RELEASE OF ‘HEALTH FIRST’: THE MEDICAL NEWS-LETTER
Adiva released its first issue of ‘Health First’, the medical news-letter on 29th May, 2014. Prior to the Health-Camp, the tabloid was released which contained interesting articles on important issues by the super-specialists in their respective areas of expertise. The articles that were released in the tabloid were as follows:
INTERVIEWING THE CEO
Please tell us about this initiative on prevention of diseases.
With immense pride, I heartily welcome you to the world of Adiva Super-Speciality Care for this patient education and awareness and prevention activity our team is doing on June 1st. We believe patient education can prevent and help in early detection of many diseases. Our leading doctors would provide free OPD and basic test like blood sugar, blood pressure; bone densitometry would also be done free. If a patient requires advance tests, we would subsidise cost for this day.
What are the super specialties you offer at Adiva Hospitals?
Adiva Group of Hospitals, a name that is already revered for its extensive contribution to women healthcare, now has two established centres – 40 bedded Super Speciality Centre at Green Park with super specialities like Urology & Andrology, Nephrology, Orthopedics, Obstetrics & Gynecology, Pediatrics, Minimally Invasive Surgery, Internal Medicine, Intensive Care units for adults as well as neonates. The other centre ADIVA – Super Speciality for ENT & Cochlear Implant at Uday Park with specialities like Cochlear Implant surgeries, Micro Ear surgeries, Nasal Endoscopic surgeries, Phono surgery / Thyroplasty, Micro Laryngeal surgery, Lase, Sleep studies, Coabalation, Hearing tests & hearing aids and Speech therapy & AVT..
What is your mission at Adiva Hospitals?
Our mission is to evolve as a medical enterprise devoted absolutely to address the healthcare needs of all its patients with incessant consideration to patient safety and clinical excellence. We strive to endorse wellness, to alleviate distress and to reinstate health as speedily, as carefully and as humanely as possible.
With a highly specialized workforce comprising of celebrated doctors and paramedical staff, ADIVA takes care of all the health woes of an individual. ADIVA is our passion and pride. It has everything that makes a difference between ordinary and extra ordinary. And with a single minded vision of giving the best, to achieve the best, we envision to be recognized globally as a leader in healthcare
WHEN TO GET PROSTATE SURGERY DONE
While medications help many men with an enlarged prostate ( also called benign prostatic hyperplasia : BPH) they may not always be effective in relieving symptoms. The Next Step in treating enlarged Prostate is minimally invasive surgical procedures. These are available to treat moderate-to-severe enlarged prostate symptoms that are bothersome. These procedures are also used if tests show that urinary function is seriously affected.
Surgery is usually recommended in treating BPH-related complications, such as:
• Urinary retention
• Failure to respond to medical or minimally invasive treatments.
• Blood in the urine that is not getting better
• Bladder stones formation
• Frequent urinary tract infections because of BPH
• Kidney function damage
When to get the surgery for enlarged prostate done’ is the question most seniors face. As you discuss the options, ask your doctor these five questions:
1. Is there a good chance my condition will improve?
2. How much will it improve?
3. What are the complications or limitations of these surgical options?
4. Is there any long term effects?
5. Will I need to have this treatment repeated in future?
There are many minimally invasive options available e.g. TURP/ HoLEP / KTP Laser / Diode Laser / TUIP etc.
Longer Delays Could Increase Risk – While delaying surgery ( if indicated ) for short term is not associated with an increased risk of complications , delaying treatment longer can have irreversible damage to urinary bladder and result in poor outcome of any surgical procedure .
Choose Treatment, Doctor Carefully – Patients absolutely should take the time to fully understand the disease its effect on their body, different treatment options available and the side effects associated with those treatments. After understanding these things they should participate in decision making. Another important consideration is the experience of the treating Urologist which makes the outcome of this option the best.
EARLY DETECTION OF PROSTATE CANCER
Prostate cancer that is detected early when it’s still confined to the prostate gland — has a better chance of successful treatment. Prostate cancer occurs in a man’s prostate — (a small walnut-shaped gland) that produces the seminal fluid that nourishes and transports sperm. This is one of the most common cancer in men. Prostate cancer usually grows slowly and initially remains confined to the prostate gland, where it may not cause serious harm and symptoms. While some types of prostate cancer grow slowly and may need minimal or no treatment, other types are aggressive and can spread quickly.
