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Dec23
SCAPE 377 IPC BUT KILL HIV STIGMA IN LGBT COMMUNITY
HIV STIGMA PRESENT IN LGBT COMMUNITY,HIV STIGMA KILLING IN LGBT /HINJARA COMMUNITY -BY A LGBT PATIENT MR. Ledford PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST profdrram@gmail.com,07838059592, DELHI –NCR,marriage & sex counseling FOLLOW ON FACE BOOK:www.facebook.com/drramkumar FOLLOW ON TWITTER:www.twitter.com/profdrram MR.LEDFORD STATES THAT I have touched on this subject before but I feel passionate about it and I think it is something that really needs to be discussed more in the GLBTQ community. We all talk about erasing the stigmas related to HIV and how people need to be educated on the subject, which I fully support and believe in, and also in the GLBTQ community we talk about wanting equality and to just be treated like the rest of humanity, which I also support and agree with. BUT ... We can not erase stigmas or be treated as equal until we start treating each other as equals. I can not tell you how many times I have heard stories about people in the GLBTQ community telling each other not to talk to somebody just because that person has HIV or it is rumored that that person might have HIV. I have had it happen to me more times than I can count. That right there is one of those stigmas that need to be erased, last time I checked you could not contract HIV from having a conversation with someone and damn really, if you could, the whole world would be infected. We all know how much the "community" loves to talk about each other, especially in the bar/club scene. For those of you who love to have diarrhea of the mouth and then drive off with your "equal love" stickers plastered all over your car, this message is for you. You can not go out preaching equal love until you treat others in our community as equals. Just because a person like me has HIV, does not mean that they are beneath you, or "dirty", or any of the other crap you want to talk about them and personally I welcome someone to come up and tell me I am "dirty," I will give them an education like nothing they have every had. I really believe that if we want to fight and erase stigmas about HIV we need to start by educating the up and coming generation. Most of the generation today is ignorant about HIV and that is simply because they are lacking education on the subject, and most of us (me included) do not remember the HIV/AIDS epidemic of the 80's or were not even around for it. I have said it before and I will say it again, I think social media should be our new frontier for fighting stigmas and for education. I mean everyone already lives plastered to their phones and stays connected to social media all day, so why not use those to reach out to the community? If we can erase stigmas the GLBTQ community and learn to treat each other as equals, then and only then can we start to erase the stigmas in the rest of the world and be seen as a EQUAL UNITED COMMUNITY. We all want the same thing and that is just to be loved, so why single a group out because of something like HIV?


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Dec23
GAY/ LESBIAN MORE HIV DUE TO ANAL SEX ,MORE ANAL CANCER AND CERVICAL CANCER IN VIRGIN GIRLS DUE TO HPV
HIV MORE SEEN IN GAYS AND LESBIANS AS MOSTLY SAFE AND PROTECTED SEX IS NOT PRACTISED ,SECONDLY IF LESS REPORTING OR CRIMININALITY ATTACHED THEN LGBT COMMUNITY WILL HIDE IT AND SO MSM OR HIJRA OR TRANS GENDER SEX WILL BE HIGH AND RESULTING IN MORE HIV /AIDS,SECONDARILY THIS ANAL SEX LEADS TO INCREASED ANAL CANCER BECAUSE OF HIGH HPV AND HIV INFECTION.HPV HAS BEEN SEN IN VIRGIN FEMALE TOO IF ANAL SEX OR RUBBING OF BODIES BETWEEN INFECTED FEMALES OCCUR ALTHOUGH FEMALE IS VIRGIN ,SO NOWPAP SMEAR TO SEE CERVICAL SCREENING IN VIRGIN FEMALE IS ALSO ADVISED IN UK AND USA AS HPV MAY INFECT VIA ANAL SEX OR TOYS OR BY BODY OR ORAL CONTACT OR SEX.

