ARTHRITIS KILLS YOU LIKE THE HEART CAN
Arthritis is not an unknown entity and has been around since prehistoric times. It’s incidence has however certainly seen a dramatic rise in the last few decades. There are various types of arthritis that may not be entirely preventable. Osteo- arthritis is one of the commonest types and occurs entirely due to mechanical reasons. This article provides a short overview of the problems caused and possible solutions.
Due to the structure of our health system, we do not have a mechanism and culture to facilitate referrals to the appropriate specialist doctor. This is largely due to random distribution of speciality practitioners as well as incomplete knowledge about their expertise amongst the people. As people directly approach specialists, they might not always see the exact person suited to their problems. Similarly, it is too easy to get a variety of medicines and splints directly from the stores or even ‘online’ nowadays, that a lot of potentially harmful self- medication is rampant.
Movement is among the very most basic functions, which gets affected in severe arthritis. At present we do not have quantitative statistic measures to evaluate the disability caused in the general population due to arthritis. We accept heart disease as a common killer; heart attack being a sudden unforgettable event. However the total quantity of problems caused with sever arthritis is much higher. It presents gradually and in different forms:
- Immobile & elderly people get more prone to fractures as bones become weaker with decreased mobility.
- Severe arthritis can cause giving way of joints and falls on it’s own accord. Such fractures can get difficult to treat and often work as a beginning towards a slow and painful end.
- Various drugs – both prescribed and self- medicated can cause harmful side effects that lead to kidney failure, etc.
- Decreased mobility brings about decreased self- esteem and confidence, less productivity and mental health issues.
- Untreated osteoarthritis itself is self- propagating: by avoiding mechanical pressure on an affected joint, one strains the neighbouring joints and the other side, overall increasing the risks and making for further complexities in treatment.
Early detection and appropriately instituted treatment can go a long way in preserving quality of life. Similarly, the risks of various treatments need to be evaluated before resorting to operative or non- operative means of treatment in cases of severe end stage arthritis.
There is a lot of knee osteo-arthritis at younger ages in India owing to: (i) widely unrecognised and improperly treated knee injuries and (ii) common activities like squatting, sitting cross legged and praying in our cultures place high demands on the knees. The important preventive measure hence lie in getting appropriate attention if a seemingly simple knee injury does not recover in a couple of weeks. Various non- operative methods exist and are mainly effective in earlier stages of osteo- arthritis: medications, exercises, injections and the like. Treatment needs to be customised to the individual needs of the patient. Medications need to be titrated and monitored to avoid dangerous long- term side effects.
Surgery – What needs to be understood about surgery is that early and rightly directed Arthroscopic surgery can actually prevent arthritis from developing, after one has sustained certain cartilage or ligament injuries. This type of surgery can mostly be performed as a day procedure without admission and often doesn’t even entail stitches. People return to their work within days. This should hence not be viewed as a major event as compared to a fracture or general hospital admission for most other reasons.
Joint Replacement is proving to dramatically change the quality of life for patients riddled with severe end- stage arthritis. It is high time that myths regarding risks associated with such surgery are dispelled, as modern techniques have consistently enabled return to walking right from the day of surgery. This is planned surgery and hence the potential for proper organisation and enhanced recovery as opposed to fracture or emergency operations. For patients wanting to undergo such surgery, there are good services available in most Indian cities. There are an increasing number of dedicated units doing exclusive work, where the standards are bound to be better. At the same time, I would discourage people from travelling too far (more than 5- 6 hours or any flight) to have these procedures undertaken, as travelling back home soon after such surgeries is not without risk. Similarly, one must be in a position to manage stairs within three to four days of surgery too, unless one has not been doing stairs at all before. Only with a reasonable amount of independence, usually achieved within four to five days of surgery is a patient deemed fit to leave hospital, as we cannot guarantee good rehabilitation with the currently available infrastructure of home care services. The cost of surgery varies a lot with the city and set up. However, it does not mean that increased cost would guarantee important things like theatre standards and materials used. There are various standard prosthetic materials from various manufacturers that have shown to provide good results. Success depends on the technique of surgery than whether the implanted prosthetic is of local or foreign make.
iMedWorks Ask Platform Links below:
1. Get a Medical Second Opinion
2. Search doctors and Request Appointment
SHOOTING OURSELVES IN THE KNEE!