A readily available blood test called prostate-specific antigen (PSA) is used for the early detection of prostate cancer. Total PSA, free PSA and their ratio is used to increase the sensitivity of this test. Although prostatic inflection and very large benign prostate gland can also increase the value of PSA, careful analysis by digital rectal examination, urine examination and ultrasound especially transrectal ultrasound can also increase its sensitivity. Periodic assessment of PSA also helps in measuring the velocity of increase of PSA and indicate abnormality. If PSA is high (>4.0 ng/dl) and your doctor suspects the cancer then a Trans rectal Ultrasound (TRUS) guided Prostatic biopsy is done form at least 12 regions of prostate to confirm or rule out the malignancy so that specific treatment can be planned.
EARLY DETECTION OF PROSTATE CANCER
I recommend you start dialysis when your kidney function drops to 5-10% or less — or even early if you have severe symptoms caused by your kidney disease, such as: shortness of breath, fatigue, muscle cramps, nausea or vomiting. Your doctor will help you decide when to start dialysis, based on results of lab tests that measure how much kidney function you have left and on your symptoms.
Private insurance generally covers treatment for kidney failure whenever your doctor says it is needed. If you are not having symptoms, you may be able to wait a bit longer before you begin dialysis. However, some doctors believe that starting dialysis as soon as Medicare or insurance covers it is wise, since it can take a long time to recover if you let yourself get very ill. Since chronic kidney failure often happens slowly, sometimes people do not even know how bad they feel, until they start dialysis and begin to feel much better.
It is important to start getting ready for dialysis or a transplant well in advance — when your kidney disease reaches Stage 4 (severe, with glomerular filtration rate, or GFR, less than 30 mL/min). Learning about the types of dialysis and transplant options will help you make a choice that is best for you. Any type of dialysis will require surgery — usually outpatient — to allow access for your treatments, and this should be done well in advance to allow time for healing.
HOW TO TACKLE URINARY LEAKAGE
Urinary incontinence is a fact of life for many people. It can happen as we get older, and for women during pregnancy or after birth, even as the result of a persistent cough. What can you do to take control?
Here are some tips on how to take matters into your own hands — and make living with urinary incontinence a lot easier.
Which Type of Urinary Incontinence Do You Have?
Urinary incontinence (UI) is the involuntary loss of urine and “it’s a common condition” in men and women of all ages. The two main types of urinary incontinence are:
• Stress incontinence, which can cause leakage when you cough, sneeze, exercise, laugh, or strain to lift something heavy.
• Urge incontinence, which is an unexpected, sudden urge to urinate, one that’s so strong it can be hard to reach the bathroom in time.
No matter which type of urinary incontinence you have, simple behavioral tips can help you deal day to day.
8 Quick Tips for Coping With Urinary Incontinence
1. Do Kegel Exercises. An important urinary incontinence treatment, Kegels are especially effective for women with mild symptoms. Kegels are simple to do: Simply clench and unclench your pelvic floor muscles. Which muscles are those? Next time you pee, stop the stream of urine midway. Presto! You’ve just found your pelvic floor muscles and done your first Kegel. But don’t make a habit of stopping your urine when you pee, as it can actually weaken muscles. Do Kegels anywhere and everywhere else, though: while online, on hold, or in the car. Start by clenching your pelvic floor muscles for three seconds, then release for three. Repeat ten times. As you develop strength over time, aim to hold the muscles for ten seconds and release for ten.
2. Stick to a Pee Schedule. Don’t feel like you need to go? Head to the bathroom anyway. Why? Timed urination helps keep the bladder empty.
3. Fill the Void. And don’t be in a hurry when you’re in the bathroom. Take your time in there and after you’ve finished urinating, relax a bit and then urinate again — this practice, called double voiding, helps really empty the bladder.
4. Keep the Path Clear. Having accidents before you make it to the bathroom? It’s time to clear your path of obstacles so you can get there faster. And then help yourself once you’re there by wearing easy-to-release clothes — think elastic waistbands and Velcro closures.
5. Consume less Caffeine. As much as you may love your cup of coffee, or crave a cola come 3 p.m., you’re doing yourself no favor by drinking caffeine-rich beverages like coffee, tea, and carbonated drinks. To help control urinary incontinence, eliminate these diuretics — or at least cut back.
6. Drink Up, But Not Too Much. Your body needs fluids, so be sure to drink enough to stay well hydrated. Drink about two quarts (eight cups) to keep your bladder and kidneys healthy.
7. Watch for Medication Side Effects. Talk with your physician to make sure you’re not taking any prescription or over-the-counter drugs that could be making your urinary incontinence worse. If you are — and need those medicines — Comiter suggests you “stay close to home (near a bathroom) for a few hours after taking a diuretic” drug.
8. The Tampon Tip. Women can try wearing a tampon to help control leaks when they jog, run, dance or do other energetic activities. The tampon puts a bit of pressure on your urethra, helping to prevent leakage.
