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Old 17th October 2011, 07:17   #931
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Originally Posted by Samurai View Post
These days I notice that eye doctors mostly skip that step...They stared at his eyes using various equipment, tried different lenses and gave the prescription. However, I found that KMC hospital still does pupil dilation. How is it that pupil dilation has become an optional step?
I see this during my annual eye check up at Shekar Netralaya, JP Nagar. Asked them about it, and they said that the equipment they have now helps them look into the eye much better than before, and hence they dont need to dialate the pupil to do the retina check. It's only when they feel the need for further examination (if there are signs of pressure inside), that they will do the dialate the pupil.

OTOH, our family friend who has his clinic at RT Nagar still does the additional step of dialating the pupil (most times). (he's now a senior person at RGUHS)

I would have expected KMC Manipal to have had newer equipment too.

Last edited by condor : 17th October 2011 at 07:20.
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Old 17th October 2011, 09:47   #932
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Originally Posted by Gill View Post
Age-30, Backache:-No, not even in past year or so.It's present throughout.
Just for instance, When I lie on bed, and if I try to raise the left leg, it used to pain.(Now it doesn't pain in that movement), I feel pain when I move the leg in or out.
I walk without any pain.
Can shoes be probable cause?
Shoes being the culprit is doubtful.I see you stay at Mohali so i'll suggest you visit PGI Chandigarh and meet Dr. Ramesh Sen there.He is a very good Orthopaedic surgeon.I'm asking you to meet someone because the local ortho fellow will be able to look into it properly than anyone guiding you over internet.I hope it helps.Just keep me posted.
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Old 20th October 2011, 08:09   #933
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Default Cataract surgery : Monofocal lens or Multifocal lens

I dint find much information in the calling doctors/experts thread and hence starting this thread.

My dad is 70 years old and has been diagnosed with cataract on both eyes. The doctors prescribed blood and ECG tests and the test results seem to be fine. He needs to be operated with phaco emuslification procedure and lenses would be implanted.

I have found that there are two types of lenses available for implantation

1) Monofocal lens
2) Multifocal lens

The monofocal lens can cost upto 35k per eye and can be covered under health insurance. Multifocal are about 60K per eye and are not covered but the coverage amount for monofocal lens would be given for multifocal while you bear the difference.


Multifocal lenses implants have few sideeffects over the monofocal lens
a) Less clear than monofocal
b) halo rings and glares while looking at bright light source
c) Cannot drive at night

Distinct advantage being able to see nearer objects without wearing glasses which cannot be done on the monofocal lens.

The eye consultant has recommended Tecnis branded eye lens for the opetration. Is it the best possible lens in the market now.

All the people I know have gone for mono focal lens change and I do not have feedback on the multi focal lens.


Can anybody who has got their relatives operated/ parents operated /themselves operated share their experiences of the same withrespect to the clarity and the drawbacks.
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Old 20th October 2011, 10:02   #934
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Default Re: Cataract surgery : Monofocal lens or Multifocal lens

My mother had cataract and got operated last week. Operation was done in Agarwal Eye hospital Chennai. The cost of Technis IOL lens was 29000. Her right eye was operated and now she is happy with her clear vision. She uses reading glasses while her distant vision has improved significantly after the cataract operation. Its advisable to go for monofocal lens itself. Atleast your dad will have the flexibility of using reading glasses only whenever needed. Agarwal is simply the best hospital in Chennai when it comes to cataract operation.

Last edited by Bottom Torque : 20th October 2011 at 10:13. Reason: Technical data added
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Old 20th October 2011, 12:37   #935
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Default Re: Cataract surgery : Monofocal lens or Multifocal lens

Can anyone pls share their experience if people whom you have known have undergone cataract surgery.

I am planning to get my dad operated at Nethradhama, Jayanagar
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Old 25th October 2011, 21:16   #936
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Originally Posted by Bottom Torque View Post
My mother had cataract and got operated last week. Operation was done in Agarwal Eye hospital Chennai. The cost of Technis IOL lens was 29000. Her right eye was operated and now she is happy with her clear vision. She uses reading glasses while her distant vision has improved significantly after the cataract operation. Its advisable to go for monofocal lens itself. Atleast your dad will have the flexibility of using reading glasses only whenever needed. Agarwal is simply the best hospital in Chennai when it comes to cataract operation.
From what I understand, your mother has undergone a cataract surgery in one eye with a monofocal lens, and you are getting ready for the other eye.

It will have to be a monofocal lens itself, as multifocal lenses should not be ideally implanted in one eye alone.

Quote:
Originally Posted by Samurai View Post
This question is for the eye doctors. I wear prescription glasses for 25 years now. In the early days, every time I went for an eye test, the nurse would put some drops into the eye and I used to sit around for 30-60 minutes for the pupil dilation.

