Calling Gujarat - Medical Tourism

Medical Tourism 2015

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Medical Tourism 2015

Dr. Sudhir Parikh

Medical Tourism 2015

From the desk of publisher & chairman

Chairman & Publisher

Arunkumar Shah Managing Director

In the modern times, the

Digant Sompura

world noticed the

Bureau Chief

M P Singh Chouhan Business Development Manager

intellectual capital of India through its doctors who

Pravinsinh Vaghela

served in countries far and

Art/Design & Production

wide since the 1960s.

Head Office, USA

To d a y, t h e y f o r m t h e

Parikh Worldwide Media LLC. 37 West, 2oth Street, Suite 1009 New York, NY 10011 T: (212) 206-7361 F: (212) 367-8596

backbone of medical and healthcare sectors in America and several West European countries.

California Bureau

Shailesh Parikh 13921 Tustin East Drive, Apt #22 Tustin, CA 92780 Tel: (714) 505-0590 - (661) 468-3851 E-mail: chintu0@hotmail.com

India Bureau Parikh Worldwide Media Pvt. Ltd. 303, Kashi Parekh Complex, C. G. Road, Ahmedabad-380 009.

Tel: +91 79 2656 55 95, 2644 69 47 Fax: +91 79 2656 55 96 E-mail: pwmguj@gmail.com Website: gujarattimesusa.com

With the opening up of the Indian economy in the 1990s, the trend shifted from migration of Indian doctors to the emergence of high-end hospitals and medical facilities in India that are attracting scores of patients priced out of the expensive medical facilities in the West and inadequate expertise and facilities in Afro-Asian countries.

Today India is a leader in the global medical tourism industry and its potential is limitless. As a physician and medical entrepreneur, I look forward to being fully involved

Printed: Navprabhat Printing Press Ahmedabad © 2015 Parikh Worldwide Media Pvt. Ltd.

I am confident that the policies of the Prime Minister

Speical Thanks:

Narendra Modi government will harness the resources

Vipul Bhatt News Editor Mahesh Joshi Copy Editor Jayesh Patel Accountant Fulsinh Rathod Editorial Co-Ordinator Dharamsinh Desai

and services of Indian-American physicians in promoting

in realizing the potential of medical tourism in India.

medical tourism in India.

Dr. Sudhir M. Parikh

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Medical Tourism 2015

Affordable quality treatment beyond borders....an ease to patient...

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s healthcare struggles with the dimensions of cost, quality, and access; across the globe, developed health systems are increasingly looking to the state exchequer to save costs while managing social expectations. India looks foreward to building its own distinct proposition that can not only benefit its own populace, but also add value to its economy. Healthcare in India, has evolved considerably over the last decade.

Medical tourism as a segment has emerged owing to India's increasing strength in healthcare delivery at an affordable cost because unavailability of quality healthcare in many countries across the world that creates the need to look beyond borders1 India emerges 2nd in medical tourism race2 because many hospitals in India are accredited by international institutions and are offering world-class treatment at that cost which is comparatively 40-50% less than that of any E u r o p e a n c o u n t r y c a n o f f e r.

Acknowledging the significance of medical tourism in India, Government is trying to persuade the international tourist traffic by offering medical visa.

Generally a medical visa is valid for one year, or the period of treatment whichever is less. The period of medical visa can further be extended for one year with the permission of state government 3 In India, Gujarat is preferred as medical tourist destination. With world class health facilities, zero waiting time and most importantly, one tenth of the medical cost in US or UK. About 1,200 to 1,500 NRI's, Non Resident Gujaratis (NRG's) and a small percentage of foreigners come every year for different medical treatments. Gujarat contributes close to 25-31 percent of the total medical tourism business in India.

Ahmedabad, being the biggest business centre of Gujarat is now transforming into healthcare providing city. Healthcare Global Enterprises (HCG) is one of the renowned chain of hospitals in India has its 1st private comprehensive centre in Ahmedabad. Inaugurated in 2012 by iconic personality of Indian Cinema, Mr Amitabh Bacchan, the hospital has carved niche for itself which remains edged in the mind of people across the globe.HCG cancer centre has all the facilities under one roof – Surgical, Radiation & Medical oncology. HCG offers broad scope of cancer services ranging from public education, screening & diagnosis, to treatment,

pain management & palliative care.

HCG cancer centre, Ahmedabad had introduced the TrueBeam, India's first advanced Radiation Therapy system with multileaf, making it the leader in cancer care.

Another advancement in cancer treatment is HIPEC which is available for the 1st time in Gujarat at HCG Cancer Centre Ahmedabad. Hyperthermic intraperitoneal chemotherapy (HIPEC) is a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery. The centre is also into up gradation of the infrastructure with introduction of Nuclear Medicine, TomoTherapy, etc.

HCG is also among the few centres in India where the Cancer treatment is planned by “The Tumor Board” comprising of leading Medical, Radiation & Surgical Oncologists.

Eminent group of doctors at HCG Cancer Centre, Ahmedabad comprises of highly qualified, trained and experienced Surgical Oncologists, Radiation Oncologists and Medical Oncologists. The Surgical Oncology team has been trained in best of the centers in India & Abroad specializing in Head & Neck services, Breast & Thoracic services, GI & HepatoPancreato - Billary services, Gyneac Oncology, etc. The team is also been supported by qualified and trained team of junior doctors, dietitian, physiotherapist & clinical counselors who are available to provide round the clock support to patients. The clinical team is supported by qualified and trained nursing team in areas of Operation Theaters, Emergency and Critical Care.

Sardar Vallabhbhai Patel International Airport in Ahmedabad provides domestic and international flights.

It is the busiest airport in Gujarat and the eighth busiest in India with an average of 250 aircraft movements a day.

National Highway 8, linking Delhi to Mumbai, passes through Ahmedabad. Railway lines connect the city to towns in Gujarat and major Indian cities.

With the improving of quality standards and many hospitals bringing world class healthcare facilities , availability of the best doctors, increase in number of qualified nursing staff and trained administrative staff and easy connectivity with the rest of the world, Ahmedabad definitely is one of the best choices for medical tourism which offers affordable quality treatment beyond borders.

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UNDERSTANDING CANCER I

ncidence of Cancer is increasing at an alarming rate in the world particularly in developing countries & in India as well. As per World Health Organisation (WHO) report, 7.6 million people die of Cancer every year. Cancer contribute nearly 13 percent in total deaths worldwide. Every year 15 Lac new cancer cases are diagnosed in India & the incidence is increasing & contributing to 10 lac deaths per year. Majority of the common cancers in India ( Head & Neck, Lung, Oesophagus) are caused because of Tobacco.

The seriousness of the problem can be assessed from the fact that 27 crore Indians use tobacco in some form out of which 9 crore would die prematurely because of that. Gujarat is considered the world capital for Oral cancers having the highest incidence . In an estimate 1 crore Gujaratis use Tobacco in some form & 30 Lacs would die prematurely because of that . More serious fact is that the incidence in younger population (earning members) is increasing causing great economic loss to the families.

What is Cancer?

Our body is made up of several types of cells. These cells grow and divide in a well-controlled manner producing new cells to keep body healthy. As cells become older or damaged, they die and are replaced with new cells.

However, due to certain reasons this normal condition is interrupted, which leads to abnormal behavior by the cells, typically in one part / organ of the body, where the cells continue to multiply and live beyond their lifespan.

These are referred to as the 'cancerous cells'.

The term 'cancer' is used to describe a medical condition, where there is · Abnormal and uncontrolled multiplication of the body cells. · Genesis is typically in one organ / part of the body · These mutant cells can migrate and invade other parts of the body through blood and lymph · Manifestation of the disease in th form of a tumour, a group of mutant cells that form a tissue · These can affect living cells in the body, at all ages and in both genders · The cause is multifactorial and the disease process differs at different sites.

How does cancer start?

Cancer starts when the genetic material (DNA) of a cell can become damaged or changed, producing changes known as mutations. It is not always clear as to what causes mutatiosn. Some mutations are inherited, some may be due to Carcinogens, and others might be caused by exposure to environmental factors.

Common Cancers The most common cancers in Men are Head & Neck cancer, Colorectal cancer, prostate cancer, esophagus cancer, Stomach cancer and lung cancer while in women are Breast cancer, Ovarian cancer, cervical cancer and colorectal cancer.

Diagnosis & Treatment The advent of technology today has seen improvements in diagnostic accuracy. Mammogram, MRI, image guided biopsies, CT, etc have helped identify suspicious lesions. PET CT has helped to accurately stage disease and facilitate right treatment. Use of tumour markers have helped doctors arrive at an accurate pathological diagnosis.

