I was just thinking of a rather common issue as I got a text early morning from an admitted patient's husband."Doctor when can we get your Personal attention'?The lady got admitted with some problem at 4 in the morning today.Her management which was anyways conservative was arranged and coordinated by me telephonically with a trained registrar to look after her care and only on being sure that she is fine I slept back.And this message left me little disappointed.
Then from the perspective of the patients husband,I thought and disappointment was little less.For an anxious attendant who has no knowledge of medical science any condition can look serious,for me which is not. They feel so helpless and gain the confidence to see their doctor WITH them physically.I would love to do that i.e to be present all the time with my patients to give them the much needed mental support,but God that is not humanly possible..............
Not a routine health blog.Written by a Gurgaon IVFspecialist working in an Indian Corporate Hospital (Artemis Hospital,Gurgaon with personal clinic at Nirvana Courtyard, Nirvana Country,Gurgaon)addressing various aspects ofInfertility,IVF and women health in general,Pregnancy,ups and downs of patients and doctors and their interpersonal relationships.Mostly sweet,sometimes sour,just the way life is .........
Monday, October 26, 2009
Saturday, October 17, 2009
Wednesday, October 7, 2009
Fast in Pregnancy
Since yesterday I got anxious calls from many would be moms whether to keep a KARWA CHAUTH FAST or not.Well Hinduism as well as Islam both are lenient towards pregnant women and a fast isn't mandatory.
Short duration fast like that of Karva Chauth should not affect the baby ,though if it is a prolonged fast like during Ramadan,baby and mother both can be affected.Even during Karva Chauth it would be advisable to have water,juices and other eatables which are approved as food ment to be eaten during the fast.Hope this helps...........And if one wishes to go ahead without water too,then one has to see how the day progresses and if feel too dehydrated or exhausted can have water.I am sure God would forgive you,coz even he won't like your little baby who is still inside the womb and dependant on you for nourishment to have a forced fast
Short duration fast like that of Karva Chauth should not affect the baby ,though if it is a prolonged fast like during Ramadan,baby and mother both can be affected.Even during Karva Chauth it would be advisable to have water,juices and other eatables which are approved as food ment to be eaten during the fast.Hope this helps...........And if one wishes to go ahead without water too,then one has to see how the day progresses and if feel too dehydrated or exhausted can have water.I am sure God would forgive you,coz even he won't like your little baby who is still inside the womb and dependant on you for nourishment to have a forced fast
Vomiting in pregnancy
Never thought VOMITING IN PREGNANCY(HYPEREMESIS) can be such a big problem to make a person loose all her self confidence an contemplate termination of pregnancy.Even my all time faithful,Prednisolone isn't helping her.In fact she is the first case in which prednisolone hasn't worked.Feel so helpless......... Anyone has a better solution???And no,she isn't ready to get admitted for injectables or i.v. fluids.
Monday, September 28, 2009
HPV VACCINE
HPV vaccine.sounds good.......................uhhh........but what is it?why?Let us talk about cervical cancer a bit,(cancer of mouth of the womb),Commonest killer cancer amongst Indian women.Out of 5 lac cases detected annually globally,India has 1 lac of them,Scary isn't it???That too a cancer which is preventable.
A routine check called 'Pap Smear' should be done every 3 years from the age of 24 to 50 and then at 5 yrly interval between 50 to 64.After that you don't need it.
Now HPV vaccine sounds wonderful but for the cost,lack of awareness and a little stigma attached with HPV of it being transmitted sexually in majority of the case.
But anyways it might turn out useful in long run,when it is cheaper than the current Rs 9000/.
The recommended age is between 9 yrs to 26 years.And still one needs regular pap smears.
http://www.cancerscreening.nhs.uk/cervical/
www.myhealthguardian.com/Combat-cancer.asp
A routine check called 'Pap Smear' should be done every 3 years from the age of 24 to 50 and then at 5 yrly interval between 50 to 64.After that you don't need it.
Now HPV vaccine sounds wonderful but for the cost,lack of awareness and a little stigma attached with HPV of it being transmitted sexually in majority of the case.
But anyways it might turn out useful in long run,when it is cheaper than the current Rs 9000/.
The recommended age is between 9 yrs to 26 years.And still one needs regular pap smears.
http://www.cancerscreening.nhs.uk/cervical/
www.myhealthguardian.com/Combat-cancer.asp
Sunday, September 27, 2009
New to India and looking Options for Antenatal care?
New to India and looking Options for Antenatal care?
Well yes ..................can appreciate if you are a foreigner living or working in India and your health care system is different than Ours,you might be pretty confused.Where to go?
Recently One such mom delivered under my care.A cool couple.Very chilled about the things but still there was an apprehension.Not with me,not with hospital but just as it is a country which is not as familiar to them.They made a very sensible birth plan which looked so very exhaustive to our team members,but in fact it wasn't.They were just too prepared for the whole experience of pregnancy and childbirth.A birth plan given in advance helped us in giving them a good quality care.And yes! it felt really good when they left the hospital on a very positive note,happy with the whole team.So if you are new to India,little apprehensive and wish to know where to go for health care,I would certainly suggest give yourself as well Us(i.e ,MAX Gurgaon) a chance to make your health care experience in India a memorable one.
http://www.maxhealthcare.in/international_patient/index.html
Well yes ..................can appreciate if you are a foreigner living or working in India and your health care system is different than Ours,you might be pretty confused.Where to go?
Recently One such mom delivered under my care.A cool couple.Very chilled about the things but still there was an apprehension.Not with me,not with hospital but just as it is a country which is not as familiar to them.They made a very sensible birth plan which looked so very exhaustive to our team members,but in fact it wasn't.They were just too prepared for the whole experience of pregnancy and childbirth.A birth plan given in advance helped us in giving them a good quality care.And yes! it felt really good when they left the hospital on a very positive note,happy with the whole team.So if you are new to India,little apprehensive and wish to know where to go for health care,I would certainly suggest give yourself as well Us(i.e ,MAX Gurgaon) a chance to make your health care experience in India a memorable one.
http://www.maxhealthcare.in/international_patient/index.html
Thursday, September 24, 2009
PROGESTERONE SUPPLEMENTATION FOR MISCARRIAGE
This is one issue which leaves me quite confused.It is a common Practice to prescribe Progesterone supplement by the physiscians in India.There is evidence that it can cause structural defects in babies.But there are studies also that they are useful.I don't know the real answer to it.So very confused I don't supplement unless patient's demamnd for it.Has anyone got any evidence based answer...............................?????????
http://www.rcog.org.uk/womens-health/clinical-guidance/couples-recurrent-miscarriage-what-rcog-guideline-means-you
http://globalrph.mediwire.com/main/Default.aspx?P=Content&ArticleID=114962
http://www.rcog.org.uk/womens-health/clinical-guidance/couples-recurrent-miscarriage-what-rcog-guideline-means-you
http://globalrph.mediwire.com/main/Default.aspx?P=Content&ArticleID=114962
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