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Old 16th July 2012, 15:11   #1201
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Maybe the doctors here can advise on the following product:
RVL Nutrition Shake Mix
There are similar 'health drinks'/ weight loss products/ meal replacement products in the market. All these products are expensive and they follow the Amway style of marketing.

Maybe someone here has first hand information from weight loss or side-effect perspective.

Inputs requested.
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Old 16th July 2012, 15:56   #1202
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Quote:
Originally Posted by S_U_N View Post
Maybe the doctors here can advise on the following product:
RVL Nutrition Shake Mix
There are similar 'health drinks'/ weight loss products/ meal replacement products in the market. All these products are expensive and they follow the Amway style of marketing.

Maybe someone here has first hand information from weight loss or side-effect perspective.

Inputs requested.
The best way to achieve weight loss is through exercise. Unfortunately there is no replacement for the same.
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Old 16th July 2012, 19:04   #1203
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Quote:
Originally Posted by S_U_N View Post
Maybe the doctors here can advise on the following product:
RVL Nutrition Shake Mix
There are similar 'health drinks'/ weight loss products/ meal replacement products in the market. All these products are expensive and they follow the Amway style of marketing.

Maybe someone here has first hand information from weight loss or side-effect perspective.

Inputs requested.
My brother lost 9kgs in 3 months with Positrim from Amway.
In the same duration, my mom could lose just 1kg. Both of them replaced one meal a day with the shake.
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Old 16th July 2012, 19:19   #1204
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Originally Posted by Parthasarathig View Post
The new dentist therefore recommended implant as the only solution.
I shall have to ask.her about the absence of the tooth though.
Hi Parthasarathig,
For a Dental implant, the bone needs to be adequately thick. Your dentist can diagnose it through an OPG.

Life of an implant depends upon a lot of factors. Failures are most common in diabetics. I would advise you to avoid any surgery if your mother is diabetic. However, if the blood sugar level is controlled, then there's no issue.
Also, post-operative care is utmost for a successful implant.

We estimate the life of an implant to be around 15 years BUT it depends upon case to case.

As the first step, extraction of the tooth will be done and the socket shall be left to heal. The bone shall be reviewed after around 40-45 days after which the implant shall be placed. Then you will have to wait for around 3 months, so that the implant integrates with the bone, after which the crown shall be placed.

Hope it helps.
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Old 17th July 2012, 17:16   #1205
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Originally Posted by A M

Hi Parthasarathig
)
Yes we were told to get an OPG done but the doctor didnt find any such problems with the bone or atleast he didnt mention it. I'll get that clarified on next visit. And previous bone density tests related to her entire body have failed to reveal any such bone deficiencies. But i dont know if the maxilla and mandible need to be tested separately. What would you advise?

Also my mother is diabetic with hypertension but the doctor says its not going to be a problem. Maybe they will get all the tests done once we agree to the procedure. The blood sugar levels have been well controlled over the past few months. For safety reasons we shall get another test done. Should we do the HBA1c test in this case or just the fasting and pp will do?

Regarding the last para of your post we have been told something different so now its a worry for me. The doctor said they are going to put the implant after removing the bridge and the crown/cap already present. He told he would require to cut and resect the bridge and cap and then check how the situation is internally. Then he will insert the implant at the same time. Then wait for 3 months and place the cap/crown along with bridge. My mother seems apprehensive about the procedure now but the constant pains she would get was really a nightmare for her.

Question now remains should we therefore go in for an implant? Or make do with quarterly replacement of the cap and bridge combo? Doctor says the second option would lead to decay of bone gradually and implants at a later stage will be impossible. However ive not been assured about the success of the implant. So in case the implant fails what should be done? Also which implant would you suggest out of the three- Nobel biocare, Skye, Osstem??

Thanks for your advice.

Best regards
Partha.
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Old 17th July 2012, 19:39   #1206
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Quote:
Originally Posted by Parthasarathig View Post
But i dont know if the maxilla and mandible need to be tested separately.