Cancer directed treatment involves a multimodal therapy that has been tested over the years for different types of cancers. Surgery, Radiation Therapy and Chemotherapy form the triad of cancer directed treatment. There have been several innovations in how these treatments have been imparted to cancer patients over the years.

The most important aspect of treatment of cancer is not in individual brilliance or availability of medicine or technology alone. It is potent combination of all three. It is only through delicate and deft management to combine all the three aspects that provide effective, enduring and holistic cure to the patients. Globally there have been studies that prove that the chances of cure improve if treatment happens at centers that provide multi-disciplinary, multi-dimensional, multi-specialities all under one roof Today people are relatively more conscious of their health. Many believe in not just keeping healthy but monitoring their health. Getting regular health check ups has become part and parcel of lives of many of us living modern lifestyle. However, not many know that today modern medicine has made it possible for us to carry out specialized tests that could provide us with information of whether an individual is risk prone to cancer.

Generally it takes a year to a decade for cancerous cells to attack and infect a person. They help us identify cancer at a stage of just a mole and remains dormant in the human body. If you are able to detect it at that stage before it even becomes cancerous, you can nip the problem in the bud.

For more information about Cancer, HCG Cancer Centre Near Sola Bridge, S. G. Highway, Ahmedabad. Gujarat, INDIA Website: www.hcghospitals.in Email: info.hcc@hcgahmd.com Twitter: @hcg_ahmedabad Facebook: www.facebook.com/hcg.cancercare HCG Cancer Helpline: +91 90997 12345

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WHAT I NEED TO KNOW ABOUT PROSTATE PROBLEMS:

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he prostate is part of a man’s sex organs. It’s about the size of a walnut and surrounds the tube called the urethra, located just below the bladder.

The urethra has two jobs: to carry urine from the bladder when you urinate and to carry semen during a sexual climax, or ejaculation. Semen is a combination of sperm plus fluid that the prostate adds.

For men under 50, the most common prostate problem is prostatitis.

For men over 50, the most common prostate problem is prostate enlargement.

This condition is also called benign prostatic hyperplasia (BPH). Older men are at risk for prostate cancer as well, but this disease is much less common than BPH. PROSTATITIS.

into the patient's rectum to feel the surface of the prostate gland through the rectal wall to assess its size, shape and consistency.

2. PSA Test Blood test to check the levels of prostate specific antigen (PSA) in a patient who may have BPH helps the doctor to eliminate the diagnosis of prostate cancer.

3. Imaging-Ultrasonography of KUB 4. Uroflowmetry Test This is a simple test which records the urine flow to determine how quickly and completely the bladder can be emptied. With a full bladder, the patient urinates into a device that measures the amount of urine, the time Dr Shrenik Shah taken, and the rate of urine flow. Patients with stress or urge incontinence usually have a normal or increased urinary flow rate, unless there is an obstruction in the urinary tract. A reduced flow rate may indicate BPH. 5. Post-Void Residual (PVR) This test measures the amount of urine that remains in the bladder even after urination. The patient is asked to urinate immediately

Prostatitis means the prostate might be inflamed or irritated.

Problems : Burning feeling when urinate, Have to urinate more often. Fever Bacteria, tiny organisms that can cause infection or disease, cause some kinds of prostatitis. In bacterial prostatitis, urine examination can have presence of bacteria. It is treated with antibiotic, a medicine that kills bacteria. Diet modification or taking warm baths may help. An alpha-blocker to relax the muscle tissue in the prostate is needed.

BPH : As prostate grows, it squeezes the urethra.

Since urine travels from the bladder through the urethra, the pressure from the enlarged prostate may affect bladder control.

Problems: straining to void, Dribbling after voiding, .

Feeling that the bladder has not emptied completely even after urination, Frequent urination, particularly at night (nocturia), Hesitant, interrupted or weak urine stream caused by decreased force, Leakage of urine (overflow incontinence), Pushing or straining to begin urination, Recurrent, sudden, urgent need to urinate BPH is not a serious condition, unless the symptoms are so bothersome that you can't enjoy life. But BPH can lead to serious problems like urinary tract infections, acute retention of urine , blood in urine.

Diagnosis of Enlarged Prostate (BPH) Clinical symptoms and physical examination provide the basis for diagnosis of enlarged Prostate or Benign Prostatic Hyperplasia.

1. DRE- DRE typically takes less than a minute to perform. The doctor inserts a lubricated, gloved finger

prior to the test and the residual urine is determined by ultrasound. PVR less than 50 ml. generally indicates adequate bladder emptying and measurements of 200 to 250 ml or higher often indicates blockage.

TREATMENT OPTIONS Medical treatment, Surgical treatment Minimally invasive procedures: TURP ( transurethral resection of the prostate): Monopolar/ Bi-polar PVP (photoselective vaporization of the prostate) TUIP (transurethral incision of the prostate) PROSTATE CANCER Adenocarcinoma of the prostate is the clinical term for a cancerous tumor of the prostate gland. It's the most common cancer in men after skin cancer. Prostate cancer often grows very slowly and may not cause significant harm.

But some types are more aggressive and can spread quickly without treatment. As prostate cancer grows, it may spread to sac-like structures attached to the prostate (seminal vesicles), to tissues near the prostate, the interior of the gland, and to distant parts of the body (bones, liver, lungs, etc).

Risk Factors - Growing older is the greatest risk factor for prostate cancer, particularly after age 50.

Family history increases a man's risk: having a father or brother with prostate cancer doubles the risk.

African-Americans are at high risk and have the

Medical Tourism 2015 highest rate of prostate cancer in the world.

Diet seems to play a role in the development of prostate cancer, which is much more common in countries where meat and high-fat dairy are mainstays.The reason for this link is unclear.

Symptoms Frequent urination, especially at night, Inability to urinate, Weak or interrupted urine flow, Blood in urine or semen, Nagging pain or stiffness in the back, hips, upper thighs, or pelvis, Painful ejaculation, Pain or burning during urination (dysuria) DIAGNOSIS : Early prostate cancer is usually discovered during a routine digital rectal examination (DRE) Transrectal prostatic biopsy : Once suspected, a transrectal prostatic biopsy is performed by the urologist.

This can be done under ultrasound guidance. The procedure is done under local anesthesia and under an antibiotic cover.

MRI Abdomen and Pelvis Multiparametric MRI includes T2 Weighted Images, DWI, DCE, MR Spectroscopy Advantage of MRI - improves diagnostic accuracy, avoids unnecessary biopsies TREATMENT OPTIONS: It depends upon the stage of the disease and patient's age and overall health. . Watchful waiting, Surgical treatment, Hormonal treatment, Radiation therapy Watchful waiting is a reasonable course of action for patients who are elderly, in poor health, or in early cancer stage. During this time, the physician monitors the patient's condition for any marked or sudden progression of the disease.

Surgical Treatment Radical Prostatectomy (Open or Laparoscopic), Bilateral Orchidectomy Radical prostatectomy is the surgical removal of the prostate, seminal vesicles, tips of the vas deferens with

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the aim of eradicating the disease completely when it is still within the prostate. It is the first-line treatment for prostate cancer.

Laparoscopic Radical Prostatectomy (LRP) is a minimal access method for radical prostatectomy. LRP removes the prostate, seminal vesicles, ends of the vas deferens, and lymph nodes, if required. Cancer control is the same as in open surgery.

Benefits of LRP : Two great advantages besides a small cut, less pain and early recovery.

1. Very little blood loss (usually 200-300 ml).

2. More precise anastomosis. In contrast, the conventional radical prostatectomy is typically associated with a blood loss approaching one liter. Less blood loss reduces the chances of transfusion and intraoperative blood 3. Better and magnified view to preserve the neurovascular bundle to achieve better continence and early return of potency.

What are the chances of survival after radical prostatectomy?

This depends on the severity of the prostate cancer (grade), assessment of completion of procedure by a pathologist and PSA response. A 60-year old man whose specimen shows a moderate-grade, organ-confined cancer has a 97% chance of being alive or dying of other causes in the first 10 years after his radical prostatectomy.

Additional treatment after radical prostatectomy?

Patients may need radiation or hormone treatment depending upon the location of the residual disease.

We have done more than 1100 laparoscopic surgery which includes 158 laparoscopic radical prostatectomy.