‘Vaidyo Narayano Bhava’ is a well quoted Sanskrit phase which places a doctor at a similar pedestal as God himself. This is indeed the only profession in which someone’s body is entrusted to the practitioner. The evolution of science and technology however has brought about a steady decline in the divinity of the doctor- patient relationship. There is no doubt that malpractices in the medical profession are equally to blame. Information technology makes it easy to attain knowledge about any disease at the click of a button today. However, the reliability of such data depends on the source which has uploaded or published it. Most information sources are good but some could be biased. To add to the problems come in the pharmaceuticals and the modern health industry with their marketing tactics that has increasingly become very commercial in India.
Due to the structure of our health system, we do not have a mechanism and culture to facilitate referrals to the appropriate specialist doctor. This is largely due to random distribution of speciality practitioners as well as incomplete knowledge about their expertise amongst the people. As people directly approach specialists, they might not always see the exact person suited to their problems. Similarly, it is too easy to get a variety of medicines and splints directly from the stores or even ‘online’ nowadays, that a lot of potentially harmful self- medication is rampant. I have listed a few of such practices relevant to disorders of the knee below:
Pain Medications
These are the most commonly used medications worldwide. They are easily available over the counter and are also the most prescribed. These are the first line treatment given after injuries as well as in arthritis. To make matters worse, patients often move from doctor to doctor without carrying the prescription of one to another. The doctors might end up prescribing different preparations of the same or similar medications resulting in long term use. Side effects are well known and they are the leading cause of kidney failure. There are various newer preparations available, but long term safety of most of these is not established.
Joint Reparative Medications
These do not have bad side effects as the pain medications. However one must be cautious taking various combinations of such medications that are increasingly available over the counter too. Long term side effects of various such combinants are not yet conclusively established.
One must similarly beware of medications made from plant extracts that are claimed as ‘natural’. These have been found in certain cases to contain steroids that cause osteoporosis and increase risk of bone fractures in the long run. Similarly it might be quite deleterious to combine medications from different systems of medicine and patients must be cautioned against taking medicines from different practitioners simultaneously.
Knee Caps & Braces
Various such contraptions are available commercially and often bought off the counter. They are mostly OK for short term use. However habitual use is often recommended by non- specialist practitioners. This makes matters worse as continuous use of braces causes muscle wastage. This in turn makes arthritis worse.
With modern techniques of specialty surgery, the need for braces following planned operations is very rare. It is not uncommon however to find these being used. Even though they seem protective, they often delay optimal rehabilitation.
Exercises & Physiotherapy
The importance of developing the right muscles by exercise is rarely stressed upon in our setup. Even though the basic principles of exercise are age-old and find mention in older systems of medicine like Ayurveda, focus has somehow shifted to medications alone. Many Physiotherapy practitioners too encourage use of modalities for pain relief and patients are less motivated to learn techniques of muscle strengthening, which are themselves the key to solving early arthritis related symptoms and also important in making recovery after surgeries.
Blood testing, Xrays & Scans
Health screening packages have become fads in recent times. Going through routine ‘complete health packages’ does not give any insurance against the diseases screened for any future period. Similarly, the availability of investigations has driven us doctors away from clinical medical examination and spending time talking to the patient. Many a time, a number of tests are unnecessarily ordered and might lead to wrong conclusions about diseases like Gout and Rheumatoid Arthritis, resulting in over- treatment and side effects. Excess radiation can also cause cancers.