THERFORE ON ADVICE OF NACO AND LGBT SOCIETY GOVT OF INDIA HAS FILED REAPPEAL TO CURB 377 OR FREE LGBT SOCIETY AND LET THEM TO TAKE AS NORMAL PERSON WITHOUT CRIMINALITY,DISCRIMINATION AND STIGMA

An article in Medical Xpress showed that older HIV-infected men who have sex with men (MSM) are at higher risk of infection from the strains of human papilloma virus (HPV) that cause anal cancer. HPV, which causes cervical cancer in women, also can cause anal cancer in both women and men.
Researchers from the University of California, Los Angeles (UCLA) School of Nursing, led by Dorothy J. Wiley, associate professor at UCLA School of Nursing, reviewed data on 1,200 men from four U.S. locations. Participants were examined twice a year for 25 years. During semiannual visits, healthcare providers examined all participants for demographic, sexual, behavioral, and HIV-infection characteristics as well as tested for HPV. Approximately 49 percent of the participants were HIV-infected.
Findings showed that HPV infection was common among the participants, and the proportion of participants with HPV was high among 40-69-year-olds. HIV-infected participants from this same age range had a higher risk of HPV infection than participants not infected with HIV. HIV-infected participants taking antiretrovirals as prescribed had a lower risk of acquiring the HPV infections that cause cancers. Also, not using tobacco lowered the risk of HPV infections for all participants.
Wiley noted that the findings highlight the benefit of adhering to treatment for HIV-infected MSM as a means of cancer prevention. This study also demonstrates the need for developing more effective HPV infection prevention, including vaccination of age-eligible males and screening and treatment for high-risk MSM.
The full report, "Factors Affecting the Prevalence of Strongly and Weakly Carcinogenic and Lower-Risk Human Papillomaviruses in Anal Specimens in a Cohort of Men Who Have Sex With Men (MSM),"


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Dec23
HIV /AIDS TRETMENT START HIV SOON IRRESPECTIVE OF CD4 COUNT
HIV /AIDS WHEN TO START TRETMENT :PREVIOUSLY WAS CD4 COUNT 350 LATER IT WAS 500 AND NOW EXPERT SAYS START TRETMENT AS SOON AS YOU GET HIV INFECTION DONOT WAIT TILL FULL BLOWN DISEASE OR AIDS AS WE CANNOT DENY A TREATMENT AS WE DONOT DO WIT PREGNANT WOMAN WITH HIV OR WITH HEPATITIS B OR C OR WITH TB OR WE DONOT DENY ANY CANCER OR OTHER INFECTED PERSON TO WAIT FOR TREATMENT TILL DISEASES APPEAR FULL BLOWN SO WE CANNOT DENY TREATMENT AS NOW A DAYS GOOD MEDICINES HAVING LESS SIDE EFFECTS PRESENT AND SECONDLY COST OF TREATMENT FOR PATIENT IS ALSO VERY LESS THAN 02 DECADES BACK'

START HIV/AIDS TRETMENT AS SOON AS YOU DETECT DISEASE AS IT PROVIDES BETTER CARE NO OPPURUNISTIC INFECTION NO SPREAD TO CO PARTNER OR FAMILY MEMBERS OR CHILD OR TREATING HEALTH WORKERS

