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Kidney Transplant

Posted by on Mar 4, 2015 in Apollo Health Blog, General Health | Comments Off

Kidney Transplant

A patient having Chronic Kidney Disease or End Stage Renal Disease is advised to undergo kidney transplantation. The advantage of transplant over dialysis is kidney transplantation is better in terms of quality of life, longevity of the patient and also cost in the long run

What is kidney Transplantation?

A kidney transplantation is surgically transferring a functioning kidney from a person (called the donor) to another person whose kidneys are not working (called the recipient) is called renal transplantation. Transplant of Kidney from a live donor is called live renal transplantation and kidneys taken from a dead person (who is certified brain dead) is called cadaveric renal transplantation*

*Please note that kidney for cadaveric renal transplantation is taken within a time limit since donor has been declared dead

Criteria for Kidney Transplant

Recipient diagnosed with ESRD (End Stage Renal Disease). Patients diagnosed with ESRD but cannot undergo Kidney Transplant

  • Patients with reversible causes of renal dysfunction
  • Patients with severe cardiac dysfunction, lung disease, cancers
  • Patients with chronic infections‚ HIV, HbsAg +ve with active and advanced disease (Some of these patients are accepted if they are otherwise well and the family accept the higher risk of morbidity in such cases)
  • Patients with active Vasculitis, SLE, or any infection which could flare up in the post transplant period.

Care for healthy & beautiful eyes

Posted by on Mar 4, 2015 in Apollo Health Blog, Doctor's Articles, General Health | Comments Off

Care for healthy & beautiful eyes

Eyes are important highlighters of the face. Healthy and beautiful eyes are as important as a healthy and an attractive body. Health of the eyes can be affected due certain risk factors and lead to associated conditions around the eyes.

Natural factors

Wirth age, health of any organ in the body is affected. The skin around the eyes loses its elasticity and becomes dry, dull, wrinkly and pigmented. The lids become loose and hang like a hammock leading to stagnation of tears, eyelid muscles and fat undergo thinning and absorption giving a tired and droopy look and blurred vision is secondary to aging of the natural lens (development of cataract)  and retina ( responsible for image formation).

Medical conditions

Diseases like hypertension, diabetes, nutritional deficiencies, unstable thyroid, high cholesterol levels, and malignancies can affect different layers of the eyes. Commonly visible changes are thick yellow deposits along the corner of the lids called xanthelesma, dryness of eyes, early cataract formation and retinal changes. Protruded eyes are seen in thyroid patients.

Occupation and lifestyle

IT professionals, field workers, welders, farmers, electricians, industrial workers are to name a few who are at added risk. The long hours of work in front of systems, bright lights, dusty atmosphere make the eyes dull, dry and tired. There is also an increased risk of injuries due to potentially hazardous materials like gas, oil, molten metals etc. Unhealthy and sedentary lifestyle, imbalanced diet, smoking and alcoholism exacerbates the aging and damage.

Care for healthy and beautiful eyes

  • Regular annual or biannual visits to an ophthalmologist and family physician
  • Healthy diet and lifestyle with one form of exercise on daily basis
  • Protective and antiglare glasses
  • To retain the beauty of eyes, consult ophthalmic plasty and cosmetic surgeon( Eye plastic and cosmetic surgery)

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Dr. Shubhra Goel, MBBS, Diploma Ophthalmology ( D.O.) DNB, MNAMS
Ophthalmic Plasty ( Oculoplasty) and Facial Cosmetic Surgery,
Apollo Health City, Hyderabad

What is dialysis and how does it work?

Posted by on Mar 4, 2015 in Apollo Health Blog, General Health | Comments Off

What is dialysis and how does it work?

Dialysis is the process of removing wastes and impurities from the blood and is done when a person’s kidney doesn’t function properly, due to kidney failure, severe diabetes, a congenital kidney disease, hypertension or other health problems.
Dialysis is a form of renal replacement therapy. Dialysis can be done for a short period, in case the patient is waiting for a kidney transplant. If the patient doesn’t qualify for the transplant, life-long dialysis will be needed.
There are two types of dialysis:
HemodialysisIn hemodialysis, a machine called a dialyser is used to filter the blood. A catheter is placed in a vein in the arm, and a needle inserted into this catheter is connected to a tube that carries blood into the dialyser. In the dialyser, a semi-permeable membrane separates the blood from a dialysis fluid. The wastes in the blood pass through the membrane into the fluid, and the clean blood is sent into the body.
Peritoneal Dialysis
In peritoneal dialysis, the abdomen is filled with a glucose-based liquid through a small hole created in the peritoneal membrane (lining of the abdominal cavity). This solution cleans the blood of wastes.
Peritoneal dialysis can be done when the patient is performing regular activities. Such dialysis is called Continuous Ambulatory Peritoneal Dialysis. The patient will be trained to infuse and drain out the fluid a few times every day. Peritoneal dialysis can also be done with the help of a machine, at night, when the patient is sleeping.
Plasma exchange may be done along with dialysis, to filter clotting factors and unwanted proteins. Charcoal hemofiltration in which a charcoal layer is used to remove wastes from blood, a process similar to dialysis, may sometimes be used.