In this scenario, every educated person seeking a solution to a medical problem can at least check before hand that the specialist they are approaching is the right one for that respective need. Family doctors or general practitioners can play a very good role here, as they have the advantage of knowing the individual patient more entirely. Many of us however no longer have regular contacts with family physicians. Similarly there also exist alliances between different practitioners that can influence the pattern of referral to particular specialists. The onus thus falls on the patient. Despite all the above discussed disparities, we have a large number of great practitioners who have dedicated themselves to the best care of their patients. Our health system gives us the power to decide who will treat us, unlike the case in many developed countries with evolved health systems.
iMedWorks Ask Platform Links below:
1. Get a Medical Second Opinion
2. Search doctors and Request Appointment
THE BEST KNEE SURGERY
We are surrounded by fast- growing technology all around and often find it difficult to keep pace. Twenty five years ago, talking to another person involved booking a trunk call and waiting endlessly. Todayone can share pictures with an entire group of people while on the move. Development has revolutionised every aspect of life and healthcare is no different. Howeverit is not that keeping in contact over mobile phones betters relationships between people. Nothing can replace a one to one meeting and a face to face conversation. Similarly as regards a medical problem, even though vast knowledge could be available on the Internet by uploading reports, thorough clinical examination by a good doctor is irreplaceable and invaluable.
Surgeries on joints have improved the quality of life of millions of patients worldwide and are now rated among the best of all types of planned surgery. Like some people accept technology more easily than others, there are many who would rather suffer a lot of disability than go through surgery for fear of becoming worse. At the same time, there is a plethora of sites advertising different treatments claiming success, which would definitely confuse people. There is often no mechanism of getting the correct scientific and evidence based information.In this scenario, I have tried to address certain issues below on aspects related to surgery. As surgical techniques have evolved, concrete proof on each of these aspects has emerged, that too not in relation to a small group of patients but in various different environments all around the world.
To have or not to have surgery
There are few causes for which surgery is absolutely and urgently necessary on knees e.g. Fractures when the blood vessels are injured as well. Recommendation for surgery should be made only after discussing the merits and demerits of the procedure, and that too after clinical examination, not on the basis of reports. Commercialisation of healthcare has brought about practises where patients are coerced into immediate/ early surgery. There is evidence that most cases of ligament injury will not do well with immediate unplanned surgery, even Arthroscopy. If done immediately after knee injuries, they cause more stiffness and pain. In knee injuries where there are none or minor fractures, early rehabilitation by return to movement of the knee is the key. The majority of ligament injuries heal on their own. Splints, plasters or knee caps are grossly overused. They are known to weaken the muscles over time and would cause further predisposition to injury or worsen arthritis in the case of the young or older patient respectively. Correct rehabilitation after an injury should make the knee feel 70-80% better. One must pay attention to symptoms if present about a month or later after injury and consult the right specialist at that stage. If seemingly minor problems are neglected, they can progress to irreversible joint damage over time. Many people get arthritis very early in this country as mechanisms for recognition of early damage are not in place.
In the case of arthritis, we see various remedies- both operative and non- operative being advertised. Before going for any of these, one must question the scientific proof and explore side effects. Any knee pain is described as arthritis. In my practice most 40 to 60 year olds presenting with knee pain are due to muscular problems or moderate arthritis at the most, which can be very well managed without surgery. In such cases exercises have a better role than medications. Traditional systems of medicine can work very well if implemented in pure holistic form, without mixing treatments.
Surgery – joint replacementon the other hand, is not for any joint pain. It works very well for pain and disability associated with severe end stage arthritis I.e. Bone surfaces badly destroyed, not otherwise. There is a lot of research on unsuccessful joint replacement surgery and specialists practising exclusively in this field could reasonably predict after careful discussion and examination whether a patient might benefit or not.The commonest reason for unsatisfied patients is improper selection of patient for surgery. When the arthritis is severe, it is pointless to roam around looking for ‘magic’ cures, as different medicines (allopathic or traditional medicine) all have a side effect profile. Arthroscopy (keyhole surgery) is something with almost no risk, but works well for ligament and cartilage injuries, not for arthritis. If advised at age of 40 or less, there is little to think against it as there is no risk or downside to it. In fact, it can be done as a day case with no overnight hospital stay. Rehabilitation in such case should be quick and the person can even get back to work within a week– seems like hardly any surgery at all. On the other hand, keyhole surgery after the age of 40 may not always be so advantageous, as the presence of arthritis might make it’s success limited.