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,07838059592, DELHI –NCR,marriage & sex counseling
FOLLOW ON FACE BOOK:www.facebook.com/drramkumar
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The World Health Organization’s new recommendation that people with HIV begin treatment with antiretroviral drugs sooner rather than later doesn’t go far enough, according to a prominent immunologist at the University of California, San Francsico Medical Center.
On Sunday, the WHO changed its position on how long people should wait before they start taking ART, a trio of virus-fighting drugs known as the HIV cocktail. In 2010, the health experts said treatment should begin after the number of CD4 immune system cells dropped below 350 per cubic millimeter of blood. Now they say the threshold should be 500 cells per cubic mm of blood. The health agency estimated the change would increase the number of people eligible for ART from 9.7 million to 26 million and avert 3 million deaths by 2025, according to a statement.
But even that is not enough, said Dr. Arthur Ammann, who has been fighting the HIV epidemic since 1981.
Ammann said the new recommendations are dangerously limited. Instead of measuring a patient’s CD4 cell count, doctors should just begin treatment immediately following an HIV-positive diagnosis.
“You’re keeping people from going on treatment that are deserving of treatment,” he said. “They deserve to have antiretoviral drugs if they’re available.”
Anmmann’s views are in line with the recommendations of the U.S. Department of Health and Human Services.
But Dr. Monica Alonso, an HIV advisor for WHO and the Pan American Health Organization, replied that there is insufficient data to support Ammann’s recommendation.
“All WHO recommendations are based on evidence,” Alonso said in an email. “Currently there is no evidence to support a ‘test and treat’ approach to all patients.” She added that WHO now recommends treatment for infected subpopulations, such as pregnant women, irrespective of CD counts.
Ammann has been treating people with HIV for more than 30 years. He co-diagnosed the first child with AIDS in San Francisco, an event he said “changed my career.” Around 2000, he decided to shift gears from the lab bench to the villages where HIV does the worst damage.
“Clinical research gave us the results we needed, but treatment wasn’t being implemented in the poorest regions of the world,” he said.
Ammann formed a non-profit organization called Global Strategies, whose mission is to provide ART to those countries most in need, such as Liberia, Zimbabwe, and the eastern Democratic Republic of the Congo.
These countries are also too impoverished to afford the CD4 cell-counting machines that are needed to make the diagnoses that fit the WHO’s recommendations. Even if they did have the machines, they couldn’t afford to provide patients with ART, he said.
Ammann suggests that the WHO’s guidelines are based on economics rather than medicine.
“They say these countries can’t afford to treat all of their patients, but that’s not really true,” he said. “Antiretroviral treatment used to cost $10,000 to 12,000 a year per patient, but now that same treatment costs $100.”
The WHO declined to respond to that charge, but emphasized that the testing guidelines were based on extensive input from outside experts around the world.
But Ammann said it’s still not enough.
“There’s never been an infectious disease or cancer in modern medical history where treatment has been withheld until the patient gets sicker,” he said. “You’re basically looking at the patient and saying, ‘I know you’re HIV-infected. I have medicine to treat you. But I’m going to let you progress to worsening of the disease until I give you the drug.’”


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Dec23
CAN BONE MARROW TRANSPLANT CURE HIV /AIDS
BONE MARROW TRANSPLANT USED TO TREAT LYMPHOMA OR BLOOD CANCER IN HIC PATIENTS HAS CURED PATIENTS OF HIV IN MANY STUDIES TILL NOW EVEN VIRUS NOT DETECTABLE IN LIVING SURVIVALS (MAY BE IN THEIR BRAIN ) AFTER PT STOPPED TREATMENT -SO DOES BONE MARROE A CURE FOR HIV? CERTAINLY NOT AS VERY COSTLY AND SUCH THERAPY IS DANGEROUS TOO AS CAUSES HIGH MORTALITY OR DEATHS SO IT IS NOT CURE FOR HIV- BUT YES PROVIDING MORE HINTS TO TREAT HIV IN HUMAN BEINGS.


PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,07838059592, DELHI –NCR,marriage & sex counseling
FOLLOW ON FACE BOOK:www.facebook.com/drramkumar
FOLLOW ON TWITTER:www.twitter.com/profdrram