Should we do the HBA1c test in this case or just the fasting and pp will do?

The doctor said they are going to put the implant after removing the bridge and the crown/cap already present. He told he would require to cut and resect the bridge and cap and then check how the situation is internally. Then he will insert the implant at the same time. Then wait for 3 months and place the cap/crown along with bridge.
Hi Partha,

If the height of bone is adequate, then there is no problem.

Regarding the blood sugar levels, fasting and PP will do. But do keep the levels in check as the healing may take longer if levels are high.

If she is already using a bridge, it means the tooth was extracted long back. Hence, the implant can be placed anytime.
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Old 17th July 2012, 20:15   #1207
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Quote:
Originally Posted by A M

Hi Partha,

If the height of bone is adequate, then there is no problem.

Regarding the blood sugar levels, fasting and PP will do. But do keep the levels in check as the healing may take longer if levels are high.

If she is already using a bridge, it means the tooth was extracted long back. Hence, the implant can be placed anytime.
Yes she did undergo root canal long back if that is of some significance.

Thanks once again for the advice. Will trouble you later if something crops up

Best Regards.
Partha.

Quote:
Originally Posted by A M

Hi Partha,

If the height of bone is adequate, then there is no problem.

Regarding the blood sugar levels, fasting and PP will do. But do keep the levels in check as the healing may take longer if levels are high.

If she is already using a bridge, it means the tooth was extracted long back. Hence, the implant can be placed anytime.
Yes she did undergo root canal long back if that is of some significance.

Thanks once again for the advice. Will trouble you later if something crops up

Best Regards.
Partha.

Last edited by Eddy : 17th July 2012 at 21:13. Reason: Please use the edit / multiquote option instead of posting back to back posts within 30 mins on the same thread. Thanks.
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Old 17th July 2012, 21:08   #1208
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Anyone working with Narayana Hrudayalaya Hosur road? A good friend's relative is admitted there for a heart surgery.
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Old 21st July 2012, 16:32   #1209
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Quote:
Originally Posted by Parthasarathig View Post
Yes we were told to get an OPG done but the doctor didnt find any such problems with the bone or atleast he didnt mention it. I'll get that clarified on next visit. And previous bone density tests related to her entire body have failed to reveal any such bone deficiencies. But i dont know if the maxilla and mandible need to be tested separately. What would you advise?

Also my mother is diabetic with hypertension but the doctor says its not going to be a problem. Maybe they will get all the tests done once we agree to the procedure. The blood sugar levels have been well controlled over the past few months. For safety reasons we shall get another test done. Should we do the HBA1c test in this case or just the fasting and pp will do?

Regarding the last para of your post we have been told something different so now its a worry for me. The doctor said they are going to put the implant after removing the bridge and the crown/cap already present. He told he would require to cut and resect the bridge and cap and then check how the situation is internally. Then he will insert the implant at the same time. Then wait for 3 months and place the cap/crown along with bridge. My mother seems apprehensive about the procedure now but the constant pains she would get was really a nightmare for her.

Question now remains should we therefore go in for an implant? Or make do with quarterly replacement of the cap and bridge combo? Doctor says the second option would lead to decay of bone gradually and implants at a later stage will be impossible. However ive not been assured about the success of the implant. So in case the implant fails what should be done? Also which implant would you suggest out of the three- Nobel biocare, Skye, Osstem??

Thanks for your advice.

Best regards
Partha.
Hi , i am a prosthodontist and have read the discussion going on here.
i want to add a few points,

An opg gives a fairly rough idea about bone height but the bone thickness cannot be measured with the OPG, for that we need a 3 dimensional Scan (dentascan or cone beam CT scan).
Which tooth is involved? is the tooth already missing or it has to be extracted along with simultaneous placement of implants.
the success of implants depend upon various factors including the correct placament, correct crown/ bridge made over it, correct maintainance, general body health, diabates, etc. if an implants fails for any reason, another one can be placed in most cases. its a fairly permanent treatment.

if you have an digital OPG image please load here or send as an email then it will be much easier to suggest you the best.
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Old 25th July 2012, 19:19   #1210
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Docs,

I'm 37. Since many days I had been having slight discomfort in the lower right abdomen. The discomfort was more when I sat to drive (not always). I brushed it off thinking it was because of the slight belly I have.