Timing
Surgery, if and when advised, should be planned with a clear understanding of what is wrong and what one aims to achieve. The practice of admitting a patient in hospital first, deciding on joint surgery and undertaking it with no clear idea of timelines must be condemned, as results are far poorer in scientific literature across the world. The best results are when a patient has had enough opportunity to contemplate what they are undergoing, had discussions with close family and friends who will contribute towards their support and rehabilitation after surgery.
There is enough proof to show that knee surgery is not as successful when a patient is not themselves ready to undergo it. Hence no one should be forced unless they make the choice on their own accord.Most timings can be planned as per family logistics over a few months’ time.
Investigations and MRI
Development has brought about endless tests which are easily available even in smaller cities. Blood tests and MRI of knees are recommended at a very early and often unnecessary stage. These often do not contribute anything towards the patients’ treatment and reportscommonly have errors when the MRIs are low resolution poor quality images. There is also a known limit of diagnostic accuracy with these and errors in imaging could be 20% or higher. I would like to strongly stress that any blood test report or image in the world has relevance only in the clinical context I.e. if it can be correlated with a problem following discussion with and examination of the patient.
If and when the same patient presents for surgery, MRI done many months in advance might be irrelevant if the clinical picture has changed by then. Hence I would strongly advise patients to know from their specialist doctor why a specific test or MRI is being requested and whether it is likely to result in surgery, with the urgency thereof. If the patient has logistic constraints or is keen to try non- surgical treatment, there is often no need to undertake MRI. It could be postponed to a time when situations change.
Worsening the situation
There’s no doubt that overt advertisement of healthcare commodities confuse patients when they have to make a choice for their treatment. The easy way found by most is to take various opinions from multiple places and compare costs. There is nothing wrong in seeking opinions from practitioners of different principles too. However patient compliance with all the treatmentsin such cases is often very low. One must therefore follow advice given by the doctor for the recommended period before deciding whether it works or not.
The onus is on the patient to approach a particular practitioner. Instead of roaming randomly from pillar to postand taking a mixture of treatments from different places, often resulting in greater side effects than benefit. A literate person could check whether the doctor being approached is the best suited for their specific problem in terms of speciality practice. When comparing prices, the patient must ensure that they are comparing like and like. There is no point in compromising on certain theatre standards purely to decrease the cost and also cut corners by undertaking certain surgeries in theatres not correctly equipped. Bigger setups could cost more but would certainly be safe. Technical details are difficult to explain to patients. It will help patients to frankly discuss above matters with their respective specialist and understand nuances rather than run around with half baked knowledge. There are different ways of decreasing costs which can be discussed as per the individual’s problem.
Cost of Surgeryand Implants
Many patients are convinced that they want ‘imported’ implants, but would like compromise on other aspects in hospital to reduce the cost. This notion is incorrectly founded, as there are now some good quality implants being manufactured indigenously. There are similarly a number of implants manufactured abroad that do not have much scientific research backing.
In my practice, it is not expense, but clinical need that determines what implant a patient should have. There are various implant designs registered successful in the long term on international joint registries. It is best to select one of these or an indigenous one based on similar engineering design principles, which every joint surgeon must be well versed with. Within these, there are cheaper and more expensive options.
There are packages available in most specialist centres where costs can be cut. It is not worth further compromising on these in smaller setups as risks of complications then increase drastically.There are schemes available through which the State pays a major chunk of the cost, even when the patient is not previously medically insured.
Recovery after Surgery, Blood transfusion and ICU stay
Best practice techniques internationally have enabled ‘Enhanced Recovery’ in planned joint surgeries I.e. Patients walk the same day of surgery and achieve a level of activity that they can manage independently at home following discharge. This technique has shown immense cost benefit by reduction of hospital stay and the requirement for additional rehabilitation measures at home after release from hospital.
