MEDICAL COUNCIL OF INDIA:RENOMINATION BY AN ORDINANCE
It is a second TOTA (PIGEON IN CAGE) like CBI as told by Supreme court even worse as it is totally controlled by a single politician Health Minister and present one,a pure political person having no medical knowledge except a very loyal and faithful of Soniaji nominated by Rajya sabha.
On notoriuos charge of open corruption by elected president of MCI Dr.ketan Desai (who was also a man of Soniaji but being 10 yrs on chair was not passing the income to headquarters and was openly looting new colleges in name of recognition,any punishment to that corrupt person is welcomed)but it is being told in Media that our present system started looting MEDICAL COLLEGES TOO and now through his appointed 07 Board of Governors too where no election took place (all are selected by Health Minister and his government without any criteria except of loyality to Government))since last 02 yrs and the Chairman and Health Minister are purely governing the Medical Colleges through so called MCI as if their simple office where as sports body like BCCI,IOA and Instituitions like MBA and IITs ,AMU,JAMIA ISLAMIA are autonomous.
Condition of MCI is very bad as it is taking no action against Private Medical Colleges which has come under so many large numbers in recent days to earn crores run by powerful politicians in nexus with bureaucrats as state or government medical colleges are almost 1/3rd in number only and with limited seats only.Every New private medical college so called conduct TEST FOR MBBS ,DENTAL and Nursing courses but seats are openly sold in market 05-06 months before so called examinations specially for MBBS COURSE ,most colleges charge Rs.20-30 lakh as donations for which no receipt is given and 05-08 lakh is their annual fee with or without hostel so a student guardian has to pay about 50-60 lakhs for MBBS study of his son or daughter.These private medical college say that they are charging this in Mangement quota seats but in practical all seats are distributed against payment of such donations where examinations are simply fictitious or show every thing starting from question paper to answer sheet and every successful name is well arranged and fixed as per payment recieved by these medical college through very selected brokers or dalal or agents who send sms to parent of all students applying for MBBS course from the month of nov-dec as examinations are mostly conducted from april to june and admission is done by july every month .such agents are now in thousands running their shop online sitting in every corner of country but no action is taken agianst them both by state or central governments as their business is completely illegal.
This has been shown by many Media channel openly and the system is more worst than what Dr.Ketan desai was doing as evident two times TWO SECRETARIES of MCI FIRST DR.MRS.SHARMA AND NOW DR.SRIVASTAVA has been removed (now against all rule, a IPS office,most confident our health minister, has been appointed secretary of MCI) ,now there is open robbery but no body can check or can take action against DR.Talwar,a confident of Mr.Gulam Nabi Azad and Mr.Azad is confident Sipahi of Sonia and Rahul.Even few Board Members has resigned due to autocratic style of working of these two persons but who bothers whom,any body who will not obey Boss will either quit or will be forced to quit.
In last few days showing Doctor population ratio very low,PG COURSES has been alotted to many PRIVATE MEDICAL COLLEGES taking bribes in crores ,most of these colleges has got no infrastructure to conduct even MBBS course ,no adequate teaching staff,no enough beds,no enough patients,no diagnostic facilities and no treatment facilities but all have been recognised and as shown by many STING OPEARTIONS in MEDIA these college charge 02-04 crore for a PG IN RADIOLOGY,01-02 CRORE for PG IN PAEDIATRICS,GYNAECOLOGY,MEDICINE and 01 crore for Surgery,Orthpaedics even Diploma seat is offered in 50-75 lakhs,all conduct examination but only for show all results are manipulated ,only criteria is money even you are just passed in high school ,you will be selected for MBBS COURSE and you are 02-03 times failed in MBBS BUT NOW JUST passed MBBS ,you can be selected for PG COURSE AS PER YOUR DONATIONS.Even many state run Medical Colleges are in clutch of State Ministers,Bureaucrats and Politicians that they openly mange seats in these medical colleges by manipulating exams conducted by them because vigilance MCI is corrupt and cannot say to These State Governments who are run by Congress or even by powerful BJP or other Governments as if action taken they dissolve it by central pressure and lobbying and that is why MANY STATE AND PRIVATE MEDICAL COLLEGES want to conduct their own examinations ,not a central NEET (as conducted for IITs,MBA,IAS,IPS etc) so that they can earn crores against few manipulated admissions after giving favour or free admissions to few top bureaucrats,Minister or Politicians and Judges son and daughters).It is an open fact known to every body even all politicians,journalist,Medical Doctors who are teaching there or associated or even practising in their town or city and even people living in surrounding these Medical Colleges know it but nothing can be done as system is totally corrupt,Here,so much crores of rupees are transacted that even our Supreme Court holding PG COURSE DECISION FOR 05 MONTHS inlast passed DECISION in favour of these PRIVATE MEDICAL COLLEGES and now every college will earn 50-100 crore for these seats for one session.Even question for such LOOT as shown by sting operations are asked to Health Minister he says MCI WILL SEE AND MCI Dr.Talwar donot reply at all saying Minister will say.
Now question in a simple brilliant so called poor or middle class Medical aspirant comes ,Mr.Azad removed Dr.Desai but who will remove these two great corrupt Desais,can they dream to study without paying donations on their hard work and intelligence?Answer is simply "NO" today.Such corruptions are open for so many scandals of Common wealth,2G gate,Coal gate,Manerga Gate,Land gate,Chit Fund gate, a new gate medical gate comes ,no problem if we can win election then we are pure and we need not to bother any charge ,all are simply inflicted by Opposition and Bad persons of the society who want to defame the government-this is simple attitude of all ruling party of India whether in Centre or in state.
As our parliament has been paralysed as mostly it doesnot function due to OPPOSITION hue and cry and even function then for such a short time that many important BILLS are passed without discussion so to bring a BILL of own choice is easily possible for any ruling party but as such prepared bill could not be passed in last session so,now The Union Cabinet today gave its nod for the issue of an ordinance to pave the way for an elected body of the apex medical regulator.The term of the Medical Council of India's Board of Governors has ended, rendering the apex medical regulator headless by 13th May2013. In this Ordinance Govennment is defining terms of MCI president for Two terms only and asking that all Doctors should be enrolled after every 10 yrs and power with Government to remove president and other officials if they found corrupt .All can be accepted but when a Minister cannot be removed or a MP can ask reelection if not proved guilty by Court then why a president or MCI Officials will be removed merely by Government instead of a Court,why Governmment elect Board of Governors ?why State MCI or other highly education body cannot nominate as nominating for IITS AND MBA COLLEGES AND UNIVERSITY GRANT COMMISSION OOR PUBLIC SERVICE COMMISSION?.In democracy how can a selection or nomination can be done and whole elected MCI removed not a single president.Corruption was also found in Dental Council and Engineering Board but why these were not dissolved because there money is transacted in lakhs not in crores as for MBBS AND ITS PG COURSE.
What will happen if Government is corrupt as being today where every body know that MEDICAL profession is on sale ,from where good Doctors will come if MEDICAL ADMISSIONS both at MBBS and PG level will be sold to ordinary student against hefty donations as being done today openly,why our Government donot do CBI enquiry in different examination done by PRIVATE COLLEGES and FEW STATE MEDICAL COLLEGES / why our Government didinot bring ordinace to challege recent judgement of Supreme court rejecting idea of NEET EXAMINATION FOR PG COURSE (see for MBBS IT has been accepted and why question not raised on the examinations conducted by these private medical college,a true judgement should consider common student and court should order CBI enquiry in these examinations of PRIVATE AND FEW STATE MEDICAL COLLEGEGES under its supervision if found correct examination then they can select students too except few seats they can fill by management or NRI quota to bear expenses not like today all seats are filled by manipulated examinations ) which was filed by this Government but it was a simple only for show, infact Government was wanting such judjement sothat their robbery and looting remain continued but this will last for one more year if election for LOKSABHA are held in 2014 as people are very vigilant ,such corruption is completely visible to every student,parent ,every house whose son or daughter want to be a Doctor or want to read futher for doing PG STUDY.
Be ware KARNATAKA ,West Bengal,PUNJAB,HIMACHAL PRADESH,UP,BIHAR elections have shown us that now corrupt leaders cannot survive and simple government achievements on government's advertisements on public money doesnot work as 'YEH PUBLIK HAI SAB JANTI HAI'.