Asso prof in urology Civil hospital Rushabh Uro hospital Columbia asia hospital www.rushabhurohospital.com

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Medical Tourism 2015

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13 Medical Tourism 2015 ØØa±õ ±Ãëµ ÕõÏ<Þí çÜVÝë èùäëÞí çÉýßí Àßëäí èÖí ÉõÞõ ÀëßHëõ Üñâ ÖëÕÜëÞ Õß áëääëÞí Õþì¿Ýë CëHëí äëß ±ëCëëÖÉÞÀ (åùgÀÃ) ÖõÜÞõ Úí° ÀõËáíÀ çÜVÝë ÕHë èÖí. ÖõÞí ËuñÚÞõ ÕHë ÞðÀçëÞ ×Ýð_ ÚÞí åÀõ Èõ. ÖëÕÜëÞÜë_ {ÍÕ×í ÎõßÎëßÞí ÀõËáíÀ ìäÕßíÖ ±çß èÖð_. Öõ ±ë´äí±õÎÞí Õþ×Ü çë´ÀáÜë_×í Õçëß ×´ Éõ ØßìÜÝëÞ ×´ åÀõ Èõ. ÉöìäÀ Àùæ çëÜëLÝ ßíÖõ Çùyç ÜÝëýìØÖ ÖëÕÜëÞÜë_ çëßí ÃðHëäkëëÞë 16 ÛþñHë ÖöÝëß ×Ýë. ÖõÞõ ±õÀ ÖtÞ Þäë ±Þõ Úõ ±çëÔëßHë ÜùËë ÎõßÎëß ±ÕþëÀòìÖÀ Õþì¿Ýë Èõ. ÖëÕÜëÞÜë_ ÜùËëÕëÝõ ×í° ÃÝõáë ÛþñHë ËëLçÎß ÀßíÞõ çëßäëß ±ëÕäëÜë_ ±ëäí. ×í° ÎõßÎëß×í ±_ÍÀùæÞí ±_ØßÞù VÕíLÍá ÖßíÀõ ±ùâÂëÖù ÞëÉ\À ÃÝõáë ÛþñHë ¦ëßë ±ÕëÝõáí çëßäëß çÎâ ßèí. ÖõHëõ ±õÀ ÚëâÀíÞõ ±äÝä Þëå ÕëÜí åÀõ Èõ. ÀùæÞë ìäÛëÉÞ ÜëËõ Öõ ÉäëÚØëß Èõ. ÉLÜ ±ëMÝù. ÖõÞë Õë_Ç ×í° ÃÝõáë ÛþñHë è° ±Üëßí Õëçõ èÖë. ±ë VÕíLÍá Þëå ÕëÜõ ÕÈí Àùææí T²ì© ±ËÀí ½Ý Èõ. ÖõÜHëõ ØùÏ äæý Õèõáë_ ±Üëßù ç_ÕÀó ÀÝùý. èäõ Öõ ±ë ×í° ÃÝõáë ±_ÍÀùæ ±õÀ É ÀùæÞð_ ÜëâÂð_ èùäë×í ×í° ÉäëÞí Õþì¿Ýë çëÜõ ÛþñHëÞí ÜØØ×í Úí½ ç_ÖëÞÞõ ÉLÜ ±ëÕäë ÜëËõ çëßäëß åw Àßí Öõ ÂñÚ É ÞÚâù Õðßäëß ×ëÝ Èõ. ÛþñHëÞë Àùæù ìäÛëìÉÖ ×äëÞí ß ëë Èõ. ÕþìÀßûÝë Çëáð èùÝ Öõ ØßìÜÝëÞ ±ë Áíg{à åùÀ (±ëCëëÖ)×í ÛþñHë ±LÝ ±õÀ ÚßùÍëÞí ÜìèáëÞõ Õíçí±ù±õçÞí çÜVÝë èÖí, ÉõÞõ ÂñÚ É ÞÚâù ÕÍí ½Ý Èõ. ÀõËáëÀ ÀùæùÜë_ ìäÛëÉÞ ×Öð_ ±ËÀí ÀëßHëõ À<ØßÖí ßíÖõ Öõ ÜëÖë ÚÞí åÀõ ÖõÜ Þ èÖí. ÖõÜÞõ ½Ý Öù ÚëÀíÞë Àùæ çëÜëLÝ ÛþñHë ÖöÝëß Àßí åÀõ Èõ. ½õÀõ äÔð ±ë´äí±õÎÞí çëßäëß ±ëÕäëÜë_ ±ëäí ±Þõ Úëäíç ±_ÍÀùæ ÕÍÖë ÀùæùÞõ ±çß ×ëÝ Öù ÛþñHëÞõ ÕHë ±çß ×´ åÀõ Èõ. ÜõâääëÜë_ ±ëTÝë Éõ ÕöÀí 18 ÛþñHë ÖöÝëß ×Ýë. Õíçí±ù±õçÞí Àõç VËÍí ±äV×ë ÜìèáëÞë ±_ÍëåÝÞõ µÕçëäõ Èõ ±×äë ÀõËáëÀ ÉäSáõ ßìåÝëÞë ±õÀ ØØa ±Üëßõ IÝë_ çëßäëß á´ ß ëë Èõ. Öõ ÚÞÖë ìÀVçëÜë_ ÕõË ±Þõ ÎõÎçëÜë_ ÕëHëí Ûßë´ ½Ý Èõ. ±ë ÕþÀëßÞí ç_ÖëÞÕþëãMïÖ ÜëËõ çëßäëß áõäë ±Üëßí Õëçõ ±ëTÝë Èõ. ±ë Üìèáë Àù´ ÉìËáÖë ¶Ûí Þ ×ëÝ Öõ ÜëËõ ÖõÞë ÖÜëÜ ÛþñHë ×íÉäí ØõäëÜë_ ±ëTÝë èÖë. ÖõÞë ±_ÍëåÝÞõ ÖõÞí Üñâ ±äV×ëÜë_ ±ëääë ÜëËõ ÕñßÖù çÜÝ ±ÕëÝù èÖù ±Þõ IÝëß ÕÈíÞë ÜìèÞëÜë_ ÛþñHëÞð_ ±ëßùÕHë ÀßëÝð_ èÖð_. Öõ Üìèáë ÃÛýäÖí Èõ ±Þõ ÖõÞõ hëí½õ ÜìèÞù Çëáí ß ëù Èõ.

Íù. ÜÞíæ ÚõLÀß Þùäë ±ë´äí±õÎ ÎìËóìáËí 108, VäãVÖÀ çùçëÝËí, Þäß_ÃÕðßë, ±ÜØëäëØ.

Email: info@novaivfertility.com www.novaivfertility.com +91 9824026659

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Medical Tourism 2015

Medical Tourism 2015

Dr. Brijesh A. Patel B.D.S., I.C.O.I. (USA) Dental Implantologist Dr. Brijesh Patel, best Dentist in Ahmedabad, at Vardan Dental Clinic, is graduated from Govt.Dental college, Ahmedabad 1996. Dr. Brijesh Patel, best Dentist in Ahmedabad, at Vardan Dental Clinic, started Vardan dental;centre in Ahmadabad in 1997. Dr. Brijesh Patel, best Dentist in Ahmedabad, at Vardan Dental Clinic, studied for Dental Implantology @. Harvard school of Dental Medicine, Boston, USA. Software Guided Surgery (Nobel guide) training at LasVegas,USA. Bone Augmentation and Sinus Surgery at AIC S.Korea.

Dr. Brijesh Patel, best Dentist in Ahmedabad, at Vardan Dental Clinic,started first Pioneer of Dental Implant surgery and new techniques in Ahmedabad-Gujarat and done nearly 4000 Implant procedure at his centre.

Dr. Brijesh Patel, best Dentist in Ahmedabad, at Vardan Dental Clinic, worked with eminent leaders in the world in the field of Dentistry.

Dr. Deshpandye( Lilawati hospital, Mumbai), Dr. Ashok Patel.

(Director, Boston Implant Institute, USA), Dr. Garber, Dr. Salama, Dr. Goldstein (USA), Dr.Vincent Morgan (USA), Dr. Moreincolla (ITALY), Dr.Heder Beter (ISRAEL), Dr. Dong -Seok sohn (S.Korea), Dr. Choe and Dr.Jeon (S.Korea), Dr. Shadi Daher (USA).

Vardan Dental Clinic, Established 1st ever Implant Training Institute in Ahmedabad- Gujarat in affiliation; with International Congress Of Oral Implantologist (ICOI, USA) and Boston

Implant; Institute (USA) in 2005. Dr. Brijesh Patel, First ever guided surgery (Nobel guide ) done in Gujarat in 2007. 1 st ever clinic and implant centre in INDIA to have more than 25 Implant systems and 2 guided surgery unit. Invited as a guest speaker in National and International conference to share his views and experience in the field of Dental Implantology. At International Congress Of Oral Implantology(USA) conference in 2007,Mumabi. At National conference of ISOI in 2007 in Chandigadh. At National conference of IPS (Indian prosthetic society) in 2014 in Ahmedabad. Also He has taken different training classes and presentation in various collages and institutes in INDIA. At Govt.Dental college ,Ahmedabad. On " press fit Implants". At Karnavati Dental school,Ahmedabad on "sinus grafting" with Dr. Sohn(s.Korea). At Ahmedabad Dental College (ADC) on" full mouth rehabilitation". At A.F.M.C., Pune.