Of late the discomfort increased and it is being accompanied by some pulsation. I saw my physician today. He examined me and said it seems to be Direct Inguinal Hernia (right). As per his advice I got an abdomen / pelvic scan done. The impression is "Tendency for Right Inguinal Hernia formation with positive cough impulse".

What does this mean? Do I need a surgery? Do I need to get it done right away?
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Old 26th July 2012, 11:27   #1211
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Quote:
Originally Posted by abdriver2000 View Post
My brother lost 9kgs in 3 months with Positrim from Amway.
In the same duration, my mom could lose just 1kg. Both of them replaced one meal a day with the shake.
Thank you for this information.
What would be the reason for varying results between them?
Also, what was the impact on overall health/ fitness for both of them? e.g. feeling weak/ loss of energy after 3 months
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Old 26th July 2012, 14:35   #1212
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Quote:
Originally Posted by CBlazer
Docs,

He examined me and said it seems to be Direct Inguinal Hernia (right). As per his advice I got an abdomen / pelvic scan done. The impression is "Tendency for Right Inguinal Hernia formation with positive cough impulse".

What does this mean? Do I need a surgery? Do I need to get it done right away?
Visit a General Surgeon. He will be able to tell you whether you have a Hernia. If it does turn out to be a hernia, you will require surgery. It does not need to be done right away, but again, cannot be postponed indefinitely.
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Old 30th July 2012, 09:57   #1213
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Visit a General Surgeon. He will be able to tell you whether you have a Hernia. If it does turn out to be a hernia, you will require surgery. It does not need to be done right away, but again, cannot be postponed indefinitely.
Thanks. I met one. He told me it is a small hernia, but I'll need a surgery to repair it. He was suggesting a lap as against an open surgery. Any thoughts on this?

I'm planning to get it done soon after an official travel that is round the corner. Is it okay to travel (will mean sitting for almost 9+9 hours one way)?

Is it safe to continue walking/running on the treadmill now or will it aggravate my hernia? I had been strictly advised by my cardiologist to maintain a cardio routine - I'm worried about stopping it.
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Old 30th July 2012, 11:07   #1214
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He was suggesting a lap as against an open surgery. Any thoughts on this?
Having shifted to paediatric surgery,I do not know what is the latest on this. But for a small hernia, I dont think there would be any difference between the two modalities as long the surgeon is well versed with laparoscopy. Personally, I would prefer open surgery.

Quote:
Originally Posted by CBlazer View Post
I'm planning to get it done soon after an official travel that is round the corner. Is it okay to travel (will mean sitting for almost 9+9 hours one way)?
It is okay to travel

Quote:
Originally Posted by CBlazer View Post
Is it safe to continue walking/running on the treadmill now or will it aggravate my hernia? I had been strictly advised by my cardiologist to maintain a cardio routine - I'm worried about stopping it.
Walking and light running should not be a problem. What you need to avoid is lifting heavy weights. Constipation also needs to be avoided, as straining would increase the pressure within the abdomen and push the hernia.
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Old 30th July 2012, 12:54   #1215
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Would definitely recommend lap surgery in comparison to open surgery,I have had open surgery in 2006 and it was a total agony,I was handicapped for a long time.

In comparison lap surgery is easy and heals fast,lesser recovery times and lesser trauma.Scar is also less in case your gf gets freaked seeing a scar there.

Get hold of a experiened lap surgeon and trust me you can be back on feet within two days.In open surgery i was literally disabled for 15days plus.

Just my two paise..
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