Similarly, with modern techniques, we have seen that requirement for blood transfusion after surgery in our practice is less than 5%. ICU stay is ‘0’ for straight primary operations. There are guidelines established in specialty centres around the world for joint surgeries so as to minimise complications.These methods have revolutionised such apparently ‘major’ surgery. It is not worth doing such surgeries if these standards are not adhered to. Every patient undergoing joint surgery can have access to world best practice standards.
iMedWorks Ask Platform Links below:
1. Get a Medical Second Opinion
2. Search doctors and Request Appointment
CANCER CARE IN AYURVEDA
Physical and Psychological sufferings of patients dealing with a condition like Cancer has made a deep impact and galvanized our Cancer research efforts .In our quest to address these issues, we at Muniyal Ayurveda have designed and developed an innovative line of treatment for Cancer called Mahoshadha Kalpa
It is known that abnormal cell division is the genesis of cancer. But the exact cause for such a rapid and uncoordinated growth is not explained by modern medical science.
Our research leads us to believe that Disturbed Cellular Intelligence leads to abnormal cell division causing cancer. This disturbance can be attributed to vitiation of food, environment and consciousness. To correct this disturbance and awaken cellular intelligence an Integrated and Holistic approach is necessary which improves the overall health and brings about a strong sense of well-being in patients. This will bring about positive reinforcement both in the mind and body of the patient.
Mahoshada Kalpa
Kalpas are unique lines of treatment developed by Muniyal Ayurveda for treating chronic disorders. It is a combination of several Ayurvedic procedures, proprietary and classical ayurvedic medicines manufactured by Muniyal Ayurveda.
The treatment principle is developed on 3 pillars:
Curative: To Correct and control the abnormal cell division that leads to cancer. To control cancer growth progression and prevent metastasis.
Preventive: To detoxify the body by chelating heavy metals and scavenging free radicals. To achieve Bio-purification of the body
Rejuvenative: To Rejuvenate and Revitalize the patient both physically and mentally. This will immensely benefit the patient, who has been undergoing intense cancer treatment and interventions from a long duration. The rejuvenating treatment and therapies will help the patient start a fresh new life.
Lifestyle / supplementary care:
- Prevention of food-related (Aahara) diseases by adopting clinical diet
- Adoption of Dinacharya (daily regimen) and Rutucharya (seasonal regimen) to counter the environmental ill effects.
- Practice of Samata and Maitri Dhyana, Yoga and Pranayama for Chitta Shuddhi and Vipassana Dhyana to control the cancer growth progression.
- Rejuvenation of body cells by Pyramid therapy.
Benefits of Mahoshada Kalpa
- Early restoration of health – prolongs life span.
- No ill effects like hair fall, organ damage, etc.
- Early treatment provides better efficacy and benefits.
- Helps prevent Metastasis
- Treatment is economical, compared to prevailing lines of treatment.
- Can be used along with chemotherapy and radiation.
- Proper spiritual guidance and counseling improves will power to face the disease, and wards-off fear of death.
More than 350 cancer patients have received the Mahoshadha Kalpa treatment. On evaluation, the results of this treatment have been highly encouraging. Results have been detailed in the case study reports.
We have successfully helped patients diagnosed with different types of cancer and under different stages of treatment as listed below
- Recently diagnosed and not administered any form of conventional treatment,
- Administered conventional treatments like chemotherapy and radiotherapy,
- Discontinued chemo/radiotherapy.
- Post-surgical procedures
Mahoshadha Kalpa treatment has provided complete cure in several cases of thyroid cancer, ovarian cancer, cervical cancer, lung cancer and lymphomas. In most cases we could help the patient in various aspects i.e.; improving the quality of life, prolonging life span and life expectancy, development of positive attitude, minimizing the adverse effects of chemotherapy and radiation.
This positive result has further encouraged us to work towards making this holistic line of treatment available to maximum number of people suffering from cancer.