At D.Y. Patil college, Mumbai with Dr. Uri Arney (Israel). Chief Implant Consultant at BAPS (Yogiji Hospital Sahibag) and AHC (Dada Bhagvan Foundation Adalaj).

Dr. Mili B. Patel M.D.S. (ORHOTODONTIST) Specialist of Malaliened and crooked t e e t h a n d cosmetic dentist. Graduated (MDS)from govt dental college and hospital , AHMEDABAD in 2000. She is practising as a exclusive Orthodontists and cosmetic dentist at VARDAN DENTAL CARE since 2000. She is visiting professor at A.D.C college , AHMEDABAD. She also has a consulting practice at v a r i o u s renowned clinics and trust hospitals in Ahmedabad. She has specialisation in cosmetic corrections and beauty smile treatment with all modern modalities of orthodontia and cosmetic dentistry.

Facilities at Clinic Bleching Bonding Dr. Brijesh with Astrologer Bejan Daruwala

Dr. Brijesh with International Patient

Procelain Implants Partial Dentures Full Dentures Veeneer Bridges

1. For this surgery, first of all CT Scan of Jawbone has to be taken.

2. After CT Scan surgical planning is done with the help of computer software.

Gum Treatment & Pyorhea Laser & Cosmetic Dentistry Root Canal Treatment Ortho Dontic Treatment Digital Radiography O.P.G. (Panoramic X-ray)

3. The stands made in accordance with surgical planning are brought form Sweden.

4. Bridge is fixed immediately after the dental implant is done with the help of a stand. And the surgery is done within an hour.

Vardan Dental Implant & Orthodonist 17-18-19/A, Vardan Tower, Opp. Shastrinagar-Pragatinagar Corner, Naranpura, Ahmedabad 380013.

Ph. 079 - 27430405 M. +91 9327006972 E-mail: brijeshmili@yahoo.co.in Website: www.indiasmiling.com

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Medical Tourism 2015

Red Carpet, For Green Cross!!!

F

or Joseph Chuma, a Kenyan national, coming to Ahmedabad for knee replacement was a natural choice. "The hospital had a desk at Kenya that facilitated my travel to India. Apart from excellent medical facility at cheaper rate, it was quality assurance as some of my relatives have been to the city earlier for various surgeries and had praises for the doctors and especially nursing staff," he says.

Chuma is among 2,000-odd patients from African and Middle-eastern Asian nations that come to Ahmedabad annually for 'medical tourism.' The term, signifying the travel within or outside country for medical purpose, is the buzzword today for the government and private sector alike due to the cash flow it brings in.

As per industry estimates, the Indian medical tourism would attain $6 billion mark by 2018 as the arrivals would cross 450,000. India ranks fifth in globally favoured medical tourism destination and third in Asia behind Thailand and Singapore. India attracts persons from both developing and developed nations - while the former comes due to lack of proper infrastructure and trained doctors, the latter comes due to high medical treatment cost.

Gujarat vies to get a bigger share from the overall pie as states such as Maharashtra, Kerala, Uttar Pradesh, Karnataka, etc. are aggressively promoting medical tourism. The state government started taking the sector seriously from the first Vibrant Gujarat as policy formation initiative was taken by dialogue with the private sector.

Today the state attracts over 10,000 to 15,000 foreign nationals annually - over tenfold rise in past one decade - who come to seek medical treatment ranging from cosmetic surgeries to complex medical procedures. Some of the major areas of treatment include orthopedics, urology, knee and hip replacement, gastrointestinal surgeries, cardio and bariatric surgeries, dentistry, cosmetic and plastic surgeries and neurological diseases. Emerging areas include stem cell treatment and bone marrow transplant.

While Ahmedabad is undisputed hub of the medical tourism in Gujarat due to presence of over 15 corporate hospitals having special focus on patients from abroad, other cities such as Surat, Vadodara, Rajkot and Nadiad get sizable chunk of foreign patients.

"Gujarat is a state that also has a sizable number of regular visitors from abroad in form of Non-Resident Gujaratis (NRGs) from countries such as the US, the UK, Australia and African nations. In Gujarat, the period between Navratri and Uttarayan (typically from October to January) sees influx of NRGs in large number - many of which avail medical facilities and plan surgeries or treatment during the period," said a hospital representative.

He added that many foreigners also plan their visit during this period so that they could witness festivals such as Navratri, Diwali and Uttarayan while recuperating. Many also plan visits across the state from Rann of Kutch to Gir forest, boosting local tourism.

Corporate hospitals have tapped the trend by realizing

the potential earlier. Today, a number of hospital chains such as HCG, Sterling, Apollo, Wockhardt, Shalby, Columbia Asia, Zydus, etc. have made Ahmedabad a health hub. Many of these hospitals have overseas offices to provide information and facilitate the formalities as the foreign patients today account for 10 per cent to 35 per cent of their annual patient intake. The city has thus seen a number of foreign dignitaries - primarily from African nations - getting treatment in city-based hospitals.

"While some hospitals have designed entire floors or sections to suit the requirements of the patients from abroad, some have started offering option of nonvegetarian food - something which is not seen commonly in a state like Gujarat where majority of population adheres to vegetarianism. One of the biggest pull for the patients is availability of experienced doctors and supporting staff in addition to cheaper diagnostics and medication.

Knowledge of English is also a plus point," said an industry observer. He added that with growing popularity, it is not uncommon to see more than two to three members of the same family undergoing various treatments under the same roof.

Odhavji Patel, 61, recently underwent a bypass surgery at a city hospital. For patients like Patel, a resident of the US, such a surgery would cost nearly $ 140,000 without any insurance. The same procedure costs around $ 7,000. For Patel, it is the best deal as he is also spending time in his native among his relatives as the doctors conduct follow-ups periodically.

As awareness has increased about overall wellness, many centers in Gujarat have started offering alternative and traditional therapies such as naturopathy, Ayurveda, Yoga and homeopathy among others. The last decade has seen establishment of no less than 10 major naturopathy centers, medical resorts and spas across the state that attracts visitors from abroad.

However, all is not hunky-dory for the sector as yet. A number of challenges prevent the full potential growth of the sector. "The first and foremost issue is how we approach medical tourism. For the sector, it has remained an individual exercise. The way one connects Ayurveda with Kerala, none can attach any label to Gujarat. Most of the efforts are by corporate hospitals as the sector has failed to put a united front where the person can get all details pertaining to services offered to foreigners with one click," said a medical practitioner.

While the state government and organizational websites show the services offered, it does not go beyond listing the medical disciplines available.

Another challenge, he added, is lack of quality control and standardization where countries like Singapore score over India. Due to lack of any grading system, the prospective tourists are left fending on their own in deciding which facility to choose over another. Visa and registration procedure is another hurdle for the tourists as at the moment there is no one-stop shop solution for them in the state where minimum paperwork could ease the process.

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Cochlear Implant for Loss of Hearing Cochlear Implant Loss of hearing or congenitally hearing impaired patients can have a simple solution to their problem. Different centre in India implants are routinely done for those who have become deaf or hard of hearing due to various reasons. Cochlear Implants transform speech and sounds into electrical energy that is used to stimulate hearing nerves in inner ear.

This Implant has both internal and external components consisting on an external speech processor, headset (worn behind the ear) and a surgically implanted receiver /stimulator package with an electrode array in the skull. Through a surgery an electronic device is fitted in the ear. It doses the function of damaged parts in the inner ear and sends signals to the brain.

How the device works The external sound processor captures, fitters and processes sounds. The sound processor translates frittered sounds into digital information which is transmitted to internal part of the implant system. The internal implant converts digital information into electronic signal and send them to tiny delicate eurls of electrodes that are placed inside the cochlea.

Electrical signals from the electrodes stimulate the hearing nerve. It bypasses damaged cell and allows the brain to perclve sound.

Prospective patients who may need cochlear implant first meet an audiologist ENT surgeon. A number of preliminary tests are done including audio logical evaluation to ascertain the level of hearing loss, speech therapist assessment and trail with hearing, aids. Thereafter, the patient is cleared for a cochlear implant.

The surgery tests about 2 hours and is performed under general anesthesia. An electrode array is inserted into the cochlea while the receiver/ stimulator is secured in the skull. Typically, patient's stay in the hospital for 4 days and within a week they can return to normal routine. But the patients begin to get used to hearing with the implant.

