only the rich and affluent people. Nothing can be farther from the truth. Today, doctors all over the world have realised the increased importance of a good appearance for everybody and it's important role in the daily routine. Due to extensive studies and experiments, they have developed numerous techniques, which have increased the arena of Plastic surgery and Cosmetic Surgerys techniques in a tremendous manner. There has also been a rise of the middle and upper middle class people who have become more conscious about their physical appearance for more success in life. Now, the cosmetic and plastic surgery techniques are available to all classes of people at marginal and cost effective prices all over the world and people have already started making use of it's benefits.
Along with the lower prices, these procedures have also become very safe and reliable in the past decade due to which more and more people are opting for the help of these techniques to their benefit. From India, a Cosmetic and Plastic surgeon who has gained an immense popularity among cosmetic surgeons of the world is Dr. B.P.Singh. It is a general perception among people everywhere that the countries of the West are the sole authorities and experts on the subject of Cosmetic surgery. It is also believed that surgeons in the West have done all the new innovations in this field. But this perception has been proved wrong by Dr. B.P.Singh who is running the International Center for Cosmetic & Plastic Surgery at 261,Mota Singh Nagar in Jalandhar, Punjab. He is the only Indian surgeon and the only one from South East Asia to have been invited to World Congress on Cosmetic Surgery at Sydney, Australia, in the year 2001, which was attended by surgeons from 70 countries. His patients consist of NRIs from UK,US, Canada, European and the Gulf countries. His improved techniques of Liposuction and Lipoinjection have brought a revolution among cosmetic surgery. Infact, he has won two prestigious International awards viz., 'World Leader of Cosmetic Surgery' and 'Best Scientific Presentation Award' for his outstanding contribution in the field of Cosmetic Surgery. Today, his techniques are being used by Plastic surgeons all over the world. The new Lipoinjection technique as perfected by him has been named after him as 'Singh's Lipo Injection Technique'.
In the earlier procedure of Liposuction, only 3 liters of body fat could be removed in one sitting. Moreover the time gap kept in between each sitting was of three months. This led to an anguished wait for the patients. Due to his extensive studies and research, Dr. B.P.Singh was able to lessen the time gap in between each sitting and also devised a technique by which 6 liters of fat could be taken out in one sitting itself. In case of Lipoinjection, the old procedure could inject only 2 to 5 c.c of fat at one time. Due to the small amount injected, the benefits of this process could not bring any visible change. Today, with 'Singh's Lipo Injection Technique' about 50 c.c or even more fat can be injected in one sitting itself. This procedure brings noticeable difference and is very durable.
It took a period of seven years for Dr. Singh to develop these techniques before he presented two original papers on Liposuction and Lipoinjection in the Congress of the International Confederation for Plastic, Reconstructive and Aesthetic Surgery in San Francisco, California, USA in the year 1999. His techniques of Liposuction and Lipoinjection were accepted and applauded in the World Congress on Cosmetic Surgery at Sydney, Australia, in the year 2001. Infact, he is the only surgeon from South East Asia whose improved techniques have been accepted worldwide.
From being a taboo subject for the past half a century, Plastic and Cosmetic surgical techniques have received a well-deserved facelift in the last two decades. People around the world are slowly understanding the immense changes that these techniques could bring in one's life. Now the people who have any physical deformity need not spend their entire lives keeping a low profile behind closed doors. With the help of Plastic and Cosmetic surgery everybody can gain the much needed confident and smart look to live one's life to the brim. ****


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