Fortis opens Liver Transplant Center in Bengaluru
Fortis Hospital has opened a Center for Hepatobiliary Sciences and Liver Transplant at Fortis Bannerghatta Road branch in Bengaluru. The new center has a highly qualified team of hepatologists, transplant surgeons and a well-trained multi-disciplinary support team of nurses, physiotherapists, dieticians and paramedics. The team will be headed by Dr. Kapali Neelamekam, a renowned gastroenterologist surgeon who has over 30 years of experience and is trained from esteemed internationals institutions. Dr. Neelamekam has been associated with some of the leading hospitals of the country.
The facility was inaugurated by Dr. Tan Kai Chah, Executive Chairman, Asian American Transplant Center, Singapore who has led over 400 liver transplants worldwide so far.
The Fortis facility will address the growing need of liver transplantation in the country to treat severe complex liver diseases. Fortis Hospitals have one of the largest and most comprehensive organ transplant program in India. It offers state-of-the-art services, excellent medical care facilities for pre and post-transplant management.
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The decrease in the pricing of the stents used in angioplasty surgeries has come as a big relief to patients requiring this heart surgery. In a welcoming move National Pharmaceutical Pricing Authority (NPPA) has fixed the ceiling prices for coronary stents which will make angioplasty procedure more affordable for patients in India.
A Drug Eluting Stent which has been costing between INR 40,000-1.9 lakh is now capped at INR 29,600. While a Bare Metal Stent, as per new order will now cost INR 7,260, in contrast to previous INR 30,000-75,000. The given prices are exclusive of value added tax (VAT).
The decrease in prices will not only make the heart surgery cheaper by about 85% for the patients but will also keep a check on unethical practices linked to selling and marketing of heart stents from the manufacturers, distributors, and hospitals. The NPPA step will also help in level playing field for the Indian stent manufacturers with foreign manufacturers.
Hospitals have been ordered to separately mention the cost of the coronary stent along with its brand name, name of the manufacturer/importer/batch number and other details, if any, in their billing to the patients. As per the Drug Price Control Order 2013, hospitals are also required to display the prices in the hospital premises.
A policy welcomed by the health industry and seen as in larger public interest, the concern prevails for the patients who want to opt for more advanced, sophisticated stents. These stents are expensive and due to the cap in the pricing, they might not be available in the market. Dr. Naresh Trehan, a renowned cardiac surgeon and Chairman of Medanta Hospital, Gurgaon in an interview to CNBC-TV18 welcomed the price slash, but felt the policy doesn’t address issues of pricing of advanced stents and those in already in inventory.
The coronary stents market is India is estimated to be US$ 531 million. In over a decade India has witnessed a spurt in the cases of coronary heart diseases, which require stenting in the heart.
It is yet to be seen how the government along with price regulation on stent will not allow compromise on the quality of the angioplasty procedure and stents. Also, it should take steps towards availability of advanced specialized stents for the patients who require them.
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It is Mosis Mazrui’s second visit to India. This time it is for a follow-up for the corneal transplant surgery that he underwent six months back at Fortis Memorial Research Institute (FMRI) in Gurgaon, India.
‘I would say it has been an effortless experience to come to India for my eye surgery,’ shares Mosis sitting relaxed at the hospital’s lobby with his wife. The whole process was so streamlined. Being quiet happy and satisfied with the surgery and the results, next he plans for some sight-seeing with his wife before leaving for Kenya.
Mosis recalls how he was gradually losing vision of his right eye and the continuous pain made it unbearable. When he visited the ophthalmologist in Kenya’s Mewa Hospital, the doctor recommended a corneal transplant.
Mosis was aware India has state-of-the art facilities for such serious procedures. ‘Flying to India was the best option for me as Kenya does not have advanced facilities and I could not take chances with my eyesight,’ he added. Most of his acquaintances in Kenya had visited cities like Mumbai, Chennai or Hyderabad for their different treatments. But he was not sure where in India he could get his surgery done as per his need.
Mosis contacted his medical insurance agency and they connected him with the Fortis Hospital at Gurgaon location. Within a month he was in India for the surgery. Dr. Anita Sethi, Director Opthomology, FMRI and her team conducted his surgery. The hospital staff had been also very supportive. All his surgery cost was covered in the medical insurance.
Mosis feels he is lucky that his travel and treatment went on so smoothly. In Kenya there are many patients who are delaying their treatment due to lack of genuine knowledge or guidance as to how to initiate the medical care in India. ‘We need services like MedGurus who can provide honest guidance for treatment in India,’ he adds.
(The name of patient has been changed on anonymity.)
African Wife Gains New Perspective after Husband’s Cancer Battle
Nelson was silent but calm today sitting in the international patients lobby at Medanta Hospital in Gurgaon. After going through stressful two months of chemotherapy and radiation therapy for his intestinal cancer, he was feeling relaxed as doctors had confirmed, he can now go back to his country.
Amanda, his wife gave me a warm handshake with a smile on her face. ‘Healthcare is so much better in India,’ she said. We are happy finally going home and Nelson is doing well. We will come back after two months for follow-up.
Living in Kigali, a capital city of Rwanda, an east African country, where Nelson was diagnosed with cancer, India was an obvious choice for treatment, reveals Amanda. Through a King Faisal Hospital in Kagali, where Nelson sought initial treatment, they came to know about Medanta – the Medicity Hospital in Gurgaon, India.
Cancer disease also brings with it a mental trauma not just for the patient but the family too. Amanda recalls how the whole family was initially in shock but the disease makes you stronger and tougher.
The timely right treatment has given new lease of life to Nelson. Though they will have to again come back to India probably more than once for further chemo or radiotherapies as the doctors would suggest, but they are happy with the treatment and especially grateful to Dr. Tejinder Kataria who is taking care of Nelson’s case. “Our doctor is really very nice, once back to our country we will be in touch with her about my husband’s condition through mail and phone.’
Nelson works in a private company and hopes to get back to work after going back to Kigali. While Amanda has other plans, she wants to work to spread cancer awareness in her country. ‘I have realized cancer today is treatable, if correct timely treatment by good oncologist is given,’ she observes.
