Wednesday, August 28, 2013

Midwives in a system........such a boon

I come across so many expectant couples everyday.All of them are so excited.They wish me to talk with them.When I say talk with them,not just about the science and skills of Pregnancy,labour,delivery etc.but to talk and share how they are feeling.Their happiness,their excitement.Few good words for the baby who is still in the womb.To tell how their baby is different from the rest.Use some pampering words for the Lady.....sweety,darling,love etc......It does make a difference.It makes them feel positive.But unfortunately the training of us doctors is very matter of fact.You find that 'all is well'.Convey so.Listen the query,give a scientific answer.I have realised that it makes the couples feel good but the lady wishes much more.The husband knows that he can just hear baby's heartbeat but would loom over your head,just in case you can show if something.
And it is all so very nice and cute.There is were comes the role of midwives.They are well read.They know the obstetrics and at the same time they fulfill the lacuna in social communication left by the specialist doctor.they Pamper the her strong support,feels her wanted,visits even her home if needed.They share their problems much more with the midwives rather than doctor.May be they see them as their friends
Unfortunately in Indian system,we don't have a well defined role for midwife.A doctor doubles up as both.They result is never the same .A overburdened doctor cuts a very sorry figure as even more tired  midwife.May be our health system needs a drastic change......change for the good!!

Friday, August 23, 2013

Getting your fibroids treated in Gurgaon

Today I am talking specifically about you and me.It isn't a vague ,beating around the bush blog.You have a condition and I know I can treat you well.Let us try to talk it out.
Fibroids are the commonest non cancerous tumour in Women of child bearing age.Majority of time it doesn't need any active treatment and keeps on growing inside our body without any problem.
But at times it can cause you symptoms.Symptoms like
heavy bleeding not corrected by medicine
Painful periods
Pressure in pelvis and difficulty in pee and poo.
That means your fibroid has become symptomatic and it needs my intervention.So here is Dr kaushiki Dwivedee the Lead consultant laparoscopic Gynaecologist,Max Hospital,Gurgon at your service.We have got various options.If you wish to preserve your uterus a Laparoscopic Myomectomy is the answer.If you have completed your family even a 4 kgs fibroid can be removed Laparoscopically(TLH) be me.
Unfortunately Max Hospital has been so far associated with deliveries,but it can give you much more,just you need to know the correct specialists.


Saturday, August 10, 2013

Ovarian cysts and laparoscopic Ovarian cystectomy

Ovarian cysts are of different variety,

There are some,which are called functional cysts,which body produces and dissolves it.One doesn't need to get operated for it.A follow up scan after 6 weeks is recommended.

The second type is non cancerous non functional benign ovarian cyst.Which won't get absorbed,neither is cancerous and would not get corrected unless operated by key hole surgery.If too big even laparotomy might be needed.

Then the third and most sinister type.Cancerous.As per the protocol I perform a staging laparotomy or send for chemotheraphy first as considered appropriate in the tumor board meeting.

Diseases are a part of life.No point trying to deny them.It is better to understand them so that one can either prevent it and for a non preventable condition llike ovarian cyst to identify it as soon as possible and currect it

My Training at Tata Memorial Cantre

So,I am back today after a week long certification course at Tata Memorial Centre.It was my second visit to Mumbai in last 10 years.Hasn't changed much.Felt good to see a centre so world class dedicated to cancer patients.I was a trainee in the Gynaecology cancer  department.Just Wish I had more time to xtend my training programme.Dr Maheshwari is fantastic with her surgical skills.Hats off.Learnt a lot from the wonderful doctor.Just hope that Iif I am able to do even 5 % of what she does for  her patients,I would have no regrets...................