Few Short case studies suggesting the effectiveness of Mahoshadha Kalpa
CASE 1
A 27 year old female patient approached Muniyal Ayurvedic Hospital and Research Centre with the complaint of a swelling in the anterior aspect of neck since two months. There was no apparent constitutional symptoms. She had consulted a surgeon with the presentation of “multi-nodular goiter”.
Cytological diagnosis: HASHIMOTO’S THYROIDITIS WITH OCCASIONAL
PAPILARY CLUSTERS. SUSPICIOUS FOR PAPILLARYCARCINOMA.
On examination, the swelling was firm, nodular and moving up during deglutition. No lymph nodes involved.
Blood Pressure : 150/100 mmHg.
Thyroid profile: T3 : 112 ng/dL(normal range: 60 – 200)
T4 : 2.6 µg/dL(normal range: 4.5 – 12.0)
TSH : 97.48 µIU/mL(normal range: 0.30 – 5.5)
Treatment: I. Oral medication: Muneks tablets, Kanchanara guggulu, Munipyrin tablets
II. Pyramid therapy
III. Meditation
After 45 days of above treatment, the swelling is markedly reduced
Blood Pressure: 140/86 mmHg.
Thyroid profile: T3 : 101 ng/dL(normal range: 60 – 200),
T4 : 6.3 µg/dL(normal range: 4.5 – 12.0)
TSH : 20.34 µIU/mL (normal range: 0.30 – 5.5)
She continued the treatment for six months, her TSH level came to 5.2 µIU/mL
with no clinical features.
CASE 2
A 61 years old lady with carcinoma of sigmoid colon, post-operative, post chemotherapy with the metastasis at Liver and Lungs approached our hospital with the complaint of loss of appetite, gaseous distension of abdomen and mild cough. She was treated under Mahoshadha Kalpa. She is on regular follow up since 12 months with substantial improvement in her condition.
Her SGOT and SGPT levels which was elevated have significantly come down with increase in appetite and reduction in gaseous distension of abdomen.
CASE 3
A diagnosed case of papillary carcinoma of thyroid, with a swelling in the anterior part of neck was treated under Mahoshadha Kalpa. He took the treatment for about 4 years with regular follow up.
He is also a diagnosed case of Left Ventricular Hypertrophy and renal failure. He had complaints of general debility, loss of appetite, pedal oedema and exertional dyspnea. He is showing improvement in all these symptoms, swelling of neck has reduced .Blood urea has reduced from 87.00 mg to 49.00 mg, serum creatinine from 2.1 to 1.8. Thyroid Stimulating hormone reduced from 46.5 to 14.53(normal: 0.3 – 5.5) within 45 days which eventually got normalised by the end of three months (4.8IU/ml). This patient eventually showed no symptoms of thyroid cancer and his swelling in the neck was completely relieved.
CASE 4
A female patient aged about 40 years with infiltrating ductal carcinoma of right breast, post-operative but without any chemotherapy or radiation is under the treatment of Mahoshadha Kalpa since last 1 1/2 years.
She has showed good improvement in general condition like weight, appetite and haemoglobin and has shown no signs of metastasis.
CASE 5
A 60 year old male patient with bronchogenic carcinoma of the upper lobe of left lung approached Muniyal Ayurvedic Hospital and Research Centre two years back with the complaint of severe cough and breathlessness. He has not received any conventional cancer treatment.
After 2 months of treatment his cough reduced significantly and there no signs of metastasis. Treatment was continued for a period of two years with no serious episodes of symptoms but with dramatic remission in respiratory symptoms. CT scan done indicated no signs of bronchogenic carcinoma.
CASE 6
A 30 year old lady with carcinoma of lung was on chemotherapy with severe adverse reactions like weakness, vomiting, and oral ulcers. Her lesion was found to be chemo resistant. She is under Mahoshadha Kalpa treatment since one year.
Her symptoms like cough and breathlessness have considerably reduced; adverse effects of chemotherapy has subsided. There are no signs of metastasis.
CASE 7
A60 year old male patient, a diagnosed case of bronchogenic carcinoma (post-operative and chemo resistant) approached with the complaints of cough with haemoptysis, dyspnea and general debility.
