[fine69]

Originally Posted by Mortis

Oral B electric toothbrushes have become quite common in the supermarkets in Mumbai (imported). Ive been using one for around 2 years now. It costs 4-500 bucks and heads are 250 for 2.

I'm not sure about the effectiveness of these, what I've figured out so far is that the ones producing 30k strokes per minute are the ones generally recommended.

Philips has turned out to be the brand that has good availability of brush heads but I wanted to check whether spending another 5k would get me a much better product.

[anku94]

Hi Docs,

Need some advice on maintaining my Vit D levels.

I'm 22M, vegetarian, having a desk job. Was diagnosed with Vit B/D (D levels were around 10ng/mL) deficiency a year ago. Took supplements for 3 months and levels got back to normal. Had to meet a different doctor when I went for a follow-up, she said you're OK and only when I asked if I needed a maintenance dose did she prescribe Jocare OD. Didn't bother with it since I had reservations given her uninterested prescription.

I now feel I should have a supplement in my routine. Any advice on this? Thanks.

[falconion]

Originally Posted by anku94

Hi Docs,

Need some advice on maintaining my Vit D levels.

I now feel I should have a supplement in my routine. Any advice on this? Thanks.

You don't have to take supplements regularly if you are maintaining a healthy diet that has vit D and calcium, i.e.:-
-Milk
-Yogurt
-Cheese
-Okra
-Almonds
-Fish
-Eggs, etc

Those along with daily morning sun exposure (essential) should help raise and maintain both Vit D and Calcium levels. Taking supplements weekly once would be enough if you are having the above food items in your diet.

Taking excessive Calcium supplements can cause you to develop kidney stones. And since your calcium and vit D levels are OK, you can manage by natural food items itself.

Edit: You will not eat Fish or Eggs as you are a vegetarian but other stuff listed you can.

[browneyes]

Hi Doctors - Do we have any genetic disease expert here? My wife's family has HHT (Hereditary hemorrhagic telangiectasia) also known as Osler–Weber–Rendu disease and we want to know if there are doctors/hospitals in India who specialize in HHT cases.

Some resources for those who dont know about HHT.
Wiki: https://en.wikipedia.org/wiki/Heredi...telangiectasia
http://curehht.org/ : http://curehht.org/wp-content/upload...Guidelines.pdf

If anyone has history of nose bleeds in family, please get family members evaluated for HHT.

[fine69]

Originally Posted by fine69

I'm looking for an electric toothbrush for my wife....

Ended up ordering the Philips one, cost me 6k. It'll be arriving this Wednesday, would share my observations in a week's time.

[VIKINGTILLDEATH]

Originally Posted by petrolhead_chn

Your statement is on the nail and I completely acknowledge the same.

Readers, kindly bear with me for the long post. We lost our baby about 2yrs back in the end of its term (fetus died 2days before the date of delivery) and it was a boy. We trusted the doctor so much that we neither sent the fetus for autopsy not questioned the doctor for the miss on treatment. Upon consultation with references from family members, we were blamed as to why the autopsy wasn't done on the fetus or why the C-Sections wasn't performed by 34weeks itself knowing that the sugar levels are high. Some even suggested why wasn't my wife admitted to hospital to keep sugar in control and so on.

So when we hear such controversial suggestions/questions, it gives us a feel that maybe there is somebody out there who can outperform others and do a favourable treatment. After two years and a lot of thoughts my wife has conceived now but the sugar levels are quite high (Fasting 196/ PP 285). The initial scan reveals that the fetus is less than 6weeks and no heartbeat yet. The gyn whom we consulted asked us to wait for another 2 weeks and come back with a scan again. She is now on insulin but the sugar levels are still at 225 range. We are worried if the fetus might have already encountered any damage with such sugar levels. With such tension prevailing in family all we want to hear is some encouraging statements from knowledgeable persons and hence multiple consultations. We are going back to the diabetologist tomorrow again for a consultation.

Dear petrolhead_chn,
I can understand your frustration. But being a doctor myself I can vouch we always feel wiser in retrospect. This time make sure you dont keep any stone unturned but do also PRAY. Ultimately all of us are humans and things are beyond our control so many times in life. Lets PRAY and hope for the BEST.

[Ponbaarathi]

What are the causes for increased eosinophils? Can they be cured completely??

[Dr.Naren]

Originally Posted by Ponbaarathi

What are the causes for increased eosinophils? Can they be cured completely??