Two HIV-positive lymphoma patients who received bone marrow transplants to treat their cancer no longer have detectable virus in their blood cells — even after stopping antiretroviral therapy in recent weeks, researchers reported Wednesday at the International AIDS Society Conference in Kuala Lumpur, Malaysia.
While saying it was too early to declare the men cured, Dr. Timothy Henrich and Dr. Daniel Kuritzkes, both of the division of infectious diseases at Brigham and Women’s Hospital in Boston, called the results “exciting” and said they would help guide scientists’ efforts to fight HIV.
But bone marrow transplants are highly unlikely to become a standard therapy for people with HIV, Henrich said in an interview with The Times.
The news arrives on the heels of several interesting cases where HIV has, apparently, been eradicated in infected patients. In 2007, Timothy Brown, the so-called Berlin Patient, received a bone marrow transplant to treat leukemia; his marrow donor had a mutation that provided resistance to the strain of HIV that Brown had. After a second transplant in 2008, his leukemia was gone. So was his HIV infection. He reportedly remains HIV-free.
In March 2013, doctors reported that a 2-year-old girl in Mississippi had been “functionally cured” of HIV after receiving unusually aggressive antiretroviral treatment shortly after her birth. The girl’s treatments were interrupted when her mother began missing medical appointments — but even after a five-month lapse in treatment, doctors couldn’t detect HIV in her blood.
The two patients in Boston, both men, had been HIV-positive for many years before developing lymphoma, a blood cancer that can be treated, and sometimes even cured, through bone marrow transplants — which essentially give patients new, healthier immune systems.
Like Brown, the men had bone marrow transplants, but of a different sort. The chemotherapy they received before their operations was gentler than that Brown had, leaving more of their original blood cells intact and allowing them to continue their antiretroviral drugs. The transplants they received were of normal cells that did not have the mutation that protects against HIV.
One of the men received his transplant about 4.5 years ago; the other, 2.8 years ago. (A third patient also received a transplant, but died of lymphoma.) At last year’s International AIDS Conference in Washington, Henrich and Kuritzkes reported that after the procedures, neither surviving man had HIV in his blood — but both had continued taking antiretroviral drugs to make sure the virus stayed at bay.
This year, both men dropped the drug regimen, with one patient stopping his medication 15 weeks ago and the other seven weeks ago. When the scientists screened the men’s blood again, collecting billions of cells, they found that the virus was still undetectable — they had achieved at least a 1,000- to 10,000-fold reduction in the virus in the blood.
The team also tested rectal tissue (a major reservoir for the HIV virus) from one of the patients. There, too, the virus was undetectable.
Henrich, who noted that the virus could still be lurking in the patients’ bodies — in brain tissue, for instance — said he was “of the camp where I don’t know if I will ever be able to say patients are cured,” but that if the men remained HIV-free for a year or two, “the chances of the virus coming back will be very small.”
That said, he added, it doesn't make sense to perform bone marrow transplants to treat HIV-positive people who don’t have cancer. There are many risks associated with the expensive procedure, with 15% to 20% of patients dying from complications from the treatment itself rather than their cancer, Henrich said.
“Unfortunately, it’s not going to be a practical strategy,” he said.
But he also said the data the team had gathered would help guide new strategies for eradicating the virus.
“It will help us figure out what’s going on in terms of viral persistence,” Henrich said. “How low do we need to get the viral counts? How can we use the immune system to fight it?”


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Dec11
Laproscopic Hernia Surgery
Fifty five years old female patient came to me with swelling in Umbilical region since two Years. She had no pain initially hence she Ignored it. As swelling increase, she started getting mild pain and one day she landed up in emergency with severe pain & vomiting. She described that her pain was like delivery pain – wave pattern of severe pain due to intestines trapped in the hernia.
Two option of emergency surgery – open or Laproscopic (key hole) surgery were given to patient. She choose to undergo Laproscopic Surgery as that is relatively painless during post operative period and also the scar is cosmetic.
Since she was operated very soon after the onset of pain, her intestines were saved from becoming gangrenous & she recovered well.
A hernia should not be ignored even if it is not giving rise to any symptoms. Its always better to get it operated in early stage rather then come with life threatening emergency.


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Dec03
Association between asthma and infertility
Do you know?

