Fortis Escorts and Heart Institute

Hi,

I am Dr. Vipin Tyagi, Orthopedist and I am practicing for 35 years. Ab mera interest joint replacement ki taraf hai. Kyuki aaj kal joints ki bimariyan bohut badh rhi hain jismein jyadatar ghutne ke dard ke bohut patients aate hain. Toh mai aap ko bataunga ki aap ko medicines lene se kab fayda hoga aur kab aap ko joint replacement karana chahiyai. Shuru mein har patient ko exercise karni chahiyai. Aaur thodi medicines le sakte hain lekin jyada bhi medicines nahi leni chahiyai kyuki medicines se kidney and liver pe affect padta hai. Lekin jab ghutne kharab hone lage aur patient ko lage ki vo chal nahi paa raha hai aur daily activities mein problem aa rahi hai tab patient ko joints replacement ka sochna chiaye. Aur kisi ache doctor se treatment lena chahiyai. Aaj kal patients mein bohut myths hai joint replacement ke liya.

Patient ko lagta hai ki jo fat hain unke joint replace nahi ho sakte. Agar aapka sahi time and sahi doctor ke through treatment ho toh aap ke joint replacement ka result bohut acha hai. Kabhi kabhi aap bhi jab kisi doctor ke paas jaate hain toh vo keh dete hain ki joint change kar denge bt vo kisi bhi bahar se doctor ko bola ke aap ka treatment karate hain. Is se baad mein preshaniyan hoti hain. Galat patient ka selection karne se bhi preshaniyan hoti hain. Ye ek fact hai ki jin ke joint replace kiya jaate hain vo sab satisfy nahi hote. Knee joint replacement ke jo satisfaction rate hain, all over the world 70-80% hain. Lekin chalne mein koi preshani nahi hoti. And iske 95% results hain. Koi patient kehta hai ki mere joint mein akdan hai aur koi kehta hai ki joint mein abhi bhi pain hai. Par iske aur bohut sare karan hote hain. Jyadatar patients ka exercise na karna bhi ek karan hai. Artificial joints ke bohut ache results hain jo 25-30 saal chal jaate hain. Thanks to Modi Ji kyuki joints ki cost ab kam ho gayi hai. Pehle joints ki cost 1 lakhs to 1.5 lakhs thi ab 75k tak joints hain. Joints replace karane ke baad mein aap ko exercise karni bohut jaruri hai.

Aur kafi patients nahi karte hain. Joint replace karne ke baad mein bhi kuch precautions liya jaate hain. Jaise aap bohut jyada heavy sports nahi kar sakte. Run nahi kar sakte. Daily activities aap kar sakte hain. Aise joints bhi hain jismein aap niche baith sakte hain. But ye depend karta hai ki aap ki body mein kitni takat hai. Patients ki kayi baar unexpected demands bhi hoti hain. Kayi patients examples dete hain Atal Bihari Vajpayi ki. Mai batana chaunga ki unke doctor ke sath mene US mein kam kiya hai. Vajpayi ji ke sharir mein takat hi nahi thi isliya vo jyada chal nahi paye. Lekin Atal ji ki vajaha se logon mein awareness aa gayi joint replacement ki. Patient ko infection ka darr hota hai. Mai abhi tak 350 patients ka knee replace kar chuka hun. Kafi patients ke ache results rahen hain. Ab ek naya knee aaya hai jise golden knee replacement kehte hain. Iska benefit hai ki ismein allergy ke chances bohut kam hote hain. Kyunki kayi logon ka pata nahi chalta ki unhein metal se allergy hai ya nahi. 100 mein se 1-2% hota hai ki patient ko allergy ho jaati hai like skin black hone lagti hai, itching hoti hai. Isliya golden knee kafi acha hai. Iski cost bhi normal knee ki tarah hi hai. Is tarah ke joints kafi replace kiya hain mene. Patients kafi satisfy hoke jaate hain. Uske baad mein physiotherapy ka bhi dhyaan rakha jata hai.

Thank You.

Good Evening Everybody! Today, 27 July, is declared as an oral cancer day. So, it is mandatory, I talk a little bit about oral cancer or some cancers. So, let's discuss about oral cancer.

How does oral cancer present or what is it actually? An oral cancer is an abnormal growth which presents anywhere from lip to the tongue which may cause a gingiva or the oral cavity inside anywhere. How can you find that you have this problem? If you find a small growth anywhere like ulcer and swelling for let's say for 3 weeks , if you have difficulty in swallowing or change in voice or if you have difficulty in speaking, you must get worried about it and visit your nearest doctor to show what is it because we cannot take a chance.

Moreover, if you a history of smoking, tobacco chewing or if you have any HPV infections, these all are the risk factors which we have to consider. Once you reach your doctor, we have to see exactly what is it. We have to investigate that. What do we need to do? We need to do a small biopsy of that region so that we can have the exact knowledge of what is the disease all about - inflammatory or cancerous .

If it is an inflammatory disease, medicines can help. It can also lead to cancerous growth so that if cancer comes on biopsy, we need further investigation like CTO or MRI to look into the extent of the disease. So what we need to do for the treatment ? Treatment can be surgical or it has to be radio or chemotherapy along with the other modalities depending upon your stage. The earlier we detect your region, the survival is better. And if one person survives better, the family survives better. So, prevention is always better than cure.

How can you prevent these cancers? We all know that smoking is injuries to health. Just quit smoking. If you are an alcoholic, quit alcohol or take in low and moderate amount. Tobacco consumptions may be harmful. Avoid sun exposures and direct exposures to the areas like lips where again the regions can harm and can be cancerous. So, if we can help ourselves or anybody else who suffering from such a disease or anybody who can be prevented, so it will be good. Thank You!

6 Things that make you prone to heart diseases the most

Every year almost 2 lakh people opt for heart surgeries in India; and as of 2015 there were about 30 million people in the country suffered from heart diseases. There are several factors that increase the threat of heart diseases, among which some can be controlled and some can't. On one hand, where factors like being a man, old age, being a woman in the post-menopausal phase of life, and a family history of heart diseases are beyond your control; other risks can be minimized by making some lifestyle changes. 

Although natural processes like ageing, which narrow down your arteries and weaken the heart muscles increase the risk of heart diseases here are 7 factors, which dramatically increase your chances of getting heart diseases, while you are still young.

1. Genetic Factors: 
If someone in your family is already suffering or has suffered from a heart disease, especially at a young age, it increases your probability of getting a cardiovascular disease.

2. High Levels of Cholesterol in the Blood:
Chances of formation of plaque on the inner walls of the arteries increase with increasing levels of bad (LDL) cholesterol in the blood. This may be a major cause of the heart disease, atherosclerosis, which happens due to accumulation of fatty substances inside the arteries. 

3. Smoking:
Smoking causes constriction of your blood vessels and may damage their inner lining due to the effect of nicotine on them. This can put you at high risk of developing atherosclerosis. Moreover, studies suggest that people who smoke are twice as prone to heart attacks in comparison to non-smokers.

4. Hypertension:
If your blood pressure level is usually above normal, it can give rise to thickened arteries, which, in turn, can reduce the passage for the flow of blood through the vessels. This damages your heart health to a large extent and makes you prone to heart diseases.

5. Diabetes:
Uncontrolled diabetes increases your chances of getting a heart attack, especially because diabetes almost goes hand in hand with diabetes and obesity, which are risk factors of heart diseases.

6. Stress:
If you fail to keep your levels of stress and anger in check, they may have a damaging effect on your arteries. This can make way for strokes and heart attacks in the future.

'Consult'.