Before leaving she quips, ‘This time we could not see India, hopefully during next visit we plan to see Delhi,’ Amanda smiles holding Nelson’s hand.
Foreign nationals seeking a medical treatment in India would require a Medical Visa. For this a Medical Visa Invitation Letter with conformation of acceptacnce from a reputed recognized hospital in India is essential. A medical visa for treatment in India is given for a number of diseases and treatments such as cancer, brain & neuro surgeries, spinal surgeries, heart surgeries, knee or hip replacements, renal disorders, congenital diseases, plastic surgery, organ transplants (kidney, liver, heart etc.), stem cell therapy, gene therapy, ophthalmic disorders etc.
Before applying for a medical visa, it is necessary that you seek the initial medical consultation/guidance in your own country and take local doctor’s recommendation for treatment abroad.
Who can accompany patient?
Maximum two attendants who are in blood relation can accompany the patient to India for the treatment. A Medical Attendant Visa is of same duration as the patient’s Medical Visa.
Validity of Medical Visa
The initial validity of a Medical visa is for a year or a time period of the treatment, whichever is less. The visa permits maximum three entries in the country within a year.
Extension of Medical Visa
The medical visa can be extended on medical grounds, which should be duly certified by the treatment hospital. The hospital should be a government recognized private hospital or a government hospital.
The government of India has provision for visa-on-arrival system for few selected countries. Under this foreign nationals can stay in India for 30 days for medical procedures.
Step-by-step for how to initiate for the treatment in India
1. Discuss your Medical Condition & get treatment plan
You can initiate the process by filling the contact form below this page. Please share all the medical reports of the patient and provide your valid contact number. On receipt of the same, we will discuss your case with medical team and recommend you the best hospital and specialist for treatment. Thereafter, we will also share the treatment plan, approximate cost, and duration of the treatment stay in India.
2. Medical Invitation letter from the hospital
Once you decide on the hospital, you will send us the copy of patient & attendant’s passports. We will then issue you the Visa Invitation Letter from the finalized hospital. You can then go ahead and apply for medical visa. For visa application, you will need to show that a reputed hospital has agreed to treat the patient and you need to provide a reference. We will help you in the process.
3. Apply for the Medical Visa in the Indian embassy
Next, submit the Medical Invitation Letter along with other documents in the Indian Embassy of your country to get the medical visa. You can fill the form online first and then submit to the embassy/consulate in print.
For details visit: https://indianvisaonline.gov.in/visa/index.html
4. Book your tickets to India
When you get the visas, plan your travel and book tickets to India on the required date. In most airlines it is mandatory to carry a Fit-to-Fly certificate from your doctor, if you are traveling on medical visa. Check with your airlines beforehand for the same.
5. In India, get registered at FRRO (Foreign Regional Registration offices).
In India, within 14 days of arrival, it is necessary for foreign patients and attendants to register themselves with the concerned FRROs/FROs (Foreign Regional Registration offices). FRRO is a primary agency in the country to regulate the movement, stay, departure, and extension of the visa (if required).
FRRO registration requires the following documents to be submitted – Patient and attendants passport and visa copies, four passport size photographs of each, and Yellow card copy (applicable for Kenya, Ethiopia, Afghanistan, Israel, Pakistan, Nigeria and Somalia). The hospital will assist you in filling the FRRO form and completing formalities.
For details visit: https://indianfrro.gov.in/frro/
6. Your treatment begins in India
In most of the cases the medical treatment process begins as soon as you reach the hospital. Alongside, the hospital assists you in completing other formalities such as FRRO, hospital admission, etc.
Documents required at airport when you leave India
After successfully completing the treatment, while you leave the country, some documents are mandatory to carry for the airport formalities. These are fit-to-fly certificate, FRRO registration copy, permission to carry medicines, and hospital discharge summary.
Be assured, MedGurus team will be always there to provide free assistance in the process!
Gurgaon hospital brings smile on Afghan’s father’s face
It was a devastating news for Tawos Zam Zam living in a small province of Khost in Afghanistan when doctors diagnosed a hole in the heart of his one-year old son Atal Zam Zam. He knew Afghanistan does not have adequate facilities and specialists to treat his son and he cannot afford enough to get the treatment in another country as the doctor suggested India for his son’s heart surgery.
Sitting in Amiri Medical Complex (AMC), Kabul’s only cardiac hospital situated in the premises of the Afghan Red Crescent, Tawos had almost lost hope of giving the best treatment to his son. Tawas recalls at this time Afghan Red Crescent Society (ARCS) came as a new hope in his son’s life. The organization in Afghanistan is working towards providing treatment in India to those suffering from heart diseases.
Today Tawos is a happy man. Atal has been successfully operated for the heart hole surgery in Artemis Hospital, Gurgaon in India and now Atal is doing very well, Tawos shares with a smile.
A principal of a school in Khost, going back home Tawos wants to spread awareness in his province about the advanced treatment available in India and help those in need.
Afghanistan has a serious concern of increasing number of children suffering from Septal Defects with thousands of patients awaiting treatment. Every year India witness large number patients from Afghanistan but lack of right information and apprehension about coming to a new country either delays or prevents them from the right treatment.
Stem Cell Therapy to Replace Orthopedic Surgeries
For all those patients of arthritis or bone degeneration disease who have been advised hip or knee joint replacement surgery can opt for stem cell therapy and get back to their normal selves without undergoing the knife. Stem cell therapy is a non-surgical single-day procedure and an alternative to surgery or bone joint replacement.
The therapy is an advanced medical technique, though still in its development stage, doctors see it as a promising minimally invasive procedure that reduces the risks involved during surgeries. It is already being used by orthopedic doctors as a substitute for knee or hip replacement.
What is a stem cell therapy?
Adult stem cells are present throughout your body inside different types of tissues such as blood, blood vessels, brain, bone marrow, skeletal muscles, skin, and liver. They have the unique ability to multiply and give rise to new healthy cells, thus replacing the diseased ones.