We provide rehabilitation therapy which is necessary to maximize benefit from the implant. This is called auditory verbal therapy (AVT). In AVT the patients is taught how to listen with the implant, how to understand speech and talk. Learning to listen takes time and requires family and speech therapist`s support during the initial 3 weeks periods.

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±Þð ç ëß, ìèÕ, VÕë³Þ ±Þõ Îùß±ëÜýÞë ±ùãVËÝùÕùßùìççÞð_ V¿ígÞà Àßõ Èõ. äÔðÜë_, èõS× 360Üë_ ÚþõVË ÀõLçßÞë ±õÀØÜ ÇùÀçë´ÕñHëý ±Þõ {íHëäËÛßí ÜõÜùÃþëÎí ÜëËõ µEÇ ÀZëëÞí Ëõ @ Þùáù°Þù µÕÝùà Àßõ Èõ. èõ S × Çõ À ±Õ Õõ À õ ° çÜë_ ÀõßùËíÍ Àáß ÍùÕáßÞí çë×ùçë× ÜÃÉÞõ áùèíÞù ÕðßäÌù ÕèùîÇëÍÖí ÔÜÞíÜë_ Àù´ ÕHë ÕþÀëßÞð_ OáùÀõÉ èùÝ Öù ÖõÞí ÖÕëç ÕHë ÀßäëÜë_ ±ëäõ Èõ, Éõ×í ±ëÀãVÜÀ VËùÀ Àõ áÀäëÞë èðÜáë×í ßZëHë Üâí ßèõ Èõ. ÍõLËá ËíËÜõLË Öù ç_À<áÜë_ É ±ëäõ á ë µEÇ ÀZëëÞë Íõ L Ëá ã@áìÞÀÜë_ µÕáOÔ Èõ, Õß_Öð ÇõÀ±ÕÞë ìßÕùËó ÚëØ ½õ ±LÝ Àù´ ÚëÚÖõ Îùáù ±Õ ÀLçSËõåÞÞí Éwß èùÝ Öù èõS× 360 Öõ ÜëËõ ÕHë Éwßí ÜëÃýØåýÞ Õñßïð_ ÕëÍõ Èõ.

èõ S × 360Üë_ ÕßíZëHëÞù Ãùá OáõÍß, ìÀÍÞí, ÕõL¿íÝëç, ± P Ý ë ç ì Þ W H ë ë Ö ± õ Ü Í í ÝðËõßç ±Þõ ±ùäßí (jëí±ùÜë_), ìÎì{ìåÝÞ ¦ëßë ×Öù èùäë×í ÀßùÍßFÉ\ ±Þõ áù±ß ìáQÚç TÝã@ÖÞõ ±èÙ ìÞØëÞ ÕßíZëHëùÜë_ çìèÖÞë åßíßÞë Àù´ ÕHë çèõÉ ÕHë å_ÀëÞõ V×ëÞ ßèõÖð_ ÛëÃÜë_ ÀõLçß çìèÖÞù Àù´ ÕHë ßùÃÇëâù äÀßí ß ëù èùÝ Öù ÖõÞí Þ×í. ±ë Õþ À ëßÞí çõ ä ë-çð ì äÔë ÖÕëç ÀßëÝ Èõ. ±ë ÖÕëç ØìZëHëÛëßÖ ÜëËõ ±ëåíäëýØ çÜëÞ Èõ, Õñäý ±õìåÝëÜë_ çúÕþ×Ü ±õäë_ 32 ÀõÜ Àõ ±èÙ ÖõÞí Öùáõ ±ëäõ Öõäð_ Çõ Þ áÞë ±õ Ü ±ëß±ë´ ÜåíÞ ÚíÉ\_ Àù´ çõLËß Þ×í. Íù. åëè ¦ëßë ×ëÝ Èõ. äëÖÞð _ çÜëÕÞ ÀßÖë_ µÜõßõ Èõ, Ò ± Ü ë ß ë ±ë_ÖßßëWË íÝ @áëÝLËç ±Þõ ±õ Þ ±ë߱볱õ ÉHëëTÝë Õþ Ü ëHëõ ±Üõ Éõ µEÇ ÃðHëäkëëÝð@Ö ÀëÜÃíßí Àßí±õ È í ± õ Ö õ Þ ë × í ±ùÎßÞù áëÛ áõäë ±ë À<ÕÞÞõ á´Þõ ±ëäù. À<ÕÞ 31 ìÍçõQÚß, 2015 çðÔí ÜëLÝ. ±Üëßë ìßÕùËû ç ý ìärÞë lõWÌ ÀZëëÞë èõS× Àõß ³ãLVËËuðåLçÜë_ ÕHë ÜëLÝ ßëÂäëÜë_ ±ëäõ Èõ. Ëõ V ËÜë_ çÜëäõ å ×ëÝ ÈõÑ ÀëìÍóÝëÀ ìçËí Àõ ÉõÜë_ ÀùßùÞßí ÔÜÞí±ùÜë_ OáùÀõÉÞí ÖÕëç × ë Ý È õ . ± ë ±Üëßë ÕëËóÞß NM Medical ¦ëßë ÕHë ±ë ÖÕëç ìärÞë çú×í {ÍÕí 64 çõäë±ù ÕþëMÝ Èõ. +91 22 4342 6666 Váë³ç ÀëìÍóÝëÀ ÚëLÄëÑ ìçËí VÀõÞß Õß ÜáëÍÑ +91 22 2806 3333 ÀßäëÜë_ ±ëäõ Èõ. +91 22 4342 4444 è ù á Ú ù Í í ÚùßíäáíÑ ±õܱëß±ë³ Àõ Üðáð_ÍÑ +91 22 4342 7777 ÉõÜë_ ÜÃÉ, Ãâð_, ÕðHëõ ±Þõ ÚõîÃáùßÜë_ ÕHë çõäë Üâåõ. ÈëÖí, ìáäß, www.nmmedical.com

O U R A D VA N C E D D E N TA L T R E AT M E N T FULL MOUTH REHABILITATION

Before

After

TEETH WHITENING

Before

DEPIGMENTATION WITH LASER

Before

After

SMILE DESIGN

Before

After

After

IMPLANT

Before

After

DENTURE / IMPLANT

Flexible Partial Denture

Full Mouth Implant

Dr. Shweta Kumarswami M.D.S. (Prosthodontist) Consultant Dentist to Apollo Hospital, Bhat Consultant to SAC, ONGC & AIR-INDIA Principal, GRIDS, Gandhinagar.

2/B, Medicare Centre, Nr. M. J. Library, Ahmedabad-380 006. Gujarat, India.

Ph : 079 - 26578446, Mo. : +91 98250 14461

Email : info@drshwetakumarswami.com, Web : www.drshwetakumarswami.com

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Diabetes: Symptoms, Causes and Treatments What is Diabetes?

Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both.

Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia).

Fast facts on diabetes Here are some key points about diabetes. More detail and supporting information is in the main article.

Diabetes is a long-term condition that causes high blood sugar levels.In 2013 it was estimated that over 382 million people throughout the world had diabetes (Williams textbook of endocrinology). Type 1 Diabetes - the body does not produce insulin.

Approximately 10% of all diabetes cases are type 1.

Type 2 Diabetes - the body does not produce enough insulin for proper function. Approximately 90% of all cases of diabetes worldwide are of this type. Gestational Diabetes - this type affects females during pregnancy. The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet.

If you have Type 1 and follow a healthy eating plan, do adequate exercise, and take insulin, you can lead a normal life.

Type 2 patients need to eat healthily, be physically active, and test their blood glucose. They may also need to take oral medication, and/or insulin to control blood glucose levels.

As the risk of cardiovascular disease is much higher for a diabetic, it is crucial that blood pressure and cholesterol levels are monitored regularly.

As smoking might have a serious effect on cardiovascular health, diabetics should stop smoking.

Hypoglycemia - low blood glucose - can have a bad effect on the patient. Hyperglycemia - when blood glucose is too high - can also have a bad effect on the patient There are three types of diabetes:

1) Type 1 diabetes The body does not produce insulin. Some people may refer to this type as insulin-dependent diabetes, juvenile diabetes, orearly-onset diabetes. People usually develop type 1 diabetes before their 40th year, often in early adulthood or teenage years.

Type 1 diabetes is nowhere near as common as type 2 diabetes. Approximately 10% of all diabetes cases are type 1.

Patients with type 1 diabetes will need to take insulin injections for the rest of their life. They must also ensure proper bloodglucose levels by carrying out regular blood tests and following a special diet.