SIMPLE FACTS OF INFERTILITY
FAQ1. What is infertility? When a couple is living a Conjugal life without practicing any form of contraceptive for 1 year and still has not conceived, then the couple is clinically known as Infertile couple.
FAQ2. Is infertility only a female problem? Infertility has both male and female factors, although male factor is 25%, whereas female factor is 75%, but still male factor if detected should be treated by Uroandrologist. The female partner should be treated by Gynaecologist.
FAQ3. Does infertility treatment only mean assisted reproductive technique? Assisted reproductive technique is the last resort. The couple should be thoroughly evaluated on the basis of history taking, clinical examination and investigations.
FAQ4. Are there surgical ways of treating infertility? There are many pathological conditions which leads to female infertility like uterine polyp, fallopian tube blockage, submucous fibroids, uterus having two cavities, uterine synachae. These conditions have to be corrected surgically, otherwise even assisted reproductive technique will not yield any results.
FAQ5. Does male infertility require surgical management? Common causes of male infertility are varicocele, undescended testis, testicular atrophy. These conditions have to be tackled surgically to improve the quality and quantity of sperms.
FAQ6. Does life style of male affect fertility? Yes definitely male factors like obesity, tobacco use, smoking, alcohol use, heavy exercise, tight undergarments, exposure to hot environmental conditions, use of too many mobile phones can adversely affect fertility. Hence alleviation of these factors drastically improves fertility. Sometimes results are obtained with proper counseling and without further intervention.
FAQ7. Does life style of a female affect fertility? Yes. Obesity, sedentary life style, exposure to radiation leads to infertility. Correction of these factors improve fertility significantly.
FAQ8. Is assisted reproductive technique the absolute solution? No, these procedures should be done only after proper selection of the couples. These procedures are expensive. Results are not absolute. And should be used as last resort only.
SPECIAL CARE NEW BORN BABIES: NEONATOLOGY SPECIALIZES IN FIRST 28 DAYS OF HUMAN LIFE
Neonatology refers to the care of newborn infants due to premature birth, low birth weight, birth defects, heart trouble, lung problems, or other life-threatening conditions. Adiva Hospital, Green Park is home to a state of the art Neonatal Intensive Care Unit (NICU). Our NICU is equipped to care for the tiniest and most critically ill babies, offering the greatest range of neonatal services and support.
Few parents consider the possibility that their baby might need special medical care after birth. Even fewer think about which neonatal intensive care unit (NICU) might care for their baby
One out of nine mothers do not carry her pregnancy to full term (37 or more weeks), and roughly 20% of babies born in a hospital require some sort of special care in the NICU. We hope that your pregnancy and delivery go smoothly, but if the unexpected should occur, here are some facts you must consider: NICU at Adiva Hospital, Green Park is a busy unit catering to the needs of high risk newborn babies. .Care of the NICU babies is in the hands of a senior qualified neonatologist, along with a team of pediatricians, experienced in the care of fragile, sick newborns.
We routinely receive babies weighing less than 1000 grams at birth and have an excellent track record in the intact survival.
SHOULD YOU GO FOR A PARTIAL OR FULL JOINT REPLACEMENT
Knee replacement surgery involves replacing some or all of the components of the knee joint with a synthetic implant, to repair the damaged weight-bearing surfaces that are causing pain. A total knee replacement surgery replaces all three compartments of the diseased knee joint. A partial knee replacement involves an implant in just one or two compartments of the knee, retaining any undamaged parts. While there are non-surgical and surgical interventions short of knee replacement which will often provide temporary relief, the long-term resolution to most knee degeneration will be joint replacement.
There are several different implant designs but each will offer renewed stability and movement. Over all, there are two main benefits to be gained from knee replacement surgery
• Elimination of pain.
• Improved range of motion.
Of all possible surgical interventions, total knee replacement offers the greatest quality of life improvement. The procedure has a high rate of success. Partial knee replacement is not possible for all patients with arthritis, indeed, it is indicated when the arthritic condition is fairly localized. However, when it is appropriate, it is important to educated patients of the pros and cons of partial vs total knee replacement.
Both partial and total knee replacement can provide durable pain relief and improve function in patients with knee arthritis. Partial knee replacement is not appropriate for all patients with knee arthritis and may only be possible in 10-30% of patients.
Total Knee replacement is a very durable operation that can last for 30 years. It predictably allows patients to walk, hike, ride a bike and swim.
A downside of partial knee replacement is that it may not be as long-lasting as Total Knee Replacement. One of the primary reasons for this is that Partial Knee Replacement can fail quickly if they are poorly positioned at the time of surgery. Indeed, PKR is a technically demanding procedure, and prone to surgeon error.