 

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Opthalmic Reconstructive & Cosmetic Services

Posted by on Mar 3, 2015 in Apollo Health Blog, Doctor's Articles, General Health | Comments Off

Opthalmic Reconstructive & Cosmetic Services

People are unaware of the causes of oculofacial maladies and treatment available. Busting these myths and misconceptions, is an examples of dark circles. Dark circles are attributed to lack of sleep. But reality spells out that they may be due to genetic factors, increased blood circulation or due to facial structure variations. Facial paralysis affects not only the eye alone but the entire morale of the person.  It is time to dispel the myths about oculofacial defects and spreading awareness on the benefits of reconstructive aesthetic procedures.

Opthalmic Reconstructive Services Include: 

  • Malpositioned eyelids - in turning or out turning ( entropion, ectropion ), paralysis ( facial nerve paralysis), non closure of eyes( lagophthalmos), small eyelids, big eyelids, loose eyelids, absent eyelids
  • Eyelid reconstruction- damaged and deformed lids as a result of trauma, previous surgery or burns
  • Eyelid and eyeball swelling – Infections, Inflammations and tumors of eyelids and bony walls of eyes
  • Excessive tearing due to blockage of tear duct and its passage
  • Eye bone fractures- Orbital fractures
  • Eye lid spasms or twitching -Blepharo spasms, Hemifacial spasms
  • Thyroid eye disease and related changes
  • Eyeball deformities- Sunken eye ( Enophtalmos) or out word protrusion ( Proptosis)
  • Artificial eyes- Prosthetic eye
  • Birth deformities of eyelids and socket – Congenital diseases
  • Absent eyes- cryptophthalmos, microphthalmos
  • Tumors and cysts of eyelids and orbit

Opthalmic Cosmetic Services Include:

  • Droopy brows- Forehead Lifting/Eyebrow Lifting
  • Droopy eyelids- Eyelid Lifting or Ptosis Repair
  • Extra eyelid skin and or bags- Blepharoplasty
  • Hollowness below eyelids- Tear trough deformity
  • Asian Blepharoplasty- Double eyelid surgery
  • Unwanted facial fat removal -Facial liposuction
  • Stem cell transfer or eye lid and facial fat transfer
  • Scar management
  • Frown lines and wrinkles- Botox and Dermal Fillers
  • Dark circles
  • Non surgical face lift
  • Eyelid bumps- cysts, horns, xanthelsema, warts

 

———————————–

Dr. Shubhra Goel, MBBS, Diploma Ophthalmology ( D.O.) DNB, MNAMS

Ophthalmic Plasty ( Oculoplasty)  and Facial Cosmetic Surgery,

Apollo Health City, Hyderabad

Eye Reconstructive Surgery

Posted by on Mar 3, 2015 in Apollo Health Blog, Doctor's Articles, General Health | Comments Off

Eye Reconstructive Surgery

Ophthalmologists are often related by a common man to cataract or lasik surgery and glasses. However today, Ophthalmology is one of the fastest growing specialties. One of the niche super specialty is Ophthalmic Plastic Reconstructive and Cosmetic Surgery. It is also called as eyeplasty, ophthalmic plasty, oculoplasty and sometimes oculofacial surgery.

What is Ophthalmic Plasty and Facial Cosmetic Surgery?

          The word “plastic” is derived from a Greek word that means “to mold” or “to give form.” Plastic surgery is surgery that molds or reconstructs parts of the human body. Ophthalmic plastic surgery is plastic surgery that is limited to the structures surrounding the eye. Since this delicate surgery can affect one’s ability to see, ophthalmic plastic surgeons are best qualified to perform it and also to provide any care that the eye itself may need.

Are all eye surgeons oculofacial or eye cosmetic surgeons?

         An ophthalmic plastic and reconstructive surgeon is an ophthalmologist (medical doctor and eye surgeon) who has completed additional training in plastic surgery as it relates to the eyes and their surrounding structures.

 

———————————–

Dr. Shubhra Goel, MBBS, Diploma Ophthalmology ( D.O.) DNB, MNAMS

Ophthalmic Plasty ( Oculoplasty)  and Facial Cosmetic Surgery,

Apollo Health City, Hyderabad

Dry Eyes

Posted by on Feb 27, 2015 in Apollo Health Blog, General Health | Comments Off

Dry Eyes

What are Dry Eyes?

Tears are present in every human beings eyes, which support the vision & lets the eye balls move freely in different angles. Tear Glands produce tears in order to keep the eyes wet, if any dust/partical/insect enters the eye, tear glands release tears so that dust/partical/insect washes out. If tear gland doesnot produces tears, the dust /partical/insect would stay inside the eye, causing damage to the cornea and results in many problems. If the tears dry up, eye balls cant move smoothly resulting in pain, irritation, redness, ulcers,cornea problems, loss of vision, infections, etc.

Dry eyes problem is seen mostly in people who use computer/laptop, watching TV closely, or reading for an extended period of time, or due to excess heat, rise in temperatures, lack of humidity, etc similar factors.