In an attempt to utilize this ability of stem cells, they are now being seen by medical scientists as a means to cure various chronic diseases. A widely use example of stem cell therapy is Bone marrow transplant. Doctors and scientists are doing various clinical trials using stem cells from different body tissues to treat orthopedic injuries.
Stem cell therapy in bone & joint treatment
The stem cell therapy procedure basically includes three steps – withdrawing stem cells from bone marrow, concentrating them in a lab and then re-injecting into the injured body tissues using advanced imaging guidance such as fluoroscopy and MSK ultrasound.
Retrieving stem cells from the body is a simple and least painful procedure. A special needle is inserted into the bone to withdraw marrow blood, which contains the stem cells. The re-injected stem cells boost the natural repair of degenerated bone joints, injured tendons, and ligaments.
You will be able to return to normal activities, avoid the long painful recovery period following invasive joint surgeries. The therapy is also a major breakthrough in confronting the natural breakdown process of tissues due to aging, overuse or injury.
Here is good news for those who suffer from chronic or end-stage kidney disease and have to wait long for a donor kidney to get renal transplant. Scientists have invented a fist-sized surgically implantable artificial kidney that would function like a natural one. The device, a promising alternative to kidney transplant has now entered the phase of clinical trials before getting approved by the FDA, according to Dr. Shuvo Roy, co-inventor and researcher from the University of California, San Francisco. It is expected to come in the market by the end of the decade.
The new artificial kidney functions better than the conventional dialysis. The device would not only work as a dialysis machine but cell membrane from a cadaveric kidney injected along with the device would ensure a continuous supply of nutrition. The artificial kidney uses bio-hybrid approach in which bio-reactor is primed with living kidney cells. The patient does not require any anti-coagulant drugs. It does not require any battery and is powered by the patient’s heart.
Said to be a boon for kidney transplant patients, the device is yet to go through the safety and efficacy tests. The safety test would be done on a dozen patients while the efficacy tests on over hundred patients.
Though the cost of the new artificial kidney is difficult to speculate, researchers believe it would be still less than a kidney transplant and dialysis.
The shelf life of the device is yet to be ascertained. Dr. Roy believes, even if the device lasts one or two years, easy access to a replacement would have to be ensured.
India is witnessing a growing trend of ‘virgin’ restoring surgeries such as vaginoplasty and hymenoplasty. The procedures associated with virginity are chosen by women especially after childbirth or who are about to get married.
Vaginoplasty also known as ‘vaginal rejuvenation’ tightens the vagina through surgery while hymenoplasty repairs or restructure the hymen membrane. Conventionally hymen membrane is associated with virginity. But hymen can also rupture due to sports activities, exercise, running or dancing. The procedures take about an hour to perform and it takes over a month for complete healing.
More due to social reasons, the rising popularity of genital cosmetic surgeries is evident. But doctors caution women here. They should not opt for such sensitive surgeries unless very necessary. Also, it should only be done by a trained and qualified plastic surgeon who is authorized to perform such procedures.
Of late it has been found even practicing gynecologists and uro-gynecologists in India also doing such surgeries. They are offering women the option of improving their genitals aesthetically or restoring their hymen at package costs.
The genital cosmetic procedures require counseling and the expectations should be realistic and not hyped. Such surgeries come with their share of risks. So be careful in selecting the right cosmetic and plastic hospital and surgeon before undergoing the procedure.
Women are mostly unaware of right age when healthy heart screenings should start, according to a new report by The American Heart Association which is based on survey done by Orlando Health National.
Most women believe the right age of heart screening is 40 years and above. Even if they have a family history of heart disease they do not get screen themselves before this age. While The American Heart Association recommended healthy heart screenings should begin at 20 years of age, yet 60% of women in the U.S. said heart screenings should start in late 30s age. The report suggests this may be partly the reason for increase in death rate of women due to heart diseases.
The doctors believe, earlier the better to identify the risks. According to Dr. Kristal Young, Cardiologist, Huntington Hospital, “If you can identify them in your 20s or 30s, the likelihood of you having heart disease in your 70s or 80s may be less.”
The hardening of the arteries and cholesterol begins developing during teenage and early 20s. “Women can develop atherosclerosis, plaque in their arteries, in their teens and early twenties. Therefore, it is vital to understand risk factors and make appropriate life changes as early as possible,” said Dr. Carolina Demori, a cardiologist who leads the Women’s Cardiac Center at the Orlando Health Heart Institute.
Cardiologists advise, women should be aware about their family history of heart ailments, and prioritize heart screening in their 20s to avoid the chances of developing serious life threatening heart diseases.
What does a heart screening include?
Typically, a heart screening includes blood pressure, body weight, cholesterol levels, and blood sugar levels. It may involve echocardiogram (EKG or ECG) in some cases.
British man holds gender change, gets pregnant !
With the news of the British man to give birth, gender transition has reached a new paradigm where medical science is testing its limits to confront the nature. The story of Hayden Cross is a peculiar example of transforming identity.
Cross was born as a woman, lived legally as a man for three years and was already a half-way to transform from a woman to a man, when a desire to get pregnant with his own eggs took over him. He put his gender transition on hold to give birth to a baby.
He wanted to freeze his eggs for future but when he did not get the NHS consent for the expensive egg freezing process – he decided to delay his gender change and have a child first.
Defying all odds, threats and social pressures, he found an anonymous sperm donor through Facebook. Conceived in first attempt through IVF in September 2016, Cross is expected to become the first UK male to give birth in next few months. Successfully pregnant, Cross now wants to be the greatest dad!
Gender transition in an individual brings irreversible physical and hormonal changes. The process of gender change is a complex one, and both physically and psychologically exhausting. By Sex Reassignment Surgery (SRS), also called genital reconstruction surgery a transgender person’s existing sexual characteristics are altered to look like that of their identified gender.
In spite the regulation by the government to cap heart stent prices, uncertainty looms on the final cost of the stents paid by the patients.
As per the data released by the National Pharmaceutical Pricing Authority (NPPA), watchdog for drugs price in India, the highest margin in the stent price is at the hospital level. It ranges from 11%-654%. This shows though not all hospitals are taking high profits but there exist a huge gap in the original price to the hospital and the cost of the stent borne by the patient.