These days I notice that eye doctors mostly skip that step. Last year I took my son to 2 different doctors, none performed the pupil dilation. They stared at his eyes using various equipment, tried different lenses and gave the prescription. However, I found that KMC hospital still does pupil dilation. How is it that pupil dilation has become an optional step?
Quote:
Originally Posted by condor View Post
I see this during my annual eye check up at Shekar Netralaya, JP Nagar. Asked them about it, and they said that the equipment they have now helps them look into the eye much better than before, and hence they dont need to dialate the pupil to do the retina check. It's only when they feel the need for further examination (if there are signs of pressure inside), that they will do the dialate the pupil.

OTOH, our family friend who has his clinic at RT Nagar still does the additional step of dialating the pupil (most times). (he's now a senior person at RGUHS)

I would have expected KMC Manipal to have had newer equipment too.
The pupil dilatation for spectacle correction need not be done in each patient. It is mainly done for children, and once they grow up it isn't a must.

In adults pupil dilatation is done in high minus powers, and if a retinal or an optic nerve problem is suspected.

The newer equipment nowadays does allow us to evaluate the a part of the retina and the optic nerve for a screening purpose. But if a problem is suspected we would then use the drops. We try to avoid them on a routine basis cause then it would blur your vision and you wouldn't be able to drive back

V

Last edited by bblost : 25th October 2011 at 21:37. Reason: back 2 back.
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Old 25th October 2011, 23:58   #937
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Quote:
Originally Posted by Samurai View Post
This question is for the eye doctors. I wear prescription glasses for 25 years now. In the early days, every time I went for an eye test, the nurse would put some drops into the eye and I used to sit around for 30-60 minutes for the pupil dilation.

These days I notice that eye doctors mostly skip that step. Last year I took my son to 2 different doctors, none performed the pupil dilation. They stared at his eyes using various equipment, tried different lenses and gave the prescription. However, I found that KMC hospital still does pupil dilation. How is it that pupil dilation has become an optional step?
Quote:
Originally Posted by condor View Post
I see this during my annual eye check up at Shekar Netralaya, JP Nagar. Asked them about it, and they said that the equipment they have now helps them look into the eye much better than before, and hence they dont need to dialate the pupil to do the retina check. It's only when they feel the need for further examination (if there are signs of pressure inside), that they will do the dialate the pupil.

OTOH, our family friend who has his clinic at RT Nagar still does the additional step of dialating the pupil (most times). (he's now a senior person at RGUHS)

I would have expected KMC Manipal to have had newer equipment too.
The pupil dilatation for spectacle correction need not be done in each patient. It is mainly done for children, and once they grow up it isn't a must.

In adults pupil dilatation is done in high minus powers, and if a retinal or an optic nerve problem is suspected.

The newer equipment nowadays does allow us to evaluate the a part of the retina and the optic nerve for a screening purpose. But if a problem is suspected we would then use the drops. We try to avoid them on a routine basis cause then it would blur your vision and you wouldn't be able to drive back

V
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Old 28th October 2011, 16:28   #938
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

After the birth of our second child, my wife has been adviced by her gynec to take a cervical cancer vaccination "if she can afford it" (doctor's words which i find strange since if a vaccination is so compulsory it must be taken despite its cost, IMO).

I read up a bit on this vaccine on net and looks like the two big boys, Merck and GSK, are heavily marketing their brands of the vaccine.

Need a doc's opinion on this board on whether my wife should go ahead with this vaccination or not.

Last edited by WindRide : 28th October 2011 at 16:29.
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Old 28th October 2011, 16:40   #939
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Originally Posted by WindRide
After the birth of our second child, my wife has been adviced by her gynec to take a cervical cancer vaccination "if she can afford it" (doctor's words which i find strange since if a vaccination is so compulsory it must be taken despite its cost, IMO).

I read up a bit on this vaccine on net and looks like the two big boys, Merck and GSK, are heavily marketing their brands of the vaccine.

Need a doc's opinion on this board on whether my wife should go ahead with this vaccination or not.
All the research behind the vaccine has been done in usa. No need for your wife to take it.

The vaccines target age group is 12 to 26 years when girls are more likely to have there first/multiple Sexual encounters. For a married lady and at this age not needed.

Secondly the efficacy of the vaccine hasn't been tested in indian population. I would not recommend although I am not an expert in ob/gyn.
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Old 29th October 2011, 23:47   #940
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Two questions for problems faced by my relatives:

1. for Ortho/physicians: vitamin D3 deficiency

While consulting an orthopedician for sever backache, he checked for disc problem which he ruled out and as my relative was very thin and with very poor muscle mass though having hypothyroidism (!) As she was having repeated problems first cervical pain and of late back pain, he advised Serum calcium, vit, D3, phosphorus and alkaline phosphatase tests to know the reason behind it.

All were normal except serum vit d3 which was 15.4 suggesting severe insufficency.

Is it hypovitaminosis D or hyperparathyroidism?What should be the treatment course. We have been prescribed alfacalcidol granules (60000 IU) once weekly and one alfacalcidol 0.25 capsule OD for 3 months. Is it the right thing to do? how long will she have to take medicine?


