Author: akshay

This post dedicated to Shubham, who is right here messaging some of the new friends he got, thanks to the inguinal hernia he had and which was operated y'day morning by Dr S K Balakrishna.

A surgery! What a way to start medical life!

Students' special ward, is the place. 11, 12.

And the fantastic thing about it is that he's now able to walk for short distances by this time I'm posting this.

Bactoclav (amoxycillin and potassium clavulanate injection) is the life saving antibiotic. And thanks to interns and pgs, we've stocked enough of those.

Food, is not a problem for him (he's got the tube delivery direct to blood)
but it is, for us. So lemme go and have dinner.

Lunch time and i came back to hostel. No more live commentary. Thanks for tuning in.
There's amusement in the afternoon, and two classes 2mro.

PET CT an introduction
consultant of nuclear medicine says the trend is moving towards molecular basis
it uses radio active isotopes?

Shows increased enzymatic activity. And cancer cells have increased glycolysis, etc

decisions are based on anato-metabolic imaging

this can be taken to the heart too and brain!

From deep x-ray to imrt

from current to current (state of art treatment)
change is the only constant thing in life

so, we should learn new things, change.

3 idiots dialogue.

To diagnose we use kilo volts, but to treat it takes mega volts. And radiation is no longer delivered using radio active substances, but x-ray

medical linear accelerator
rotates around patient to deliver from multiple angles

earlier the dose could be only given through a square or rectangle that could also include the normal tissue.
Then, it became possible to give custom shapes.

Then, intensity modulated radiation therapy. Dose required, is dose delivered.
Computer controlled multileaf collimater

cancers- head, neck, breast, prostrate, etc are all treated.

The media should be handled carefully
knowledge is power

and the video that explains the 360 degree treatment, except that it didn't explain how it comes from below the person – through the bed?

MR guided HIFU

high intensity focused ultrasound.
Necrosis of fibroids without surgery

leiomyoma – uterine fibroid is non malignant but very incapacitating.
Ok. So there is mri, ultra sound directed on the prone patient inside the machine. Painless, non-invasive, targeted, non-anesthetic, ends in 3 hours.

The hifu heats the tumor to 60 degrees, it undergoes necrosis and get absorbed gradually. Reduced symptoms in 1 month.

So after voxel by voxel sonication, there's 80%+ non perfused volume.

Scars don't have blood, so it could burn. But there are scar patch beams

better quality of life!

The last post was made a bit too quick. This year on, the orators are being given a silver medallion for the first time. And citation as normal.

Surgical approach to complex spinal deformity

this doctor was all India rank 1 in pg entrance!

MS ortho from aiims!

Non academic first 2 minutes. Experience at college. Late comer for 9 o'clock ward, copies during internal.

Scoliosis. Even Hrithwik roshan had it.

Stop the growth at convex side, allow concave to grow.

Skeletal maturity, if you wait for it after the first presentation, it's gross negligence.

Shows several cases. Operation is pure mechanics. Put steel, screws all over, straighten the spine.

And cervical pedical screws introduced even before the west has started using it!

So, again and again. All spinal deformities are best addressed as early as possible.

Catch them young.
Jisarspine@gmail.com

The first speech, about yoga and its effect. I missed the first part because i went for free breakfast 😀
in between, bad news for Divya Deepa trust. The plan for a stall in this meet didn't succeed because we hadn't asked for permission in time.

Ok. Back to yoga.
Says, yoga is better than normal exercise routine in increasing HDL.

Yoga for cancer!
Only pilot studies as of now. Hospital stay, anxiety, depression reduces during therapy.
cortisol level increased.

Aging.
They say yoga doing people can sleep better than normal exercisers

back pain
all the same story.
Yoga group better than normal exercise group.

I wish i could actually see how the experiments were done, what exercise did the non-yoga group do?

Says, techniques from sages have enormous healing potential that requires very little chemical interference.

Here's the summary of the first speech i listened to in MAA Utsav.

Dr AjayKumar is an oncologist and founder of hcg cancer treatment

the statistics, he says, say that there are only 1 million new cancer cases in India while it's 1.5 in usa. This is obviously error of enumeration.
And it's exemplified in the 'arogyashree' program of Andhra Pradesh where bpl people are given free health care (even tertiary)and this has led to an increasing number of patients crowding at all leading hospitals with cancer, cardiac or ortho care. The question is, where had these people been going before the inception of this particular program?
And then, it could be misused in a society like India's.
And then there's the health care system of Switzerland which's based on compulsory health insurance.

To finish, he talked about how India is now just following the west in medical methodology and not innovating anymore like she used to, before British came along. Why not we lead!?

In the audi listening to wonderful speech by Dr B S Ajaykumar, cofounder of hcg, cancer treatment institute in Bangalore and around India.
It's the alumni meet. And there are doctors all over (obviously, you don't expect engineers).
Dr C G Narasimhan gave an address too.

Next, is the scientific session. I shall keep updating as it comes.