The stents supply chain includes the manufacturer, distributor, dealer, hospitals and finally the patient. The report reveals the profit margins on stents range from 270% to 1,000% in the supply chain.
With the growing cases of coronary artery disease, hypertension, and blood vessels blockage, there is a steep rise in the number of cases in which stenting is necessary for treatment. In 2015 alone, India witnessed about 5 lakh stent implants, the figures which are expected to grow according to the experts.
The government should ensure to bring down the cost of the stent for the patient without compromising on the quality of the procedure. Recently, it brought both drug eluting stents and bare metal stents under the National List of Essential Medicines (NLEM), a step which is expected to reduce the stent cost. But it is not enough to bring down the benefits to the patient.
Indian stent industry is mostly import-driven which adds to the overall procedure costs. The government should promote less dependency on the imported stents. Also, a ceiling price above which is not paid by the patient should be made mandatory.
At present, the stent cost to the patients in private hospitals is approximately in between INR40,000 – 1.5 lakh for bare metals while a drug eluting stent is in the range of INR 80,000 – 2 lakh.
(Update: The Govt has already brought legislation and capped stent pricing)
Need Proper Guidance for Angioplasty Stenting?
A 35-year-old epileptic patient having a large brain tumor was cured using advanced minimally invasive Neuro-medical technique – ‘Neuro-navigation’ at a hospital in Gurgaon, India.
Clearly diagnosed with brain tumor, the patient named Rahul was advised open skull surgery or craniotomy brain surgery, which had serious risks associated with it such as internal bleeding in brain, memory problems or infection etc. Rahul was naturally not ready for the surgery.
The tumor on the left side of the brain was 6-7 cm in diameter, and was causing progressive problems. The patient was suffering from speech impediment, headaches and often experienced hampering of speech.
Doctors at Artemis Hospital in Gurgaon used ‘Neuro-navigation’ technique that is performed using only a small incision in the skull reducing the risks. According to the hospital after surgery the patient had a faster recovery and was fully conscious the same day. Rahul was discharged in two days and now leads a normal lifestyle.
According to Dr. Aditya Gupta, Neurosurgeon and Director of Neurosurgery at Artemis Hospital, the technology is like GPS navigation inside the brain that reaches the exact location of the tumor. The MRI information, reference pointers and optical detectors enable the surgeon to make the exact cut eliminating the need for open skull surgery. This brain tumor surgery does not require shaving the head.
Neuro-navigation technique in tumor re-section allows surgeons to navigate precisely to the tumors in the brain.
The new Surrogacy Regulation Bill draft, 2016 is witnessing much criticism from the experts, intended parents and even surrogates. Last week, the draft of Assisted Reproductive Technology (Regulation) Bill 2016 was cleared by the Union Cabinet and waits to be passed in the Parliament winter session.
The Bill draft is confronted by experts with being insensitive, conservative and least concerned about the intended parents. While the government claims its objective is to regulate the morbid practices related to exploitation of the surrogate mothers and the legal parentage of children born.
Let’s first know some of the important proposed features of the Bill 2016:
- Ban on commercial surrogacy
- Single parents, divorcees, unmarried couples, live-in partners are barred from opting surrogacy.
- Lesbians or gay couples are barred from opting surrogacy.
- Foreigners, NRIs or PIOs (persons of Indian origin) who hold Overseas Citizens of India (OCI) cannot seek surrogacy.
- Surrogacy is now only permissible to married Indian heterosexual couples.
- Couples seeking surrogacy should at least be married for five years.
- The wife’s age should be between 23-50 years and the husband should be 26-55 years old.
- Couples seeking children through surrogacy should have proven infertility.
- A couple with already a surrogate child cannot opt for surrogacy for the second child.
- Couples who already have adopted child are also barred from surrogacy.
- Couples with already one child cannot opt for surrogacy.
- The surrogate mother should be married and have borne a healthy child.
- A woman can only once become a surrogate mother in her lifetime.
- Only ‘altruistic’ surrogacy will be allowed in which only close relatives of married couples can become their surrogate without any money exchange.
Banning commercial surrogacy in India completely in the new Bill is said to check on the unethical practices and the health risks to both surrogate mothers and the babies born. But at the same time it can also give rise to behind the curtain practices. There are more chances of exploitation of surrogates and illegal activities. This also shatters the dreams of thousands of couples who were looking at India to become parents. It would have been a better ruling to place a strong lawful check on touts and illegal practices rather than barring it completely for overseas couples.
Clause like only ‘altruistic’ surrogacy can result in transfer of genetic disorders. The five-year marriage condition also seems to be irrelevant in cases where incurable infertility is already declared by the specialists.
Amid the uproar by the large section, the government has indicated to make some alterations. It is yet to be seen, what and how the amendments are made in the final Surrogacy Bill 2016. The government approach should be to enforce stricter laws to protect the rights of the surrogate mothers and children born through them rather than nearly banning this explicit gift of medical science for most of the couples facing infertility.
Visit: Global Fertility Guide
When a kidney failure cannot be fixed through medications and you are dependent only on dialysis for survival, kidney transplant is the only solution. A successful kidney transplant from a donor is a life changing surgery. But there is still prevailing unawareness about the kidney donation in India. Here we will understand the types of kidney donors and how they can be availed in India.
Let’s know who are eligible to donate and receive donor kidney in first place.
Who can receive a donor’s kidney?
- Below 60 years of age
- No history of cancer
- Free from hepatitis, cardiac disease, active auto-immune disease (SLE), urinary reflux or bladder problems, or any kind of infections
- No mental illness
Who all can donate kidney?
- Should donate kidney on his/her free will
- Age above 18 to 55 years
- Kidney donor should have same blood group as patient or O group
- Medically and psychologically fit and healthy for surgery
- Do not have kidney related illness
- Free from cancer, HIV, diabetes, high blood pressure, cardiac problems or any other infection
Types of kidney transplant donor
- Living donor kidney transplant
- Deceased donor (cadaveric) kidney transplant
Living kidney transplant donor
As per Indian law, living donor kidneys can be received from immediate family only (parents, siblings, children, spouse, grandparent, grandchild).