He is also a known case of Type II Diabetes mellitus. His complaints like haemoptysis, cough and dyspnea drastically reduced in a month’s treatment.
He became almost asymptomatic after the treatment for about 12 months. CT scan of lungs indicated no signs of carcinoma. He is continuing the treatment since 7 years.
CASE 8
A diagnosed case of carcinoma of oesophagus and hard palate approached for treatment under Mahoshadha Kalpa. He had the complaints of dysphagia, loss of appetite, loss of taste, general debility, and cough with whitish sputum.
During the course of treatment his cough was substantially reduced, appetite improved and taste sensation is slightly better. USG of abdomen did not show any signs of metastasis.
Follow up endoscopy indicated no signs of carcinoma.
iMedWorks Ask Platform Links below:
1. Get a Medical Second Opinion
2. Search doctors and Request Appointment
MARC reports success in surrogacy program
In India, one in ten married couples is childless. The incidence of women suffering from infertility (inability to become pregnant) is continuously increasing due to several factors such as diet, life style, pollution and genetic reasons. Though many of these couples can be successfully treated by test tube baby (IVF = In Vitro Fertilization) technologies, women whose uterus is malformed or damaged and is incapable of carrying a pregnancy to term, can be treated only by surrogacy.
The term surrogacy is used when a woman carries a pregnancy and gives birth to a baby for another woman. Surrogacy is legally accepted in India as a treatment option for selected groups of patients. Surrogacy is the best way for infertile couples to have a baby genetically linked to them. It is an arrangement whereby a woman agrees to become pregnant for the purpose of gestating and delivering a child for others to raise. Recently MARC has succeeded in establishing surrogacy program where eggs and sperm of infertile couple were fertilized by IVF. The resulting embryos were transferred to a surrogate mother who delivered a healthy baby for the couple. MARC also offers Donor egg programme for those women who have low quality eggs due to age factor or for any other reasons and the success now is 60 at MARC.
The team includes Dr Pratap Kumar, Dr Satish Adiga and others. MARC (Manipal Assisted Reproduction Centre) is proud to achieve the same with its success becoming better than the earlier years due to the centre being equipped with state-of-art technology and trained professionals.
iMedWorks Ask Platform Links below:
1. Get a Medical Second Opinion
2. Search doctors and Request Appointment
Dealing Stuttering, the right way!!!
Many of us would have seen a person with a stutter in our day to day lives,or in movies or would have read about it. It is increasingly becoming a common problem with many people these days.A person who has stuttering goes through lot of anxiety,fear,tension,inferiority complex etc. are some of the feelings and they tend to withdraw from talking to others. It usually begins in childhood and continues to be in adulthood for many of the people who are affected.
The cause of stuttering is still unknown but there are various factors which are reported to be leading to the issue. Genetics play a major role and it is usually observed that it runs in families, So if there is somebody in the family who is having stuttering, the chances are high for another person in the family to have the same difficulty. Language learning years is especially taxing for a child and that can also lead to fluency issues. For children it is easier to get rid of stuttering as compared to adults with the careful guidance of professionals. As an adult it can affect the day to day activities of a person like getting into the right job, selection of the life partner etc. But there is a ray of hope for all of them because stuttering can be treated!!!!!
Speech therapy is an effective tool for helping people with stuttering. It not only helps reduce the difficulties that a person experience while talking but also takes care of the specific issues that a person may have while talking to higher authorities, opposite gender or to strangers. Getting a Speech therapy consultation at the right time matters a lot and intervention should be started as early as possible.
Worldwide, October 22nd is celebrated as International Stuttering awareness day and this day is intended to raise public awareness about stuttering. Many programs are conducted all over the world to create and spread an understanding about stuttering and also ways to treat it. The Department of Audiology and Speech Language Pathology offers services towards the assessment and intervention of individuals with stuttering.Those who are interested to seek help with the problem of stuttering may kindly contact the department.
iMedWorks Ask Platform Links below:
1. Get a Medical Second Opinion
2. Search doctors and Request Appointment