Remedies:

1. Regularly wash eyes with cold water.

2. Dont rub eyes if any thing falls in, close eyes for about 1-2mints, with water the dust/partical/insect would come on to the corner.

3. Need to drink plenty of water in the mornings

4. Cooling glasses can also be helpfull

5. Place slices of cucumber on eyes, it would help the eyes to relax

6. Even a cotton piece dipped in cold water can be placed on eyes.

 

If the problem still persits consulting an Opthalmologist is a must.

What is a Medical Intensive Care Unit

Posted by on Feb 27, 2015 in Apollo Health Blog, General Health | Comments Off

What is a Medical Intensive Care Unit

Medical Intensive Care Unit (MICU) takes care of a range of medical illness like Acute Respiratory Distress Syndrome, Sepsis, Septic shock, Severe Acute Pancreatitis, Acute Kidney Injury, Acute on Chronic kidney diseases, Acute and Chronic Liver diseases, Acute severe asthma, COPD, Poisonings, Acute respiratory failures of various causes, Congestive heart failure, Acute coronary syndromes and all critically ill patients of various diseases.

At Apollo Health City, we have, state of art Ventilators, Monitors, Renal replacement therapies including CRRT machines, Non – invasive Ventilators and other support machinery.

The ICU is manned by trained Intensivists 24X7 who have degree recognized from the National and International Boards of Education . We also have well competent nursing staff which is trained in BLS , ACLS and PALS courses. To add on to the patient care we have in house pharmacists , physiotherapist, dietician and medical social worker providing Comprehensive services care in the ICU

Our Department is a also a recognized centre by Indian Society of Critical care for training of post MD doctors in Critical Care Medicine. Apart from this we also run training programs for all the nurses to keep them updated about the ICU care and treatment which helps them enhance their soft skills.

Patients are sedated during their stay in ICU. Pain relief is provided with many drugs and gadgets all these things or physician let, patient might have increased or decreased requirements to solve their problem patient controlled analgesia has been introduced patient can adjust paying relief measure as much he requires. Apollo hospital has its own anti- biotic policy regular using of bacterial filters quick reporting of culture results judicious use of anti-biotics has ensured reduction in the growth of drug resistant micro-organisms

What is Psoriatic Arthritis

Posted by on Feb 26, 2015 in Apollo Health Blog | Comments Off

What is Psoriatic Arthritis

Psoriatic Arthritis is a type of arthritis associated with psoriasis (a skin problem- skin looks like red, patchy, raised or scaly areas) and chronic joint symptoms. Most people develop psoriasis first and are later diagnosed with psoriatic arthritis, but the joint problems can sometimes begin before skin lesions appear. The symptoms of psoriasis and joint inflammation often develop separately.

Signs and symptoms

  • Pain, swelling, or stiffness in one or more joints.
  • Swelling in the fingers or toes
  • Lower back pain
  • Changes in the nails with sever pain

Types:

  1. Symmetric psoriatic arthritis
  2. Asymmetric psoriatic arthritis
  3. Distal interphalangeal predominant (DIP)
  4. Spondylitis
  5. Arthritis mutilans

How is it Diagnosed?

There is no specific test to diagnose psoriatic arthritis. It is usually diagnosed by multiple diagnosis.

psoriatic-arthritis-

Breast reconstruction

Posted by on Feb 25, 2015 in Apollo Health Blog | Comments Off

Breast reconstruction

Now a days most women are opting for this treatment & gaining confidence in themselfes. Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.

There are four main types of breast reconstruction.

Reconstruction using a breast implant.

An implant is placed under the skin and muscle that covers your chest to create a breast shape. The most common type of implant used is an implant/expander.

Reconstruction using your own tissue.

Skin, fat and sometimes muscle are taken from another part of your body to make a new breast. This type of operation is more complex than using an implant.

A combination of both an implant and your own tissue.

A breast shape is created using both an implant and skin, fat and sometimes muscle taken from another part of your body.

Your surgeon will advise you on the type of reconstruction that’s most suitable for you.

Reconstruction using your own body fat.

Fat from unwanted areas of the body is harvested and transferred to the breast. An important prerequisite is to use an external expander device for a brief period of time before the surgery.

 

——
Dr. V. Kameswara Srinagesh,

Plastic and Cosmetic Surgeon,

Apollo Health City, Jubliee Hills, Hyderabad.

Postoperative Care

Posted by on Feb 25, 2015 in Apollo Health Blog | Comments Off

Postoperative Care

Postoperative care refers to the care you receive following a surgical procedure. This may include pain management and wound care. The type of postoperative care you require depends on the type of surgery you have.

Postoperative care begins immediately after surgery, for the duration of your hospital stay, and may continue after your discharge from the hospital. Part of postoperative care is awareness of the potential side effects and complications of your procedure.

Postoperative Complications

Depending on the type of surgery you have, there are many potential complications in the postoperative period. General complications include infection, problems at the surgical site, and blood clots due to inactivity. Prolonged inactivity can also cause a loss of muscle strength.