There is an association between asthma and infertility due to an increased time to pregnancy. Delayed pregnancy was significantly longer among women whose asthma was not treated compared with women whose asthma was being treated (30.5 percent of the untreated asthma group versus 23.8 percent of those receiving treatment), the researchers said. Asthma is an inflammatory disease and inflammation can happen anywhere in the body.The inflammatory part of asthma may well be affecting not only bronchial tubes but also fallopian tubes.


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Nov27
PILES… A Lifestyle Disease
PILES (clinically known as Haemorrhoids) basically, is the swelling of blood vessels near the anal opening. The lumps are formed by increased pressure on blood vessels in the area, causing them to enlarge and swell. We understand that piles may not be a subject you feel comfortable talking about, but there is no need to suffer in silence.
Grades of Piles….
1) Symptoms are mild pain, itching sensation, heaviness where patient can be cured with medicine and diet and Healing Hands Innovative Ayurvedic Therapy.

2) Symptoms are painful defecation, recurrent bleeding, itching sensation, burning sensation, dragging sensation, and feeling of prolapse which reduces automatically after motion. This may require surgical intervention.

3) Symptoms are painful defecation, recurrent bleeding, itching sensation, burning sensation, dragging sensation, and feeling of prolapse which may require finger reduction after motion. This requires surgical intervention.

4) Symptoms worsen and the prolapse is irreducible. This requires surgical intervention.


NOTE : Only 30% of patients suffering from Piles will have bleeding, rest of the patients will have either burning, itching or constipation.

No Piles… Only Smiles..!

Innovative treatment for Piles : STAPLER Surgery

Procedure : It is a minimally invasive painless procedure that reduces the prolapsed HAEMORRHOIDAL (PILES) tissue. A unique stapling technique that is used to push the swollen blood vessels back into their normal position.

Preparation : Requires patient to take nothing by mouth about 4 hrs prior to the surgery.

Surgery : The surgery takes only about 20 to 30 minutes. It is usually done under spinal anesthesia. It is done
through a natural opening (anus), with the help of a use and throw device known as Stapler. In this surgery as there are no cuts and no stitches outside so there is no need of dressing.

Post Operative Care (after surgery care) : Patient can have full diet 4 hrs post surgery. He/she can
walk around just after 5–6 hrs of the surgery. Patient can be discharged within a span of 24 hrs. On discharge antibiotics and painkiller for7 to 10 days are advised.

Recovery : Patient normally gets discharged from the hospital within 24 hrs. The recovery period is relatively very short. Patient can resume daily routine after discharge and join work after 3 days.

NOTE : Stapler Surgery is done with any external cuts, so loss of control post surgery is a myth.


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Nov27
PILES… A Lifestyle Disease
PILES (clinically known as Haemorrhoids) basically, is the swelling of blood vessels near the anal opening. The lumps are formed by increased pressure on blood vessels in the area, causing them to enlarge and swell. We understand that piles may not be a subject you feel comfortable talking about, but there is no need to suffer in silence.
Grades of Piles….
1) Symptoms are mild pain, itching sensation, heaviness where patient can be cured with medicine and diet and Healing Hands Innovative Ayurvedic Therapy.

2) Symptoms are painful defecation, recurrent bleeding, itching sensation, burning sensation, dragging sensation, and feeling of prolapse which reduces automatically after motion. This may require surgical intervention.

3) Symptoms are painful defecation, recurrent bleeding, itching sensation, burning sensation, dragging sensation, and feeling of prolapse which may require finger reduction after motion. This requires surgical intervention.

4) Symptoms worsen and the prolapse is irreducible. This requires surgical intervention.


NOTE : Only 30% of patients suffering from Piles will have bleeding, rest of the patients will have either burning, itching or constipation.

No Piles… Only Smiles..!

Innovative treatment for Piles : STAPLER Surgery

Procedure : It is a minimally invasive painless procedure that reduces the prolapsed HAEMORRHOIDAL (PILES) tissue. A unique stapling technique that is used to push the swollen blood vessels back into their normal position.