For Urologists/Oncologists: Prostate cancer grade 4

2. A 68 year old male relative having BPH for last 8 year or so was advised PSA test by the urologist when he consulted for increased urination problem. He was on URIMAX 0.2 mg. PSA was abnormally high(141).

Prostate size was 84 cc and on DRE not much abnormality was found. Biopsy showed a gleason score of 8 and 9 in left and right lobes respectively. MRI scan showed local spread to seminal vesicles and bone scan showed metastasis to left rib, D 12 vertebrae and grade 4 CA. Now my question is :

Is hormonal treatment the only first line treatment. Would it have to be given for life even after resistance sets in? And if that is the case is orchiectomy a better alternative?

As patient is more or less asymptomatic( minor back pain may be psychological since he knows that back pain occurs when CA has spread to spine/pelvis) should radiotherapy be done concomitantly? One doctor advised that it needs to be done only when bony pain starts? what's the expert take on it?

What is the prognosis in this particular case considering curative stage is well past?
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Old 30th October 2011, 07:37   #941
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Originally Posted by rock75 View Post
Two questions for problems faced by my relatives:

1. for Ortho/physicians: vitamin D3 deficiency


All were normal except serum vit d3 which was 15.4 suggesting severe insufficency.

Is it hypovitaminosis D or hyperparathyroidism?What should be the treatment course. We have been prescribed alfacalcidol granules (60000 IU) once weekly and one alfacalcidol 0.25 capsule OD

?
Hi,

How old is the patient?

Yes, for vitamin D3 deficiency,she has to take cholecalciferol granules(60,000. IU) . ( not alfacalcidol granules) . If the pain is severe, she can take one sachets daily for one week and then ,thrice a week for one week, and then weekly once.

You may also consider
1 postural changes

2 physiotherapy

3 regular exercises ( swimming and brisk walking )

4 spine exercises
Take care
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Old 30th October 2011, 11:06   #942
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Default Re: ACL Avulsion Fracture - Need Help

I completely agree that Dr. Sharangapani runs an assembly line. I made the mistake of visiting him recently. As you rightly said, his 1.5 minutes of diagnosis didn't work for me. I stopped the recommended exercises as I have no gain from them and additionally I'm getting neck pain due to his exercises. I think I need to revisit him and nail him down for 5 minutes to get some better diagnosis. I think I'm going to set this precondition before I visit him again. If not, I'm not going.

Pradeep



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Sharangapani may be a good doctor, but he runs an assembly line.
I visited him around 2 years back - he charged 700-800 Rs at that time. You have to wait for an hour or more even with an appointment. Then one of his people sees you & asks about your problem(about 3 minutes). Then they probably convey the same to him. Then Dr.Sharangpani comes out with another one of his people & talks to you for a minute (if you are lucky). The 2nd half of that 1 minute is spent is telling his person about your cure & then the good doctor goes off. And his person spends around 10 minutes showing you the exercises recommended by the doctor. And gives you a photocopied page containing the exercises.

His treatment is all about exercises, right pillows etc (no medicines). It works for a lot of people, but it all depends on your luck in getting the right diagnosis in that one minute (or half a minute).
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Old 30th October 2011, 11:24   #943
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Hi,

How old is the patient?

Yes, for vitamin D3 deficiency,she has to take cholecalciferol granules(60,000. IU) . ( not alfacalcidol granules) . If the pain is severe, she can take one sachets daily for one week and then ,thrice a week for one week, and then weekly once.
patient is 36 year old, yes it is cholecalciferol granules and NOT alfacalcidol!
Physiotherapy and exercises were advised but at that moment pain was so severe that neither was possible. Now it is back to normal and we can consider these options too. She is also sitting in the sun for 10-15 min a day.

How long should cholecalciferol granules be taken and when should we repeat the test?
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Old 30th October 2011, 12:26   #944
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

What are the treatments for common cold and throat infection ? I've got this problem in bangalore - whenever there's a season/weather change I end up with a throat infection,dry cough. Happens 2-3 times a year. I end up infecting my family members.

I've been using homeopathic medicine ( don't prefer allopathic medicines) and usual home remedies like salt water gargling but the problem does not go away completely.
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Old 30th October 2011, 13:17   #945
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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What are the treatments for common cold and throat infection ? I've got this problem in bangalore - whenever there's a season/weather change I end up with a throat infection,dry cough. Happens 2-3 times a year. I end up infecting my family members.

I've been using homeopathic medicine ( don't prefer allopathic medicines) and usual home remedies like salt water gargling but the problem does not go away completely.
Dear Sdp1975,
May i know what homeopathic medicines you are on, as a homeopath we need detail case history to prescribe, for which i can send you a case per-forma, which you need to fill it and send back to me so i can prescribe. PM me for any queries.

Dear mods there is no commercial angle to this, just helping fellow Bhpian.
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