Between 2001 and 2009, the prevalence of type 1 diabetes among the under 20s in the USA rose 23%, according to SEARCH for Diabetes in Youth data issued by the CDC (Centers for Disease Control and Prevention).

2) Type 2 diabetes The body does not produce enough insulin for proper function, or the cells in the body do not react to insulin (insulin resistance).

Approximately 90% of all cases of diabetes worldwide are type 2.

Measuring the glucose level in blood Some people may be able to control their type 2 diabetes symptoms by losing weight, following a healthy diet, doing plenty of exercise, and monitoring their blood glucose levels. However, type 2 diabetes is typically a progressive disease - it gradually gets worse - and the patient will probably end up have to take insulin, usually in tablet form.

Overweight and obese people have a much higher risk of developing type 2 diabetes compared to those with a healthy body weight. People with a lot of visceral fat, also known as central obesity, belly fat, or abdominal obesity, are especially at risk. Being overweight/obese causes the body to release chemicals that can destabilize the body's cardiovascular and metabolic systems.

Being overweight, physically inactive and eating the wrong foods all contribute to our risk of developing type 2 diabetes. Drinking just one can of (non-diet) soda per day can raise our risk of developing type 2 diabetes by 22%, Contd. page No. 22

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Contd. researchers from Imperial College London reported in the journal Diabetologia. The scientists believe that the impact of sugary soft drinks on diabetes risk may be a direct one, rather than simply an inďŹ&#x201A;uence on body weight.

The risk of developing type 2 diabetes is also greater as we get older. Experts are not completely sure why, but say that as we age we tend to put on weight and become less physically active. Those with a close relative who had/had type 2 diabetes, people of Middle Eastern, African, or South Asian descent also have a higher risk of developing the disease.

Men whose testosterone levels are low have been found to have a higher risk of developing type 2 diabetes.

Researchers from the University of Edinburgh, Scotland, say that low testosterone levels are linked to insulin resistance.

3) Gestational diabetes This type affects females during pregnancy. Some women have very high levels of glucose in their blood, and their bodies are unable to produce enough insulin to transport all of the glucose into their cells, resulting in progressively rising levels of glucose.

Diagnosis of gestational diabetes is made during pregnancy.

The majority of gestational diabetes patients can control their diabetes with exercise and diet.

Between 10% to 20% of them will need to take some kind of blood-glucose-controlling medications. Undiagnosed or uncontrolled gestational diabetes can raise the risk of complications during childbirth. The baby may be bigger than he/she should be.

Scientists from the National Institutes of Health and Harvard University found that women whose diets before becoming pregnant were high in animal fat and cholesterol had a higher risk for gestational diabetes, compared to their counterparts whose diets were low in cholesterol and animal fats.

What is prediabetes?

The vast majority of patients with type 2 diabetes initially had prediabetes. Their blood glucose levels where higher than normal, but not high enough to merit a diabetes diagnosis. The cells in the body are becoming resistant to insulin.

Studies have indicated that even at the prediabetes stage, some damage to the circulatory system and the

heart may already have occurred.

Diabetes is a metabolism disorder Diabetes (diabetes mellitus) is classed as a metabolism disorder. Metabolism refers to the way our bodies use digested food for energy and growth. Most of what we eat is broken down into glucose. Glucose is a form of sugar in the blood - it is the principal source of fuel for our bodies.

When our food is digested, the glucose makes its way into our bloodstream. Our cells use the glucose for energy and growth. However, glucose cannot enter our cells without insulin being present - insulin makes it possible for our cells to take in the glucose.

Insulin is a hormone that is produced by the pancreas.

After eating, the pancreas automatically releases an adequate quantity of insulin to move the glucose present in our blood into the cells, as soon as glucose enters the cells blood-glucose levels drop.

A person with diabetes has a condition in which the quantity of glucose in the blood is too elevated (hyperglycemia). This is because the body either does not produce enough insulin, produces no insulin, or has cells that do not respond properly to the insulin the pancreas produces. This results in too much glucose building up in the blood. This excess blood glucose eventually passes out of the body in urine. So, even though the blood has plenty of glucose, the cells are not getting it for their essential energy and growth requirements.

How to determine whether you have diabetes, prediabetes or neither Doctors can determine whether a patient has a normal metabolism, prediabetes or diabetes in one of three different ways - there are three possible tests: The A1C test - at least 6.5% means diabetes - between 5.7% and 5.99% means prediabetes - less than 5.7% means normal The FPG (fasting plasma glucose) test - at least 126 mg/dl means diabetes - between 100 mg/dl and 125.99 mg/dl means prediabetes Contd. page No. 24 Contd.

- less than 100 mg/dl means normal An abnormal reading following the FPG means the

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patient has impaired fasting glucose (IFG) The OGTT (oral glucose tolerance test) - at least 200 mg/dl means diabetes - between 140 and 199.9 mg/dl means prediabetes - less than 140 mg/dl means normal An abnormal reading following the OGTT means the patient has impaired glucose tolerance (IGT) Controlling diabetes - treatment is effective and important All types of diabetes are treatable. Diabetes type 1 lasts a lifetime, there is no known cure. Type 2 usually lasts a lifetime, however, some people have managed to get rid of their symptoms without medication, through a combination of exercise, diet and body weight control.

Researchers from the Mayo Clinic Arizona in Scottsdale showed that gastric bypass surgery can reverse type 2 diabetes in a high proportion of patients. They added that within three to five years the disease recurs in approximately 21% of them. Yessica Ramos, Contd.

MD., said "The recurrence rate was mainly influenced by a longstanding history of Type 2 diabetes before the surgery.

This suggests that early surgical intervention in the obese, diabetic population will improve the durability of remission of Type 2 diabetes." (Link to article) Patients with type 1 are treated with regular insulin injections, as well as a special diet and exercise.

Patients with Type 2 diabetes are usually treated with tablets, exercise and a special diet, but sometimes insulin injections are also required.

If diabetes is not adequately controlled the patient has a significantly higher risk of developing complications.

Complications linked to badly controlled diabetes: Below is a list of possible complications that can be caused by badly controlled diabetes: Eye complications - glaucoma, cataracts, diabetic retinopathy, and some others.

Foot complications - neuropathy, ulcers, and sometimes gangrene which may require that the foot be amputated Skin complications - people with diabetes are more susceptible to skin infections and skin disorders Heart problems - such as ischemic heart disease, when the blood supply to the heart muscle is diminished Hypertension - common in people with diabetes, which can raise the risk of kidney disease, eye problems,

heart attack and stroke Mental health - uncontrolled diabetes raises the risk of suffering from depression, anxiety and some other mental disorders Hearing loss - diabetes patients have a higher risk of developing hearing problems Gum disease - there is a much higher prevalence of gum disease among diabetes patients Gastroparesis - the muscles of the stomach stop working properly Ketoacidosis - a combination of ketosis and acidosis; accumulation of ketone bodies and acidity in the blood.

Neuropathy - diabetic neuropathy is a type of nerve damage which can lead to several different problems.

HHNS (Hyperosmolar Hyperglycemic Nonketotic Syndrome) - blood glucose levels shoot up too high, and there are no ketones present in the blood or urine. It is an emergency condition.

Nephropathy - uncontrolled blood pressure can lead to kidney disease PAD (peripheral arterial disease) - symptoms may include pain in the leg, tingling and sometimes problems walking properly Stroke - if blood pressure, cholesterol levels, and blood glucose levels are not controlled, the risk of stroke increases significantly Erectile dysfunction - male impotence.

Infections - people with badly controlled diabetes are much more susceptible to infections Healing of wounds - cuts and lesions take much longer to heal

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World Class Dentistry at Economical Rates

H DENTAL IMPLANTS H ROOT CANAL TREATMENT H COSMETIC DENTISTRY H CROWN & BRIDGE H TOOTH WHITENING H DENTAL BRIDGE H RESHAPING & CONTOURING H COSMETIC GUM SURGERY

Multi Speciality Bhalla Dental Clinic & Implant Centre Dr. Manjit Singh Bhalla dental Surgeon (B.D.S.) 2nd Floor Galaxy Mall, Nehrunagar Char Rasta, Satellite Road, Ahmedabad - 380 015. Gujarat, INDIA. Phone: (Clinic) +91-79-26730407. 65450240, (Residence) +91-79-26852946, 26852744 E-mail: msbhalla@drbhalla.com u Website: www.drbhalla.com

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Dr Sudhir Parikh Medicine Dr. Parikh is a leading allergist in the United States and has received international acclaim in the field of allergy, asthma and immunology. He is a Diplomate of American Board of Allergy and Immunology, Clinical Associate Professor at the Robert Wood Johnson Medical School, a Fellow of the American College of Allergy & Immunology and Trustee of American Association of Physicians of Indian Origin (AAPI). He's also a Fellow, Allergy/Immunology (Adult and Pediatrics) at the New York Medical College and Metropolitan Hospital Center, New York.