Preparation : Requires patient to take nothing by mouth about 4 hrs prior to the surgery.

Surgery : The surgery takes only about 20 to 30 minutes. It is usually done under spinal anesthesia. It is done
through a natural opening (anus), with the help of a use and throw device known as Stapler. In this surgery as there are no cuts and no stitches outside so there is no need of dressing.

Post Operative Care (after surgery care) : Patient can have full diet 4 hrs post surgery. He/she can
walk around just after 5–6 hrs of the surgery. Patient can be discharged within a span of 24 hrs. On discharge antibiotics and painkiller for7 to 10 days are advised.

Recovery : Patient normally gets discharged from the hospital within 24 hrs. The recovery period is relatively very short. Patient can resume daily routine after discharge and join work after 3 days.

NOTE : Stapler Surgery is done with any external cuts, so loss of control post surgery is a myth.


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Nov27
Piles Treatment in Pune
Piles is a embarrassing, problematic and a cause of major inconvenience. Hence, symptomatic care usually proves to be futile.It is important that the cure be absolute and the relief complete. This is possible via holistic and customized care involving a combination of dietary, medicinal and surgical management.

The chosen treatment modality is dictated by the severity and grading of the condition.

Grade I (marked by mild pain and itching sensation) and most cases of Grade II Piles (marked by symptoms of Grade I and recurrent bleeding) can be managed with dietary manipulation and medicines alone. Within Pune, the Healing Hands clinic and its clinical team under the leadership of Dr Ashwin Porwal has come to establish itself as the pioneer centre for care and cure of Piles and other ano-rectal diseases. HHC, Piles clinic in Pune offers one a choice to select from varied streams of medicine (Allopathy/ Homeopathy/ Aryurveda). Moreover, the in-house pharmacists prepare the management plan depending on one’s preference and individual history.

Our dedicated team of dieticians takes care of the daily dietary plans for patients to facilitate the medicinal management.

Surgical options are recommended only if Grade II piles have persisted for more than4 months or in cases of higher grades of piles where prolapse is irreducible.

HHC is also the only centre in Pune that provides piles treatment via the recommended Stapler Surgery which is a minimally invasive procedure that reduces the prolapsed Haemorrhoidal (piles) tissue.


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Nov27
Hernia surgeon in Pune
A Hernia is a sac formation due to weakness or tear in abdominal muscles. A Hernia occurs when the contents of a body cavity bulge out of the area where they are normally contained. These contents, usually portions of intestine or abdominal fatty tissue, are enclosed in the thin membrane that naturally lines the inside of the cavity. Any activity that increases intra-abdominal pressure can worsen a hernia; examples of such activities are-lifting weights, coughing, or even straining to have a bowel movement.

Types of Hernia include:
• Inguinal Hernia
• Incisional Hernia
• Femoral Hernia
• Umbilical Hernia
• Epigastric Hernia

Healing Hands Clinic (HHC) is a well known Hernia Clinic in Pune that provides Hernia management via 3D mesh repair. 3D mesh repair can be done under local anaesthesia also and a minimal number of stitches are needed to secure the underlay patch mesh. This procedure has lower recurrence rate compare to other available options.

Hernia management at HHC is led by our founder Dr Ashwin Porwal who holds a Diploma in Laparoscopic Surgery from EITS – IRCAD, Strasbourg University, France and has also trained inProctology under world renowned Colo-Procto Surgeon Dr. Antonio Longo at St. Elizabeth Hospital, Austria.

He is also certified in Advanced Laparoscopy, Bariatric Surgery from Genoa Medical School, Italy and Wound Management from Madeleine Flangan University of Hertfordshire, U.K.

Since setting up the Healing Hands Clinic, he has extensive experience in hernia repair and has established himself as Hernia Doctor in Pune as well as across the India. He has achieved a significant milestone of successfully treating maximum number of Hernia patients.


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