There are many causes. Eosinophil is a type of WBC. Eosinophil count gets increased in cases of allergic disorders, drug reactions and in some cases of malignancy. Increased Eosinophils is not a disease, it's a manifestation of some underlying disorder. Treatment of the underlying cause is required .

[FrozeninTime]

Originally Posted by Ponbaarathi

What are the causes for increased eosinophils? Can they be cured completely??

It may be due to worm infestation. A single dose of albendazole will do. There are many causes of eosinophilia but this is the most common cause.

Originally Posted by petrolhead_chn

Really? You should review the culture and lifestyle of women in western countries against women in India before bringing in the facts.

The urban women in India are no different from there western counter parts with respect to drinking, smoking. So this generalisation about Western women is outdated. In fact I will go one step further to say they take care of themselves better and follow advice of doctor better.

[.sushilkumar]

Hoping for a answer.

What are the possible causes of leukemia (ALL - T cell). What all precautions are advised once you are out of chemo regime.

[bluevolt]

My father has undergone a Stress Echo test after complaining a bit of breathlessness and the test result came as positive.

Some docs have advised angiography and stents while some docs are advising to keep using medicines and no issue will arise.

We are consulting further but I would like to know how to judge if stents are really required or the assigned medicines will do the job with requiring stents and all such stuff!

He is still under 60 and not have any other major problem in the past except for high BP controlled suing medicines.

Any suggestions?

[rana_kirti]

Gallbladder stones.... Is there a natural method to dissolve/remove them or is surgery the only option?

Thanks

[FrozeninTime]

Originally Posted by bluevolt

My father has undergone a Stress Echo test after complaining a bit of breathlessness and the test result came as positive.

Some docs have advised angiography and stents while some docs are advising to keep using medicines and no issue will arise.

We are consulting further but I would like to know how to judge if stents are really required or the assigned medicines will do the job with requiring stents and all such stuff!



Any suggestions?

Your father requires coronary angiogram. Based on that your doctor can guide you towards an appropriate treatment

[bravo82in]

Originally Posted by rana_kirti

Gallbladder stones.... Is there a natural method to dissolve/remove them or is surgery the only option?

Thanks

Not in allopathy for sure. But one must understand that once the Gallbladder becomes a factory to produce stones it will keep giving trouble lifelong. Best is to get rid of this factory. The surgery is minimally invasive, safe and one can be back to work in a day or two.

[nowwhat?]

Originally Posted by bluevolt

My father has undergone a Stress Echo test after complaining a bit of breathlessness and the test result came as positive.

Some docs have advised angiography and stents while some docs are advising to keep using medicines and no issue will arise.

We are consulting further but I would like to know how to judge if stents are really required or the assigned medicines will do the job with requiring stents and all such stuff!

He is still under 60 and not have any other major problem in the past except for high BP controlled suing medicines.

Any suggestions?

I never felt any breathlessness or anything, my BP is on the low side at 90/60, but my TMT came back positive. One thing led to another, I got a coronary angiogram and then underwent a triple bypass a year ago. In my case, it took me about a month and a half from diagnosis to surgery.

For much of that time, I was in denial and tried to get out any way I could. I met an ayurveda physician and underwent an intensive course of herbal concoctions with no result. I also heard about an alternative called EECP which costs almost as much as a bypass, I fixed an appointment but by then I knew I just had to get it done. In my case, my wife was very insistent, she took me to a cardiologist who drilled some sense into me.

These days, coronary angiogram and angioplasty are both routine procedures in most hospitals. An angiogram is an outpatient procedure taking a few hours even though some hospitals insist on a stay. After angioplasty, i.e., if they put a stent or two in during the angiogram, they wheel the patient to a Cardiac Care Unit for observation whereas if it is just an angiogram like in my case, they shunt you out post haste. Recovery time is only a few hours.

Margins on a stent are sky high right now, there is talk of the government fixing the price for non-medicated and drug eluting stents at less than ₹20K and ₹30K respectively. Otherwise the latter including other charges can cost as much as ₹2.5 lakhs which is more than the cost of a bypass. I too was worried whether they would insist on stents, but in my case considering my age and other factors, I was asked to do a bypass.

In your father's case, they will only get a definitive picture only after the angiogram. At each stage, TMT, Angiogram, Surgery, I used different cardiologists just so that I wouldn't be misguided, but maybe it was because I was paranoid. Your father is still young and he seems to have a definitive symptom, so I would urge him to take an angiogram.

Originally Posted by bravo82in

Not in allopathy for sure.

Allopathy is a derogatory term coined by C.F.S. Hahnemann, the founder of homeopathy. The correct term is "Modern Medicine".