Publishing Dr. Parikh is the Chairman and Publisher of Parikh Worldwide Media Inc., the largest Indian-American publishing group in the United States. The group publishes five periodicals - "News India Times," a national weekly newspaper; "Desi Talk in New York," a weekly newspaper serving the New York-New Jersey-Connecticut region; and "Desi Talk in Chicago," a weekly newspaper serving the Greater Chicago area and the Midwestern states; and "The Indian American," a national bimonthly feature magazine, and the Gujarat Times, a Gujrarati language weekly. The combined circulation and readership of these publications make the media group the most influential in the ethnic Indian market.

Honors Sudhir M. Parikh, M.D., is one of the most honored Indian Americans.

Topping the honors is the 2010 Padma Shri conferred by the President of India, Prathibha Patil. With this award, Dr. Parikh has become the only Indian American to receive all three of the most prestigious awards - The Ellis Island Medal of Honor, the Pravasi Bharatiya Samman and the Padma Shri. In March 2012, recognizing his philanthropic contributions, Dr. Parikh has been nominated as Knight of the Ecumenical Hospitaller Order of St. John Knights of Malta. He is the recipient of the 2006 Pravasi Bharatiya Samman, bestowed on non-resident Indians by the Indian government. The U.S. Congress recognized this honor with a mention in the Congressional Record. He's also a recipient of the 2005 Ellis Island Medal of Honor, the highest civilian honor for U.S. immigrants, for a lifetime of community service. In 2002, he received the National Excellence Award from former prime minister P.V. Narasimha Rao at the annual meeting of the Indian American Friendship Council (IAFC) in Washington, D.C. Dr. Parikh was appointed member of the National Leadership Advisory Committee of the Congressional Caucus on India and Indian Americans in 1999 by the Chairman of the India Caucus, U.S Congressman Gary Ackerman (D) of New York. He was a Member of American Media Delegation that accompanied President Barack Obama and First Lady Michelle Obama on their visit to India in November 2010.

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How to fix India’s broken healthcare system without spending big money

Strangled by red tape Dr. Devi Prasad Shetty India’s infant mortality and maternal mortality rates are worse than in sub-Saharan Africa. Every 10 minutes a young woman dies during childbirth. Three lakh children die the day they are born and 1.2 million die before celebrating their first birthday.

Policy makers believe we can address the crisis by increasing budgetary allocation on healthcare.

The truth is that even if we increase it from the current 1.1% to 10% of GDP, maternal and infant mortality in India will not come down because we do not have the skilled manpower to address the crisis.

According to information from the health ministry the shortage of medical specialists in community health centres – where the majority of children are born in rural India – is close to 75%. Every year 26 million babies are born in India; at least 5.2 million require caesarean sections.

To perform these we need at least two lakh gynaecologists. We only have 30,000; nearly half of them do not practice obstetrics. We need two lakh anaesthetists for the pregnancies alone and we have less than 20,000.

Predominantly the shortfall is because even though we produce 50,000 doctors a year, there are only 14,000 PG seats for them to become specialists.

Because of the acute shortage of seats, young MBBS students spend two to five years in coaching classes swotting up multiple choice questions in Kerala and Kota instead of taking care of patients.

We have rigid Medical Council of India (MCI) regulations as to who can perform what procedure. If we

Dr. Devi Prasad Shetty look at the top causes of death in India – heart disease, liver failure, psychiatric illness, accidents, pneumonia and TB – doctors without postgraduate qualifications cannot treat any of these cases.

How do we expect the death rate to come down?

Today, when it costs close to Rs 400-500 crore to start a medical college, state governments are reluctant to get involved. I can’t also think of a single trust with the honourable intention of building a medical college that would spend Rs 500 crore and not expect anything in return. As a result, it is

people with ill-gotten wealth who build medical colleges and medical education has become extremely expensive.

With the stroke of a pen India can equalise undergraduate and postgraduate seats in medical colleges. This can happen without billions of dollars in investment or a long wait. Worldwide, higher medical education happens in nonmedical college hospitals which are centres for excellence.

One of the issues raised by various councils is the shortage of faculty. But who is allowed to teach?

According to MCI neither Naresh Trehan of Medanta Hospital nor Ramakanta Panda of the Asian Heart Institute – both recognised as pioneers of cardiac surgery – are allowed to teach cardiac surgery in I n d i a . C l e a r l y, t h e r e i s fundamentally something wrong with how we conduct medical education.

Across the world, medical education is an integral part of healthcare delivery. By converting jobs available in rural India to part of the training programme, we can

bring talented doctors to these difficult areas. But we seem to have consciously avoided using medical education as a tool.

Few would have heard of the College of Physicians and Surgeons based in Mumbai. The oldest medical university in this part of the world, it was established 105 years ago and gave diploma d e g r e e s i n g y n a e c o l o g y, anaesthesia, paediatrics and radiology, to address the needs of rural India. Unfortunately, a few years ago their degree was derecognised.

But their training programme can happen at any government hospital, which would convert all MBBS doctors in government sectors to medical specialists in two years, addressing 75% of the shortage of specialists in the government sector. All it requires is a simple instruction from the health ministry.

Worldwide, nurse practitioners

or physician assistants provide primary healthcare. Unfortunately, here we have never created a legal framework for them to dispense basic medicines. We also have close to six lakh Ayush doctors who are graduates from the same universities that gave medical doctors their MBBS degrees. They just need a six-month bridge course to prescribe 47 basic drugs in primary health centres. This could address absenteeism of MBBS doctors and ensure quality healthcare to rural India. In spite of several meetings and expert opinions, nothing has changed. We just need the political will to make it happen.

Technology can also massively impact how healthcare is delivered and funded. Eleven years ago we conceptualised a micro health insurance scheme, Yeshasvini, launched by Karnataka’s department of cooperation. In the

31 first year 1.7 million farmers paid Rs 5 per month as a premium and the state government became the reinsurer. Today over 4 million farmers pay Rs 10 per month and close to 10 lakh farmers have had surgery. Close to one lakh farmers had heart surgeries in one of 476 network hospitals.

We can scale up. Today, India has close to 900 million mobile phone subscribers, who spend at least Rs 150 per month for basic services. If we create a regulation to get even Rs 20 from each subscriber, we can cover surgical costs for all 900 million. It is not rocket science.

We have the opportunity to become the first country to prove that a nation’s wealth has nothing to do with the quality of healthcare its citizens can enjoy.

The writer is a cardiac surgeon and Chairman and Founder, Narayana Health

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Dr. Jayesh Shah, the first MDS in conservative dentistry in the city, has provided Vadodara with quality dental health care services for over 25 years. After completing his master's degree from GDCH, Ahemedabad, he established his own practice in Vadodara in 1985. The second location of the clinic was opened in Akota in 1995. Since then, more than 45 dentists have trained under his constant and unerring supervision.

Today, Dr. Jayesh and his staff of four more dentists serve a large and growing dental practice with a special interest in Conservative dentistry and Cosmetic dentistry, Fix Teeth, Implantology, and Smile design. Being interested in Implantology, Cosmetic Dentistry and Conservative practice, he has attended a number of conferences, lectures, seminars, workshops and hands-on programmes to blossom his skills and knowledge.

Dr. Jayesh Shah is a member of · Indian Society of Oral Implantology (I.S.O.I.) · Indian Dr. Jayesh Shah Dental Association (I.D.A.) · Society of Endodontics · Rotary club of Baroda sayajinagri Meera Dental Clinic is built on four pillars : · Care · Commitment · Confidence · Comfort We care about our patients and we believe in stress-free dentistry. Therefore, we have learned to ask what you want and what you need. We promise to listen to your choices and respect your decisions about your dental health care.

Furthermore, we are committed to providing quality dental care using the latest and finest techniques and technologies that modern dental medicine has to offer. We look forward to meeting you and we are confident that we will exceed your expectations. Remember, keeping your teeth healthy for a lifetime is an achievable goal. We have stood the test of time, hope we pass yours too.

