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  • Consult the best Endocrinologist around you for any hormone-related issues

Dr. (Col.) Manoj Kumar Dutta

MBBS, MD (Medicine), DNB (Endocrinology)

Endocrinologist

Why should you visit your Endocrinologist for your diabetes control?

As you are aware diabetes is on the rise.

Endocrinologists are the specialists who deal with control of diabetes and metabolic disorders.

Your endocrinologist will start by taking a detailed history of your diabetes including the presence of diabetes in your family.

The endocrinologist will look into your blood glucose, HbA1c, lipid, renal function tests and evaluate for any target organ damage with other tests like biothesiometry, nerve conduction studies, funduscopy, ECG etc.

Why should you visit your Endocrinologist for your diabetes control?He will assess for other hormonal problems like PCOS, thyroid, adrenals.

He would prescribe diet exercise, oral drugs, GLP1analogues, insulin for sugar and metabolic control.

Your endocrinologist is also an expert in Type 1 diabetes and would start children o insulin pumps.

Besides he will also guide on management of associated obesity, Polycystic ovarian syndrome, Cushings syndrome, drug induced diabetes, Gestational diabetes.

Inpatient management of complications of diabetes including use of sophisticated sensor devices, insulin pumps, insulin infusion protocols and critical care glycemic control are also done by him.

Common diabetes managed by your Endocrinologist are:

  1. Type 1 Diabetes mellitus
  2. Type 2 Diabetes mellitus
  3. Gestational diabetes mellitus
  4. Secondary diabetes mellitus( steroid induced / cushings / Pancreatic)

Why is it important to consult your Endocrinologist for your irregular periods?

Very often the cause of your irregular periods is hormonal imbalance. Your Endocrinologist is the right person to assess you clinically to know if you are suffering from hormonal imbalance like:

Polycystic ovarian syndrome-characterised by excessive facial and body hair, obesity, hypertension, increased cholesterol, insulin resistance.

Cushings syndrome-increased steroid levels in body due to various reasons.

Hypothalamic amenorrhea- due to starvation, diet changes, stress, exercise.

Pituitary disorders – tumors, radiation, trauma, sheehan’s syndrome.

Thyroid disorders – Hypo/hyperthyroidism.

The Endocrinologist evaluates clinically then does hormonal testing to diagnose your condition and prescribes ideal hormonal treatment for the disease.

Why should you visit your Endocrinologist if you are an infertile couple?

Your Endocrinologist is the appropriate specialist doctor to evaluate for both male and female factor infertility. He would look for various anthropometric clinical data, sexual maturation scales, hormonal and chromosomal tests to see if you are suffering from a chromosomal disorder, hypogonadism, pituitary, thyroid, adrenal, ovarian or testicular problem. In addition he is also an expert on pubertal disorders. All these conditions can contribute to infertility.

Why is it important to meet an Endocrinologist if your child is not growing tall enough?

An Endocrinologist is an expert on growth disorders who looks into various aspects of growth and Puberty.

He will look into a detailed family/medical/developmental history followed by painstaking measurements of height, weight, sexual maturation scales, bone age before ordering tests to exclude chronic disease, vitamin deficiency, malnutrition, coeliac disease, hormonal imbalance, growth hormone deficiency, adrenal, bone disorders which can effect height of an individual. He will exclude developmental aberrations like constitutional delay in growth and puberty.

He also excludes chromosomal causes of short stature.

An Endocrinologist performs complicated hormonal stimulation and suppression tests depending on the suspected condition to reach a diagnosis.

Common causes of short stature:

  1. Constitutional delay in growth and puberty
  2. Idiopathic short stature
  3. Syndromic disorders
  4. Pituitary/thyroid/adrenal/testicular disorders

Once diagnosed appropriate treatment is started.

Why should you visit your endocrinologist if your child is precocious (Has early sexual maturation)

– Early sexual maturation can be socially and emotionally a big problem for parents and it is then that an endocrinologist comes to the rescue with the right emotional assurance and performs detailed testing, bone age evaluation, sexual maturity scaling , ultrasound evaluation of testes and ovaries to diagnose the condition and start appropriate treatment to arrest the premature sexual maturation and later allow sexual maturation to occur at an appropriate stage.

Why should you get evaluated by your Endocrinologist if you are having bone problems (pain, easy fractures)

The Endocrinologist is the expert specialist who evaluates the strength of your bones with Dexa scan and looks for causes associated with fragile bones. He does frax assessment to look for risk of fracture. He also evaluates for risk of fracture in postmenopausal women and assesses for hormonal imbalances causing increased osteoporosis. The Vitamin D deficiency state and its treatment are also done by him. In addition he counsels regarding diet, calcium, Vitamin D, hormonal replacement therapy.

Endocrinologist has various agents to use depending on type of osteoporosis and condition of patient which include oral, IV, subcutaneous anabolic and antiresorptive agents.

  • What is liver dialysis and why is it needed?

There are many types of liver diseases that can attack your body with the consumption of unhygienic and bad food regularly.

There are many stages of liver failure. The expert doctors can describe the condition of your liver after tests, screenings, and early symptoms of liver disease. Some of the liver failures may need liver dialysis procedures.

Liver dialysis is performed to buy time for people with acute liver failure. Later on, the liver transplant can be done or the liver can be treated surgically.

Liver dialysis is a completely different process than that of kidney dialysis. Liver dialysis is a kind of detoxification process that removes toxins stuck in albumin. Whereas, kidney dialysis is performed in the case of kidney failure and primarily removes water-soluble toxins.

Like a bioartificial liver device, liver dialysis is also a form of the artificial extracorporeal liver support device.

Types of Liver Dialysis

There are several liver dialysis devices that have been invented to artificially detoxify the liver. The Molecular Adsorbent Recirculating System (MARS), Single Pass Albumin Dialysis (SPAD), and Prometheus are the most common among different types of liver dialysis treatments.

Molecular Adsorbents Recirculation System (MARS)

Developed by Teraklin AG of Germany about 10 years ago, MARS is known as the best extracorporeal liver dialysis system in the medical world. Two separate dialysis circuits are used in the MARS blood purification system. MARS is a widely used liver dialysis technique but rarely used in developing countries due to its complicated technique and high cost.

Single Pass Albumin Dialysis (SPAD)

SPAD is a simple albumin dialysis technique as it uses standard renal replacement therapy machines without the interruption of additional perfusion pump systems like MARS.

Prometheus

Prometheus is a newly introduced liver dialysis technique in which albumin-bound substances are removed from the blood by using a special absorber. Simultaneously, high-flux hemodialysis is performed.

Which one is best?

The Molecular Adsorbents Recirculation System (MARS) is the best known extracorporeal liver dialysis system and highly preferred by the doctors.

Who needs MARS?

The doctors look at the following factors before performing MARS in liver patients:

  • The current condition of the liver
  • Chances of curability
  • Cause of liver dysfunction

Conclusion

The MARS system may keep a person alive until the time he gets a liver transplant or other treatment. The MARS systems are supposed to detoxify blood only.

One of the best liver and kidney transplant hospitals in India, Park hospital offers the latest technology-equipped liver dialysis for patients. Park hospital in Gurgaon works with a well-experienced team of doctors that handles all the acute and severe liver failure cases smartly.

Critical care is a department that handles all emergency cases in a hospital. These emergency cases may include life-threatening conditions like heart attack, respiratory problem, accidental cases, and organ failure.

Intensive Care Unit is the core division of the critical care in a hospital, where a staff of trained nurses look after the patients under the supervision of the Medical Director. A Most Responsible Physician (MRP) is also appointed to primarily take care of patients. The MRP handles the critical cases under the supervision of the Medical Director.

All the health care professionals at ICU offers 24*7 services to save the lives of critically ill patients. They are highly trained to handle accidental, respiratory, cardiovascular, and organ failure patients with their dedicated approach.

A specialized team of healthcare professionals is appointed to handle all critical cases. All these critical cases are taken to a special ward called Critical Care Unit, which is equipped with advanced intensive care unit equipment and machines to support the human organ system.

This journal of intensive care medicine offers information related to the care provided for critical patients.

Critical Care vs Intensive Care

A critical care ward is settled in an order that every bed can be viewed from the station of nurses for constant visual monitoring. Ample space is left between the beds so that all life-saving equipment can be taken easily to the beds of patients.

Intensive care units are divided into 3 levels, where every level defines the type of emergency support provided to the patients. The level one provides oxygen and invasive care, the level to provide oxygen, invasive support and other basic life support machines. Whereas the level three unit provides advanced intensive care spectrum of equipment for critically ill patients.

ICU of Park Hospital in Gurgaon

Park Hospital provides 24*7 intensive care to the patients at its Critical Care Unit. A team of experts handle all ICU cases closely and with the help of modern life-supporting equipment. The expert healthcare is provided with the constant monitoring of all the patients.

Park Hospital’s ICU care offers:

  • 24*7 Critical Care by expert doctors and nurses
  • Over 450 ICU beds
  • The advanced critical monitoring system
  • Isolated cubicles
  • 1:2 Nurse Ratio round the clock
  • Automated patient care beds

Plastic surgery has continuously emerged as an innovative surgical division, which is dedicated to enhance and rectify the aesthetics of the human body. Started almost 70 years ago, Plastic and Reconstructive surgery have brought a big revolution in the world of aesthetics improvement of a human body.

Basically, Plastic and Reconstructive Surgery are focused on repairing human body defects related to Appearance and functioning.

All you need to know about the miracles of Plastic and Reconstructive surgery

Plastic and Reconstructive surgery in the hospitals of Gurgaon has given confidence back to millions of people living in all the corners of this world, all at affordable cost. It helps to improve and reconstruct body aesthetics, which has already been compromised by so many reasons like accidents, by birth, and surgery.

It is also capable of correcting functional impairments in our body. These impairments may include facial bone structures, congenital abnormalities like cleft lips or cleft palates.

We all aware of the magical surgical treatments offered by the medical division of plastic surgery. From the reversal of facial ageing to enlarging bust or behind, every aesthetic can be corrected or enhanced with the help of Plastic and Reconstructive surgery.

Why is it called Plastic Surgery and how is it different from Cosmetic Surgery?

Plastic surgery is a speciality dedicated to reconstruction of the facial and body defects due to birth disorders, burns, trauma, and other diseases. Plastic surgery is motivated to correct the dysfunctional parts of the body by aesthetic definition.

Types of Plastic Surgery Procedures offered by the best plastic surgeons in Gurgaon:

· Burn Repair Surgery

· Congenital Defect Repair; Cleft Palate and Cleft Lips

· Breast Reconstruction

· Hand Surgery

· Scar Revision

· Nose and lips plastic surgery

Here are the different types of Cosmetic Surgery Procedures:

· Facial Contouring: Rhinoplasty, Chin, and Cheek Enhancement

· Facial Rejuvenation: Eyelid Lift, Facelift, Neck Lift, and Brow Lift

· Bust or Back Enhancement: Breast Augmentation, Breast Reduction or Lift

· Body Contouring: Liposuction or Weight Loss Surgery, Tummy Tuck (Stomach Reduction), Gynecomastia Treatment

Rectification of appearance-related functionality of the body is all the miracle of Plastic and Reconstructive Surgery. People with different aesthetic abnormalities get their life back with the magical treatments come under plastic and cosmetic surgery.

The artistic approach of supreme Plastic Surgeons at Park Hospital offers all advanced rectification procedures for the best-improved aesthetics in the human body. These plastic and reconstructive surgery doctors at Park hospital in Gurgaon are highly capable of providing desired reconstructive appearance after accidental injuries or birth disorders.

Safest Plastic and Reconstructive surgery procedures offered at Park Hospital:

· Facial Cosmetic Surgery

· Laser Hair Removal

· Facial resurfacing & rejuvenation

· Reconstructive Microsurgery

· Scar Revisions and Hair Transplants

· Any type of trauma surgery

· Laser & vein treatment

· Otoplasty

· Post-burn reconstructive surgeries

· Liposuction and Abdominoplasty

· Cosmetic and Reconstructive Breast Surgery

· Paediatric Craniofacial

· Cancer Reconstruction

· Rhinoplasty

· Tattoo Removal

· Arm Lift

· Breast Augmentation

· Breast Reconstruction

· Blepharoplasty

· Botox Injections

· Brow Lift

· Buttock Lift

· Dermabrasion

At Park, the Department of Plastic Surgery deals in any cosmetic as well as reconstructive surgeries.With the highly experienced doctors and staff, we make sure that the best service is provided to the patients and they get what they want

1. Facial Cosmetic Surgery
2. Cosmetic and Reconstructive Breast Surgery
3. Liposuction and Abdominoplasty
4. Pediatric Craniofacial
5. Correction of Burns for acute burns or scars
7. Cancer Reconstruction
8. Scar Revisions and Hair Transplants
9. Reconstructive Microsurgery

It is also capable of correcting functional impairments in our body. These impairments may include facial bone structures, congenital abnormalities like cleft lips or cleft palates.

Dr Edmund Waller, MD, PHD says, Bone marrow is a factory that normally makes all of the cells in your blood.

bone marrow transplant is a treatment used to replace an unhealthy marrow with a healthy one to maintain the health of blood in a human body. Bone marrow is a soft and spongy tissue inside our body that makes the blood-generating cells, meaning the maintenance of blood. These newly formed cells turn into blood, which includes:
  • Red blood cells to pump oxygen throughout the body
  • White blood cells to fight infections
  • Platelets to hold blood in the body

General procedure for the working of Bone Marrow Transplant

Chemotherapy is the first treatment given to kill diseased blood-forming cells and marrow before proceeding for the Bone Marrow Transplant. Then, healthy cells are transferred in your bloodstream (Not a surgery). An intravenous (IV) line is used to put healthy cells into the bloodstream. It’s an ordinary procedure of getting blood through an IV.

The cells automatically find their way to the marrow and start to make new healthy cells and platelets in the blood.

There are so many diseases that can be treated under BMT, where some of them include:

  • Blood cancers like leukaemia or Hodgkin’s or Non-Hodgkin’s lymphoma
  • Immune system or genetic problems such as Sickle Cell Disease
  • Aplastic Anaemia
  • High Risk AML & Relapsed AML
  • Myeloma

Recovery Time:

The patient takes around 6–12 months for a full recovery and to resume regular life activities like a normal person.

Why one may need Bone Marrow Transplant?

The medical procedure of bone marrow transplant is needed when a person’s marrow becomes unhealthy and stops functioning properly. This condition may arise due to severe infections, diseases, or cancer treatments.

Types of BMTs?

Majorly, there are two types of transplants, given as per the requirement of the patient.

Autologous Transplants

This is the procedure which uses a patient’s own stem cells for the treatment. The process involves carrying out the healthy cells out of your blood before destroying the damaged cells with the help of Chemo. After chemotherapy, all those healthy cells are returned to your blood.

However, this type of transplant can only be performed if the patient has its own healthy bone marrow.

Allogeneic Transplants

This treatment needs a donor for healthy bone marrow. The donor’s bone marrow should be a very close match to the patient’s bone marrow. Allogeneic transplants become necessary when the patient has lost the whole healthy bone marrow system in the blood.

Complications after Bone Marrow Transplant:

The Bone Marrow Transplant is one of the most complicated medical procedures, which can let you experience the following problems:

  • Headache
  • Pain
  • Difficulty breathing
  • Chills
  • Fever
  • Nausea
  • Low blood pressure

All the above complications stay not for a long, depending on the age, overall health, and the type of transplant.

Also, very rare cases may experience serious complications like:

  • Transplant failure, means the new marrow do not start producing cells
  • Cataracts
  • Damage to vital organs
  • Blood infections
  • Diarrhoea and Vomiting
  • Bleeding in the lungs, brain or other parts of the body

One of the safest and advanced Bone Marrow Transplant centres, the unit of Park Hospital in Gurgaon offers hi-tech and luxurious facilities under the surveillance of genius and highly-experienced doctors.