Posted in: mediapage | December 6, 2012 at 4:37 pm , by Times of India
A fistula is defined as the connection of two body cavities or as the connection of a body cavity to the skin (such as the rectum to the skin). This is not a normal occurrence. One way a fistula may form is from an abscess (pus in the body). The abscess may be constantly filling with body fluids such as stool or urine, which prevents healing. Eventually the fistula breaks through to the skin, another body cavity, or an organ. ANAL FISTULA:An anal fistula is almost always the result of a previous abscess. Just inside the anus are small glands. When these glands get clogged, they may become infected and an abscess can develop. A fistula is a small tunnel that forms under the skin and connects a previously infected anal gland to the skin on the buttocks outside the anus. SYMPTOMS Symptoms of fistulas can include.� Pain� Discharge � either bloody or purulent (pus)� Pruritus ani � itching� Systemic symptoms if abscess becomes infected CAUSES :� An anal fistula usually develops after an anal abscess (a collection of pus) bursts. When an abscess has not been completely treated.� A fistula can also be caused by conditions that affect the intestines, such as Crohn�s disease or ulcerative colitis.� A growth or ulcer (painful sore)� A complication of surgery� A health problem you were born with TREATMENT:There are many types of surgical treatments options for fistula. A few commonly advised options depending on the type of fistula are as follows.1) Fistulotomy or 2) Fistulectomy :Oldest and the best studied of all the methods. In this surgery, the fistula tract is laid open by cutting out the whole tract with knife [Fistulotomy] or the fistula tract is totally taken out [Fistulectomy]. The resultant wound is generally not closed and left open to heal of its own. This way the chances of recurrence are decreased.It is considered as a good option for Low Fistulas but is not recommended for High fistulas.ADVANTAGESHigh success rates in Low FistulasDISADVANTAGES� Pain- This surgery leads to a large wound from the anal opening to the buttock. Understandably this leaves the patient with lot of pain in the post operative period.� Invasive- The procedure is associated with a lot of cutting, scarring and distortion of the anatomy.� Long Hospitalization- The patient generally needs hospitalization for 4-8 days or even longer.� High morbidity- The patient requires dressings for 4-6 weeks and is obviously off the work for this time.� High recurrence rates- In spite of all these difficulties, this surgery is associated with a high recurrence rate.� Risk of Incontinence- The procedure has a definite risk of incontinence especially in high fistulas. 3) Video Assisted Anal Fistula Treatment (VAAFT):This technique involves use of an endoscope called Fistuloscope and is done in two stages. In the first stage the scope is introduced through the external opening to identify the internal opening by locating where the light is reflected on the anal wall. This is the Diagnostic step. In the next step a suture [purse string] is taken around the internal opening so as to close it snugly. A semicircular stapler or linear stapler is could also be used. Then the fistula tract is debrided with a fistula brush and the scrapings sent for histopathological examination. Fibrin glue is injected near the inner end [now closed] and coagulation of the whole wall is done with the electrode. Simultaneously, the scope is withdrawn and the therapeutic procedure is over.

Baby L_____ S_____, one month old female infant was brought to me by her aunt with a huge left breast abscess. The mother was too terrified to come inside my clinic & the father was also outside consoling the mother. It started as a small boil. They had taken her to pediatrician who gave them local ointment and oral antibiotics. However, it did not subside. IT grew very quickly and the child started to have fever. It was extremely painful and the child was constantly crying. The baby was being massaged by a servant. The possible reason is that many times such masseur, who are most often untrained try manipulation the delicate neonatal breast to express a clear or cloudy (milk-like) substance from nipple (also called witch's milk). This causes potential damage & bleeding inside which gets infected or possibly it causes cracks in the nipple thro which the bacteria enter inside. The main worry of the relatives & parents was � will she have a normal breast development or is her left breast completely destroyed?
I removed the pus from the infant baby's left breast under anesthesia. Subsequently she underwent daily dressings. The nipple restored back to normal and the wound healed very soon. I assured the parents that she will have normal breast. Nature is great!
Adult breast is common especially in lactating mothers but neonatal breast abscess is not so common.

CONSTIPATION can affect anyone at any point in life and whilst for some it is just a small inconvenience that can be endured,for others it can be a chronic condition with serious implications on their life.One such person is Dr Khan,a retired practitioner who started suffering from piles because of constipation.He was given a painful haemorrhoidectomy which served only as a temporary solution and the recovery from the procedure was incredibly painful.He says,For a while I felt quite relieved but over a period of time,my condition worsened.The urge to continually want to go to the toilet came back and I started suffering with rectal prolapse.
When quizzed about how his condition affected his daily life,his wife replies,Whenever we went out we had to check if he was fine.Sometimes our plans would be disrupted because of his problems and it was frustrating.As time went on I began to worry as nothing seemed to fix his problems.
Eventually,when further surgery did not work,he was referred to a surgeon capable of carrying out STARR.This was when his wife and he visited Pune to meet Dr Ashwin Porwal.He sat us both down and showed us the procedure that was involved.He made me feel safe.I felt very comfortable with him, says Khan.He adds,'Two days after the operation I got myself dressed.After the whole procedure,defecating was easy.About a month after the surgery I felt like I was back to normal.
Nearly one year later,Khan has not had any recurrences of his symptoms and is delighted with his results,so much so that he is anxious to convey his experience to others so that they do not continue to suffer in silence.Khan is now optimistic about the future and is confident that everything is well.He says,Im careful and I dont let myself get constipated now.I would recommend this procedure to patients suffering from the same condition. Although bleeding from the back passage and constipation are fairly common,medical advice should be sought;this is to rule out the potential onset of bowel cancer.
Repeatedly needing to go to the toilet and a feeling of fullness,not fully evacuating and straining to do so,anal burning,bleeding and continuous use of laxatives are some symptoms of chronic constipation.STARR surgery is done through anal opening without any external cut for chronic constipation and piles and requires only 24hours hospitalisation.

SPIDER VEINS
What are spider veins?
Spider veins are tiny prominent blood vessels seen on the skin of legs. These are 0.5-1mm in size. Veins 1-3mm in size are called reticular veins. These veins occur in patches. Usually they do not cause any problems. Sometimes these veins can bleed, cause pain and irritation.

What investigations are done?
If you have too many spider veins doctor may do sonography of veins

What are the reasons for seeking treatment?
1. Bleeding from spider veins.
2. Pain and irritation
3. Itching
4. For cosmetic reasons if they are prominent

What is done for treatment?
Treatment is called �Sclerotherapy�. It is done on OPD basis. Doctor can give injections into these veins. They veins will swell up after treatment and then collapse over few days and then disappear.

What are the side effects of treatment?
The common side effect is pigmentation along the treated veins. This will fade away with creams most of the times.