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ÃÛýÔëßHë Àßäë ±Þõ ÃÛý ËÀí ßèõ Öõ ÜëËõ ÜëÖëÞë åßíßÜë_ ÝùBÝ äëÖëäßHë èùÝ ±õ Éwßí ÈõÑ Íù. ÕñìHëýÜë ÞëÍÀHëa ÀßäëÜë_ ±ëäõ Èõ IÝëßõ ÛþòHë ÖöÝëß ×ëÝ Èõ. ±ë ÛþòHë Úõ-hëHë äÂÖ ËõVË Ëu<Ú ÚõÚíÞí çëßäëß ìÞWNâ IÝëßõ çëßð_ áëÃõ. Õß_Ö< ½õ ÕìÖ-ÕIÞíÞë ß_Ãç>hëùÜë_ ½Ý Öù å<_? ÂëÜí èùÝ Àõ ±ëÞ<ä_ìåÀ ÂëÜí èùÝ Öù ±õäë ÛþòHëÞõ ±ëÕHëë çÜëÉÜë_ ä_KÝIä ±õÀ ±ìÛåëÕ Èõ. áBÞÞë ±õÚÞùÜóá ÀèõäëÜë_ ±ëäõ Èõ. ±ëäë ÂëÜíäëâë ÛþòHë Úõ-hëHë äæóÜë_ CëßÜë_ ÕÃáíÞë ÕëÍÞëßÞ<_ ±ëÃÜÞ Þ ÃÛëóåÝÜë_ ±_À<ìßÖ ×´ åÀÖë Þ×í. FÝëßõ ËõVË ×ëÝ Öù çÃë-ç_Ú_ÔíÞí ÕðÈÕßÈ åw ×´ ½Ý Èõ. Ëu<Ú ÚõÚíÞí çëßäëß ìÞWÎâ ½Ý IÝëßõ 40 jëíÞõ É ±õ ÜëËõ ÉäëÚØëß ÜëÞíÞõ ÚÔë ÜèõHëë_-ËùHëë_ ìÀVçë±ùÜë_ ±ëÞ<ä_ìåÀ ÂëÜíÞõ ÀëßHëõ ±ëÜ ×Ö<_ ç_ÛâëääëÜë_ ±ëäõ Èõ. Àù´ ±õ ÚëÚÖõ À_´ Õ>Èåõ Àõ èùÝ Èõ. ±Þõ Öõ×í À<ØßÖÞõ ±õ Ü_É^ß èùÖ<_ Þ×í. Àèõåõ ±õ ÚíÀõ jëíÞ<_ CëßÞí Úèëß ÞíÀâäëÞ<_ Ú_Ô jëíÚíÉ, å<¿ëb_ ±×äë ÛþòHë ±ë hëHëõÜë_×í Àù´Üë_ ×´ ½Ý Èõ. IÝëßÚëØ ×ëÀí èëßíÞõ ±ëä<_ Ø_ÕìÖ ÕHë ±ëÞ<ä_ìåÀ ÂëÜí èùÝ Öù ÚëâÀ ßèõÖ<_ Þ×í. ä_KÝIä ìÞäëßHëÞë Íù@ËßÞù ç_ÕÀó Àßõ Èõ. Éßðßí FÝëßõ áõÚùßõËßíÜë_ ÀSÇßìÜÍíÝëÜë_ ÛþòHëÞù µÈõß ÖÕëç çùÞùÃþëÎí ±õLÍùVÀùÕí ÀÝëó ÚëØ Éõ ìÞØëÞ ÀßäëÜë_ ±ëäõ Èõ, Âëç ÀßíÞõ äÔ< µÜßäëâí jëí èùÝ ×ëÝ Öõ ÕþÜëHëõ çëßäëß åßð ÀßäëÜë_ ±ëäõ Èõ.

IÝëßõ ÖõÞë ÛþòHëÞ<_ ÀäÇ ÀÌHë ×´ ½Ý Èõ. ±Þõ ±ùTÝ< á õ å Þ ´LÍÀåÞ, ç< Õ ß ±ùTÝ< á õ å Þ, Íù. ÕñìHëýÜë ÞëÍÀHëa OáëVËùçíVËÞõ èõÇ ×äë ØõÖ<_ Þ×í. ±ë´.Ý<.±ë´, ±õLÍùVÀùÕíÀ çÉóßí, Üë´¿ù çÉóßí @ÝëßõÀ èùÜùýÞá ´LÉõÀåÞ çëßí @äùáíËíÞë Þ èùÝ äÃõßõ çëßäëß ìÞWÎâ ÃÝë ÚëØ ËõVË Ëu<Ú ÚõÚíÞí Öù ÕHë ÖõÞí ±çß jëíÚíÉ Õß ×ëÝ Èõ ±Þõ çå@Ö ÛþòHë ÖöÝëß ×Öë çëßäëß ÀßäëÞ<_ ç>ìÇÖ ÀßäëÜë_ ±ëäõ Èõ. Þ×í. ±ëäí ËVõË ËuÚ < ÚÚ õ íÞí çëßäëß ÀßÞëßë çLõËßù Úõ ÕÀ þ ëßÞë èùÝ È.õ Éõ Õ<ßïðæùÜë_ ÞgèäÖ å<¿ëb_ èùÝ ÖõÞõ ±õ{ùVÕÜaÝë ÀèõäëÜë_ ±ëäõ Èõ.

(1) ÉõÞ<_ ÕìßHëëÜ 50 ×í 60 ÉõËá<_ ±ëäÖ<_ èùÝ @ÝëßõÀ å<¿ëbÜë_ ÂëÜí èùÝ (YQ Üë´¿ù ÍíáíåÞ) ±×äë DNA (2) ÉõÞ<_ ÕìßHëëÜ Úèð É ±ùÈ\_ ±ëäÖ<_ èùÝ ÁõBÜõLËõåÞ èùÝ Èõ. ±ëäí ãV×ìÖÜë_ ±ëäë ÂëÜíäëâë å<¿ëb×í çëßë Àèí åÀëÝ Öõäë çõLËßùÜë_ ±IÝëÔ<ìÞÀ ÜåíÞù ±Þõ çëÔÞù jëíÚíÉ ÎìáÖ ×´ åÀÖë Þ×í. èùÝ, É_Ö<ßìèÖ äëÖëäßHë èùÝ, ìÞÕ<Hë ÃëÝÞõÀùáù°VË ±Þõ èäõ ½Hëí±õ ÃÛëóåÝ ìäåõ. ÃÛëóåÝÞ<_ ÕÍ ÕHë ÛþòHëÞë ±ëßùÕHë ±õQÚþíÝùáõ°VË ÀëÜ ÀßÖë_ èùÝ IÝë_ 50 ×í 60 ÕìßHëëÜ ±ëäõ ±õ ÜëËõ ÖöÝëß èùä<_ ½õ´±õ. @ÝëßõÀ Àù´À ÀëßHëçß ÃÛëóåÝÞë ÕÍÞù Àù´ ÜùËí äëÖ Þ×í. Õß_Ö< ±ëäë çõLËßùÜë_ ÕHë ±õäë Ø_ÕìÖ±ù èùÝ Â>Ú É ±ùÈë ÕþÜëHëÜë_ ìäÀëç ×ëÝ Èõ. ÃÛëóåÝÞí ±_Øß Ëí.Úí.Þë Èõ ÉõÜÞí 3-4 äÂÖ ´@çíÞí çëßäëß ìÞWÎâ ô èùÝ. ±ùTÝ<áõåÞ ÇõÕÞõ ÀëßHëõ, @áë´ÜíÍíÝëÞë ÇõÕÞõ ÀëßHëõ Àõ çõMËíÀ ±õÚùåóÞÞë ´LÍÀåÞÞí ç<Õß ±ùTÝ<áõåÞÞí Õ©ìÖ çëßí ßíÖõ ×´ èùÝ, jëíÀëßHëõ ÃÛëóåÝÞë ÕÍ ÇíËÀí ½Ý Èõ. ±ë ãV×ìÖÜë_ ÃÛëóåÝ 8Þí Úí½õ çëßë ÜYÝë èùÝ, ÎáíÞíÀßHë çëßí ßíÖõ ×Ý<_ èùÝ, ÛþòHë ÕHë ½Íë´ ÕëÜí åÀÖ<_ Þ×í. ±Þõ ±õ×í ÚëâÀ ÕÀÍí åÀÖ<_ Þ×í. çëßë ÚLÝë èùÝ, ÛþòHëÞõ ÃÛëóåÝÜë_ Ü>ÀäëÞí Õþì¿Ýë ÕHë çèí ÉLÜ½Ö ÂëÜí±ù Éõäí Àõ ÃÛëóåÝÞí ±_Øß ÕÍØù èùÝ, ÃÛëóåÝÞí çáëÜÖ ×´ èùÝ, ÛþòHë ËÀõ ±õ ÜëËõÞí Øäë ÕHë ±ëÕäëÜë_ ±ëäí èùÝ. ±_Øß Üçë Àõ Îë´Úþù´Í èùÝ, ÃