All Posts Tagged: health

Dr. Sarfaraz Baig

Back To The Basics

If you look at the bigger picture, food, clothes and a house can be viewed as tools to survive. Purely functional at the basic level!

Food nourish us. Clothes shield us from the weather . House shelter us from the scorching sun, gusty winds and the bitter cold. It also provides a roof for relationships to foster.

That’s it! That’s our backpack for the journey called life!

How much of time and importance should we give to preparing the backpack than actually leading the beautiful path through the woods ?

A small proportion, right?

And yet modern life has convinced us somehow that buying the survival toolbox is the sole purpose of our lives.

Food can become something that is prepared with exotic fruits or a Lamb shipped from a particular region in the world and prepared by a gentleman who can add spice so perfectly that it excites the tongue like nothing before. And I forgot to mention, you may pay a hundred times more than what it takes to prepare it in the house.

Clothes in the primitive period was only a protecting rag and then evolved into a status symbol (a chieftain wore differently from a blacksmith). Jewellery and the fine silks became the legacy of the royalty. Modern life has taken “clothes make a man” very seriously and cinemas and ads have made us believe in the importance of clothing. Consequently, we spend a great deal on their purchases. Branded stuff can be our ticket to the uppermost class of the society and what would we not do to afford them? This does not stop here. Many of us spend a bomb ( I plead guilty) on ancillary fashion stuff like watches, bags, belts and shoes.

If there is one need of life that entices us to an extent that we can go crazy buying them, it’s a house. It can range from a one apartment residence to a palatial bungalow. The address also matters to the modern society. Our desires to embellish them has become so disproportionate to our income that sometimes it can drain our entire life’s earnings. Frequently, we take loans from our future to buy them. EMIs are not abnormal anymore but the new normal of living life. Even Darwin would wonder how a thatched hut has evolved so much!

Now I must admit that I love to eat good food, prefer to have a serene private space with books and a laptop (a diary would do too). I am also a man who loves adorning good clothes. And I have a good house with an open space that brings in the sunrise every morning

So I know a little bit of good living. And I have done my bit of struggle to buy all these. As human beings, we all want to improve our current status and there is nothing wrong with that.

However, this can become pathological if the struggle to get them becomes a lifelong process. There may be no end to fill this bottomless pit!

If we simply step back a little and examine our lives, we might see that these needs get overemphasis usually fuelled by peer pressure, comparisons and competition.

In this context, the Quran says beautifully – this World is a passing delight, a place of mutual boasting of riches and children!

Back To The BasicsWe may not realise but our expenditure on basic needs can be low if the basic needs were indeed kept as basic. But it’s not. We are losing our purpose of existence with it. And the only people profiting are those who run these industries feeding the never-satisfied eternally-starving consumer.
Great minds have been talking about the merits of Minimalistic Living and the Joy of Less for ages. It is not about living frugally, rather it is being aware what is it that will make Living a gratifying experience.

Except for the very unfortunate who live in penury, Life cannot be an eternal struggle trying to afford these survival kits. Ideally, we should be able to backpack our things for our journey requiring no more than a little effort and then take off to enjoy this path called Life!

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Doctor

How To Choose Your Doctor?

In a unique event on Sunday 23rd July at the Hotel Taj Bengal, organized by Dr. Sarfaraz J Baig, who played the moderator, it was discussed amongst eminent panelists on “how to choose a doctor?”

Indeed, nobody ponders to think about it. The majority of us go by recommendations from our family doctor, relative or friend. This was what was echoed by panelists. Some believed, that a certain amount of research and a doctor-patient connect is essential before initiating treatment.

Mr. Vivek Gupta, MP Rajya Sabha and Editor, Sanmarg, “believed that he would trust the judgment of his physician to rate the competence of the specialist”.

Jimmy Tangree, the producer of Friends FM, “stressed that good communication skills in a doctor were important to him to make his choice”.

Shreya Pande, an actress, said: “she believed in her colleagues more than Google in selecting her doctor”.

Nandita Pal Chaudhuri, a social entrepreneur, “felt that the cost should be reasonable to allow the masses to select a good specialist”.

Shubhra Shah, an author, “underlined the importance of polite and compassionate behavior in a doctor as a pre requisite for selection”.

Mansi Poddar, a psychologist, “believed that doctors are stressed and overworked and that is one of the reasons why they may appear too blunt or even robotic in their approach sometimes”.

Mr. Pradip Tandon, CEO, Belle Vue, “emphasized that for a better outcome, patients should select specialists and super specialists that is now available in most hospitals”.

Alokananda Roy, dancer and philanthropist, “reminded the house that doctors are humans after all. She said that patients should be patient with their doctor and kindness in the society will go a long way in improving doctor-patient relationship and treatment outcome”.

Dr. Sarfaraz J Baig wrapped up the session by explaining that medicine is an inexact science, diseases and treatment are complex more often than not.

He stressed that patient should make an informed choice by doing some research and then take a leap of faith.

He recommended that patient’s s should not fall for advertisements and stories on the social media.

Instead, they should focus on ABCDE.

  • A for availability
  • B for behavior
  • C for competence and core team
  • D for degree
  • E for expertise

If one needed a specialist, one should check on how available the doctor is, especially if one is treating chronic diseases such as obesity and cancer. In a study from Harvard, it was seen that a doctor’s behavior was more important than his competence when it came to making a doctor’s choice. Competence can be checked by seeing if the doctor has publications or speaks in conferences. Authenticity of degree should be checked in the current age. Expertise or specialization is the new mantra for good outcome.

Dr. Hari Prasad Kanoria, industrialist and philanthropist, summarized that we all need to be practical in our approach to choosing a doctor.

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Transversus Abdominis Release

Transversus Abdominis Release – Treatment for Large Hernia Defect

I am sure once in a while you stumble into a large defect hernia that fails to all the conventional repair.

It’s frustrating!

Typically, these hernias have huge lateral displacement of the rectus abdominis and a consequent contraction thus making it impossible to reinforce the midline or perform safe mesh placement. Add to it the collagen weakness and an obese patient, and the possibility of failure looms large.

These hernias would not be served well with a laparoscopic hernioplasty because of a high failure rate and mesh expulsion. Neither would an open onlay hernioplasty serve due to high wound complications. Retromuscular Stoppa repair may bridge the defect but is unlikely to approximate the midline.

In these circumstances a posterior component separation technique with transversus abdominis release (TAR) would be a great alternative. The surgery has become increasingly popular in recent times due to its efficacy and decreased wound complication rate.

Here is how we do it!

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hernia surgery India

Laparoscopic Ventral Hernia Repair – Overcoming Incisional Hernia

Hernia surgery is undergoing continuous change in technique to improve results and to meet high expectations of the patient.

No more is one surgery held as treatment for all and neither is one technique. Each case is evaluated and strategy tailor made. Thus, we now perform open Stoppa repair, component separation procedure, laparoscopic IPOM to name a few. In some cases, a prior weight loss surgery (bariatric surgery) is even done to optimise results.

Here is a case of post pelvic surgery incisional hernia which had been repaired 3 times by open technique. We repaired it laparoscopically.

Some of the critical steps of the procedure that are crucial to good outcome such as careful adhesiolysis, raising of peritoneal flaps, suture closure of the defect, large mesh and strategic fixations are shown.

Watch the video right here:

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chronic pancreatitis

Chronic Pancreatitis – Learn How It is Cured!

Here is a case of chronic pancreatitis that was managed surgically at our center.

A 40 year old diabetic female was referred with intractable pain abdomen. She was a known case of chronic pancreatitis managed on medical treatment (pancreatic enzymes, analgesics) for the last 3 years. She also had developed diabetes during this period.

CT and MRCP picked up a large impacted stone at the head of pancreas with dilated pancreatic duct and atrophic pancreas.

After optimising, a decision to do laparoscopic lateral pancreatojejunostomy was taken. The stone and pus was removed from the duct and it was joined with a limb of jejunum.

She recovered well and was discharged in a painless condition on the 5th postoperative day.

Here is how it was done:

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surgery

Abdominal Sepsis Treatment – The Step-by-Step Procedure

A 35 year old woman was referred to Digestive Surgery Clinic with abdominal sepsis following a cholecystectomy on her 11th postoperative day.

CT picked up a large collection of bile in the upper abdomen. A pigtail catheter was introduced radiologically along with antibiotics. Owing to residual sepsis, a laparoscopic drainage was undertaken subsequently, following which she recovered rapidly. A controlled biliary fistula developed that persisted for a month.

MRCP showed dilated left and right hepatic ducts and a block at the confluence of ducts. No vascular injury was identified.

A definitive repair of the bile duct in the form of left hepaticojejunostomy was done.

The link below shows the critical steps of the procedure that is vital to good long term outcome.

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