Unrelated living donor
Also called Emotionally Related Living Kidney Donors (ERLKD), he/she is the one who is willingly ready to donate one of his healthy kidney out help or some emotional attachment. He/she can be a friend, neighbor, in-laws or acquaintance. Such biologically unrelated donors are rigorously evaluated before they can donate their kidney.
At present, unrelated living donors in India can donate organs only if the authorization committee established by the state gives approval. The legal and medical formalities may take over months to get permission. A single-window clearance system for emotionally related living kidney donors is still awaited in India.
Deceased (Cadaver) Kidney Transplant in India
In this the kidney donor is a brain-dead person. They are generally who die from accidents, heart attacks, strokes, and their family give consent for organ donation. If you need a deceased donor, you should register in a kidney transplant hospital wherein you will be put on waiting list till you get a matching donor.
Cadaveric kidneys are not easily available due to vast gap in demand and availability. There is a long waiting time may be up to few months to years. The priority recipient is decided on the basis of the severity of the disease, age of the recipient and also first-come first served.
For more guidance on this, please feel free to contact us.
Can kidney be sold in India?
According to the Transplantation of Human Organs Act, it is illegal to buy or sell human organs including kidney and tissues in India and the act is subject to fine and imprisonment.
Who pays the kidney donation costs in India?
The donor or the family of the kidney donor is not responsible for any expenses related to organ donation. The cost of donor medical expenses, retrieval of kidney, transportation and preservation of kidney, is borne either by the recipient, institution, government or non-government organization as decided by respective state or union territory.
Hepatitis is the most common viral disease worldwide, with hundreds of millions of people around the globe affected from it. Mostly people are unaware of their hepatitis infection, which puts them at high risk of developing life threatening chronic liver disease, cirrhosis or liver cancer.
Timely treatment is essential as the disease is highly contagious and has serious illness consequences to the extent of being fatal. All these can be avoided and prevented but only by creating awareness.
What is hepatitis?
Hepatitis is an inflammation of the liver. If not treated on time, it progresses to fibrosis that may develop into cirrhosis or liver cancer. There are five main types of hepatitis infections – A, B, C, D and E and each have separate causes and preventive measures.
Cause of hepatitis
- Eating contaminated food or water
- Eating fish from polluted sewage water
- Poor sanitation and poor personal hygiene
- Being in close contact or sex with an infected person
- Contact with an open wound of the infected person
- Sharing needles, syringes, or direct contact with the blood of an infected person
- Sharing personal belongings with infected person like razors, nail clippers, toothbrushes, needles, or anything else that might harbor traces of infected blood
- Alcohol and certain drugs
- From infected pregnant woman to her baby
- Autoimmune diseases
Symptoms of hepatitis
- Jaundice (yellow skin or eyes)
- Nausea, vomiting
- Abdominal pain
- Fatigue and fever
- Dark urine
- Lack of appetite
- Liver scarring
- Liver cancer
Treatment of hepatitis
The treatment varies with acute or chronic hepatitis. Your doctor would recommend medications, lifestyle changes, abstain from alcohol and smoking, changes in dietary habits, adequate fluid intake and rest to treat the disease. If your liver is severely damaged due to hepatitis B,C, or D, a liver transplant may be recommended.
Prevention of Hepatitis
Maintain sanitation and good personal hygiene
- Wash hands properly every time you come from outside or use toilet
- Drink clean boiled water
- Wash fruits and vegetables properly and cook all food properly
- Avoid consuming raw food
- If you area a healthcare worker, laboratory worker, doctor or nurse etc., take extra steps maintain hygiene. Wash your hands, utensils, and clothes in hot water.
Get shot for hepatitis A and B. Childhood vaccination of hepatitis A can be given between one to 18 years of age. The vaccine is effective for 15-20 years. Hepatitis B vaccination is 95% effective in preventing viral infections and its chronic consequences. There is no vaccine for hepatitis C.
If you need any information related to hepatitis or liver treatment like liver transplant, you can call our patient advisors for ‘free’ guidance.
Recently, a study has found increased risk of cardiovascular disease in patients suffering with Non-Alcoholic Fatty Liver Disease (NAFLD).
A research by Pitie-Salpetriere Hospital, Pierre and Marie Curie University found cardiovascular disease as the primary cause of death in patients suffering from Non-Alcoholic Fatty Liver Disease (NAFLD). Fatty liver and inflamed liver is an independent risk factor for buildup of fat and cholesterol in the arteries walls leading to a cardiovascular disease. This means fatty liver contributes to increasing heart disease and stroke risk.
The patients at an increased risk may not necessarily be obese, overweight, diabetic, or have hypertension. The study proves how fatty liver condition damages our blood vessels too. Thus, monitoring and screening for heart disease and metabolic complications when managing/treating non-alcoholic fatty liver ailment becomes essential.
The findings are important as it can help in timely diagnoses, prevention, and treatment of heart disease in fatty liver patients and prevent related mortality.
What is fatty liver?
Fatty liver is one of the most common lifestyle disease prevalent among the age group of 35-60 years. While it can be checked and controlled by lifestyle modifications, but when ignored a fatty liver can lead to several health complications and diseases.
Fatty liver or steatosis is accumulation of excess fat in your liver. When you have fatty liver condition, more than 5- 10 % of your liver weight is of fat. Mostly it shows no specific signs, symptoms or immediate complications. Over the period of time, buildup fat leads to liver inflammation causing symptoms like abdominal pain, weight loss, weakness, poor appetite, and abdominal pain.
Causes of fatty liver
Commonly fatty liver is linked to over drinking or alcoholism mostly leading to liver cirrhosis. But even if you do not drink at all you can still have a fatty liver disease. This is called non-alcoholic fatty liver. Conditions like obesity, or high levels of lipids/ fats in the blood, diabetes, genetic inheritance, sudden weight loss etc. may cause a fatty liver.
How to manage your fatty liver?
In recent years, there is a sharp rise in NAFLD cases, especially in those who are overweight. An unhealthy lifestyle with excess alcohol, no activity, and intake of junk food etc., is responsible for the disorder as it takes you closer to the fatty liver disease and its serious repercussions. Remember, fatty liver diseases can be prevented by little changes in your lifestyle and once diagnosed it should not ignored.
Your stomach is full still you cannot stop eating; you like to eat alone trying to hide your multiple big servings from your family and friends; and even find it difficult to control yourself from overloading seeing your favorite foods like puddings, cakes or chicken burgers? And when once done, regret, guilt, and annoyance of overeating follows and obviously a stomach ache, heartburn or indigestion etc. If all these are true for you, then you might be suffering from Binge Eating Disorder (BED) and need to see your physician as soon as possible.
What is Binge Eating Disorder (BED)?
Binge Eating Disorder (BED) is a compulsive overeating disorder where you consume large amount of food while feeling helpless to control yourself. It is characterized by frequent and rapidly eating binge episodes.
The binge eaters usually suffer from depression, anxiety, and guilt. They unsuccessfully try to diet or eat normal meals. They get so conscious about their eating behavior that often develop low self-esteem and even start disliking themselves.
Why do I end up eating, even if I do not want to overeat?
Although there is no specific known cause of BED but researchers believe it can be due to your genes, biological factors like hormonal changes, and emotional and psychological conditions like stress or depression. Usually teenagers and adults are more prone to binge eating disorder.
How will Binge Eating Disorder affect my health?
Mostly, the effects of eating disorder are not immediate. They are visible in long term. Emotionally and physically you would be under stress. This eating disorder also leads you towards obesity, diabetes, heart disease, osteoarthritis, high cholesterol, high blood pressure, kidney disorders, etc. In extreme cases to protect you from certain diseases, you might require treatments like liposuction or bariatric surgery for fat removal and controlled eating.
How to control my overeating behavior?
A mindful eating and careful planning can prevent eating disorders like BED. However, it is also important to note binge eating disorder never goes away on its own. You need to seriously get it treated.
Rather than later treating serious effects of BED and spending high on medications and treatments like knee replacement, angioplasty, etc., it is better to see your doctor immediately and know how and what you can do to control your binge eating based on your medical condition.
Also share your concerns with your loved one, family or friend. You will very much require that willful moral and emotional support throughout the treatment of binge eating disorder.
Studies show many people do not even realize they are having or just had a heart attack unless they face a sharp pain in chest or have already been diagnosed with a heart disease. But a heart attack may not necessarily come with symptoms that are commonly known to you.
Sometimes the symptoms of heart attack appear like any common ailment such as flu or indigestion, which you tend to ignore and do not seek immediate doctor’s help. This prevents early detection of any developing cardiovascular disease.
It’s important to keep tab for such symptoms as early diagnosis of cardiovascular disease can help in absolute treatment.
Let’s know some common & uncommon symptoms that tell it’s a heart attack:
Common Symptoms of heart attack
- Chest pain (angina) with feeling of extreme pressure on your chest
- Shortness of breath
- Nausea, vomiting, lightheadedness, and cold sweat
- Pain or numbness in your arms, neck, throat, jaw, back, or stomach
Heart attack with strange symptoms
- Nausea, heartburn, indigestion, cramps in stomach or vomiting
- Extreme fatigue and exhaustion
- Dizziness or lightheaded
- Swollen legs, feet, and ankles
It is easy to treat a heart disease when detected early. Do not ignore the above signs, especially if you have a family history of heart ailments, cholesterol, blood pressure problem or obesity.
Here are some simple tips to safeguard your hair, skin and body on this Holi.
Hair, eyes and skincare
- Apply coconut or mustard oil on the scalp and hair.
- Apply oil like olive or coconut liberally on your whole body, atleast an hour before playing with colors. After putting oil, apply water-proof sunscreen of SPF 25-30.
- Do not wear contact lenses. Wear sunglasses or plain glasses to protect your eyes. If colors get into eyes, wash with cold water.
- Cover any cuts or burns with band aid before playing with colors
- Use dry herbal colors. It will not only save your skin but save water too.
- Do not play with colors if you are allergic to them.
- All those who have asthma refrain from playing colors.
- Wear full sleeve cotton clothes
- Stay hydrated. Drink lots of water
- It’s a festival but doesn’t mean you binge on all unhealthy. Limit your alcohol intake and do not get on to smoking.
- Avoid over eating, keep tab on fried foods and too much of sweets
- Diabetics can have sweets with artificial sweeteners but in a limit
Keep the First-Aid kits handy
- Keep the First-Aid kits handy which you can easily reach in between the celebrations. It must contain band aid, bandages, skin rash cream, antibacterial lotion, antiseptic cream, and distilled water for cleansing wounds.
- Do not go for any skincare treatment, like facials or scrubs, atleast till 3 days after playing with colors.
- See the doctor if irritation in eyes or skin continue for long even after washing.
If you are looking for Dermatology, Cosmetic & Plastic Surgery Hospitals in India or any skin-related or cosmetic & plastic surgery treatment you can call our patient advisors for ‘free’ guidance.
Wishing all our readers Happy, Healthy & Safe Holi!
Often sinus infection or sinusitis is ignored thinking as common cold. If not treated on time, it can get really painful.
Sinuses are hollow cavities in the skull connecting to the nose allowing free exchange of air and mucous. When these cavities are infected by virus, bacteria or fungi, the sinus lining get inflamed, swollen and red, or small growths in the lining called nasal polyps develop blocking the air passages. This results in severe pain around the head and face disrupting normal breathing. This condition is called sinusitis or sinus infection.
Every year millions of people get sinusitis and mostly are those who have some allergies, asthma, structural nasal blockages, or weak immune system. Sinusitis, once diagnose can be cured with antibiotics or even surgery that is done as the last resort.
Signs that tell you have sinus and need to see the doctor:
- Pain between the eyes, forehead, around nose, earaches, toothaches, pain in upper jaws and cheeks
- Stuffy nose for more than a week with yellow-green or blood tinged discharge
- Severe headache
- Continuous cough for a long period that gets worse at night
- Congestion as inflamed sinuses restrict your breathing through nose
- Painful sore throat for more than a week
- Bad breath
- Reduced sense of smell and taste
- Fever may or may not occur
Do not be careless with the disease if the above symptoms persist. Also don’t try your own medications at home for over a week. Get checked, if ignored, the infection can become really serious as it can even spread to air passages (sinus) near your brain.
Laser hair removal is one such technique which many of you wish to undergo to get rid of unwanted hair and ditch the regular painful waxing sessions. But owing to many speculations and doubts surrounding it, you either drop the idea or still in dilemma, if it is a right method for hair removal. Here we will try to bust some myths surrounding laser hair removal technique with the real facts.
Myth 1: Laser hair removal technique is very painful.
Actually not. Discomforts like prickly sensation may be experienced by some but it is far less than the pain you feel during waxing or threading. Whatever the sensations, they are bearable ones.
Myth 2: Laser technique is permanent hair removal solution
The most prevalent misconception is that laser treatment results in permanent hair removal. It can only reduce the hair growth significantly but not a permanent solution. Only electrolysis treatment can remove hair permanently.
Myth 3: Laser hair removal is very costly
If you compare the cost of regular waxing for a lifetime, laser hair removal technique saves thousands of your money.
Myth 4: All Laser hair removal machines are suitable to treat everyone
This is not true. Different laser machines are suitable for different skin types. Fairer or darker both cannot be treated by same type laser hair removal machine. For example, Nd:YAG laser machine is generally used for the Indian skin tone. Remember, wrong laser machine can lead to acute pigmentation on that part of skin and may also cause burn injury. Make sure that the laser machine suits your skin type and tone to avoid skin problems later. It is best to get the treatment done at accredited good cosmetic hospital facility to avoid such troubles.
Myth 5: Laser technique causes ingrown hair
Absolutely not. The laser removal method significantly reduces ingrown hair because it destroys hair follicles.
The laser hair removal technique is safe and effective, only if done by experienced and accredited cosmetic surgeons. You should also follow all the precautions recommended by the doctor before and after the sessions. Be careful of the unapproved cheaper laser systems used by some clinics, which can harm your skin later.
If you need any help on body hair removal treatment and looking for the best hospitals in India or cosmetic surgeons, you can call our patient advisors for ‘free’ guidance.
Childlessness can be the biggest trauma for couples who desire for baby/babies but are unable to have. The uterus transplant could be said a huge medical breakthrough in reproduction science and a hope to those for whom only other option is either surrogacy or adoption. The uterine transplant is the surgical procedure where a healthy uterus from a donor (can be from living or deceased) is transplanted into a female who is born without uterus or whose uterus is diseased or removed due to medical reason. The recipient woman is monitored closely for over a year. If all goes well, an embryo is implanted in the uterus using an IVF procedure. Later the delivery of the baby is done through a caesarean section. Once the uterus is no longer needed, the womb can be removed to prevent the side-effects due to intake of immunosuppressants, usually taken by organ recipients for the rest of their life. The world’s first womb transplant was successfully conducted in the year 2011 in Turkey from a deceased donor at Akdeniz University Hospital in Antalya on the then 21 years old Turkish woman, Derya Sert, who was born without a uterus. Next in the year 2012, in Sweden, the first mother-to-daughter uterus transplant was done at Sahlgrenska University Hospital at Gothenburg University led by Dr. Mats Brannstrom, a Professor of gynaecology and obstetrics at the University of Gothenburg. Later in 2014, it was announced, the world’s first womb transplant baby boy, named ‘Vincent’ is born to this uterus recipient who was then a 36 years old woman. The University of Gothenburg has done nine transplants using live donors, where four of the recipients are reported to have babies. The latest womb transplant in Feb 2016 on a 26-year-old patient at Cleveland Clinic is the first one in the U.S., where a deceased donor’s uterus was used. The transplant took nine hours of surgery. The receiver’s eggs were removed from her ovaries, fertilized, and frozen using IVF techniques. According to doctors, if the transplant is successful, she would be able to give birth to a baby through an implanted embryo in her new womb. After the woman has given birth to one or two babies, the transplanted uterus will be removed. The procedure is a boon to women with Uterine Factor Infertility (UFI) condition, who have had a hysterectomy, fibroids or scarring, or face a rare genetic syndrome called Mayer-Rokitansky-Küster-Hauser (MRKH) i:e., underdeveloped or absence of uterus. Although experts believe uterus transplantation is a blessing for those who have only option of either adoption or surrogacy for parenthood. But the technique is not without its share of challenges like high cost or obtaining donor organ. The very high cost of uterus transplant procedure, the patient care thereafter, and its logistics would be a barrier for many to go for it. The pregnancy would be through IVF technique in transplant patients, it would add up to the cost. Also since the organ donation in many countries is not organized, it will be difficult to get the right matching donor. Uterus transplant is successful and has actually raised the hope of thousands of infertile women seeking parenthood. The efforts of scientists and the governments should combine to make the procedure accessible to all in need. In India uterus transplant is being done on clinical trial basis under the strict perusal of Medical Council of India. At present the cost of uterus transplant is estimated to be about US$70,000 (INR 47,85,550) in the U.S. India is deemed as comparably low cost destination for medical treatments, thus it is yet to be seen, what the uterus transplant procedure cost would be in the country. Hair loss is a common problem troubling both men and women equally. Age is no more a detrimental factor for hair loss. It can happen to anyone at any age. Even children and persons as young as in their teens or twenties too face it. Hair loss or alopecia brings with it not only the physical but psychological and social challenges too. You must have tried all kinds of hair fall remedies, but remember, they work best when treatment is based on eliminating the root cause of the problem. So do not just start following the ‘one-size-fits-all’ approach. Each one of you may have different reason for hair fall. Before trying for any kind of treatment in haste, it is essential to understand your type of hair loss, its reasons and then take the informed decision as to what mode of treatment would be best. You may be facing any of the below types of hair loss: There can be many reasons to this problem. You should try to identify with the help of your dermatologist, which one is for yours, to decide the treatment type. Any of the below may be the cause of your hair loss: To tackle the hair loss problem it’s important to know the cause. Your dermatologist would recommend the treatment based on the type and reason of the alopecia. Today there are several treatment options available to cure hair thinning or baldness such as creams, tablets, lotions, and oil. For extensive hair loss or baldness, immunotherapy, cell therapy, laser therapy, scalp reduction, or hair transplant etc., are done by dermatologists. All those of you who are recommended any such treatments or therapies to treat hair loss, be careful in choosing the right hair clinic and surgeon. A skilled and experienced doctor can help get best results with minimum scarring and natural hair line. Here also a line of caution, among all the products out in the market claiming to do miracle, some may be shams too. Always consult your dermatologist to know what is best and do not forget to clear your doubts or queries. Whatever may be the cause of hair loss, a healthy body and mind always has a greater ability to fight it. So never compromise on nutrients in your food intake. Some food items good for health of your hair and their growth are milk, cheese, spinach, carrot, almonds, walnuts, lentils, legumes, fish, chicken, and eggs etc.
Uterus transplant a boon not without challenges
What is uterus transplant?
Uterus transplants cases in the world
Benefits of uterus transplant
Challenges of uterus transplant
Cost of Uterus Transplant
What are the reasons of hair loss?
Which treatment is best for hair loss?
Your diet holds the key to healthy hair
Childlessness can be the biggest trauma for couples who desire for baby/babies but are unable to have. The uterus transplant could be said a huge medical breakthrough in reproduction science and a hope to those for whom only other option is either surrogacy or adoption.
The uterine transplant is the surgical procedure where a healthy uterus from a donor (can be from living or deceased) is transplanted into a female who is born without uterus or whose uterus is diseased or removed due to medical reason.
The recipient woman is monitored closely for over a year. If all goes well, an embryo is implanted in the uterus using an IVF procedure. Later the delivery of the baby is done through a caesarean section. Once the uterus is no longer needed, the womb can be removed to prevent the side-effects due to intake of immunosuppressants, usually taken by organ recipients for the rest of their life.
The world’s first womb transplant was successfully conducted in the year 2011 in Turkey from a deceased donor at Akdeniz University Hospital in Antalya on the then 21 years old Turkish woman, Derya Sert, who was born without a uterus.
Next in the year 2012, in Sweden, the first mother-to-daughter uterus transplant was done at Sahlgrenska University Hospital at Gothenburg University led by Dr. Mats Brannstrom, a Professor of gynaecology and obstetrics at the University of Gothenburg. Later in 2014, it was announced, the world’s first womb transplant baby boy, named ‘Vincent’ is born to this uterus recipient who was then a 36 years old woman. The University of Gothenburg has done nine transplants using live donors, where four of the recipients are reported to have babies.
The latest womb transplant in Feb 2016 on a 26-year-old patient at Cleveland Clinic is the first one in the U.S., where a deceased donor’s uterus was used. The transplant took nine hours of surgery. The receiver’s eggs were removed from her ovaries, fertilized, and frozen using IVF techniques. According to doctors, if the transplant is successful, she would be able to give birth to a baby through an implanted embryo in her new womb. After the woman has given birth to one or two babies, the transplanted uterus will be removed.
The procedure is a boon to women with Uterine Factor Infertility (UFI) condition, who have had a hysterectomy, fibroids or scarring, or face a rare genetic syndrome called Mayer-Rokitansky-Küster-Hauser (MRKH) i:e., underdeveloped or absence of uterus.
Although experts believe uterus transplantation is a blessing for those who have only option of either adoption or surrogacy for parenthood. But the technique is not without its share of challenges like high cost or obtaining donor organ.
The very high cost of uterus transplant procedure, the patient care thereafter, and its logistics would be a barrier for many to go for it. The pregnancy would be through IVF technique in transplant patients, it would add up to the cost. Also since the organ donation in many countries is not organized, it will be difficult to get the right matching donor.
Uterus transplant is successful and has actually raised the hope of thousands of infertile women seeking parenthood. The efforts of scientists and the governments should combine to make the procedure accessible to all in need.
In India uterus transplant is being done on clinical trial basis under the strict perusal of Medical Council of India. At present the cost of uterus transplant is estimated to be about US$70,000 (INR 47,85,550) in the U.S. India is deemed as comparably low cost destination for medical treatments, thus it is yet to be seen, what the uterus transplant procedure cost would be in the country.
Hair loss is a common problem troubling both men and women equally. Age is no more a detrimental factor for hair loss. It can happen to anyone at any age. Even children and persons as young as in their teens or twenties too face it. Hair loss or alopecia brings with it not only the physical but psychological and social challenges too.
You must have tried all kinds of hair fall remedies, but remember, they work best when treatment is based on eliminating the root cause of the problem. So do not just start following the ‘one-size-fits-all’ approach. Each one of you may have different reason for hair fall. Before trying for any kind of treatment in haste, it is essential to understand your type of hair loss, its reasons and then take the informed decision as to what mode of treatment would be best.
You may be facing any of the below types of hair loss:
There can be many reasons to this problem. You should try to identify with the help of your dermatologist, which one is for yours, to decide the treatment type.
Any of the below may be the cause of your hair loss:
To tackle the hair loss problem it’s important to know the cause. Your dermatologist would recommend the treatment based on the type and reason of the alopecia. Today there are several treatment options available to cure hair thinning or baldness such as creams, tablets, lotions, and oil. For extensive hair loss or baldness, immunotherapy, cell therapy, laser therapy, scalp reduction, or hair transplant etc., are done by dermatologists. All those of you who are recommended any such treatments or therapies to treat hair loss, be careful in choosing the right hair clinic and surgeon. A skilled and experienced doctor can help get best results with minimum scarring and natural hair line.
Here also a line of caution, among all the products out in the market claiming to do miracle, some may be shams too. Always consult your dermatologist to know what is best and do not forget to clear your doubts or queries.
Whatever may be the cause of hair loss, a healthy body and mind always has a greater ability to fight it. So never compromise on nutrients in your food intake. Some food items good for health of your hair and their growth are milk, cheese, spinach, carrot, almonds, walnuts, lentils, legumes, fish, chicken, and eggs etc.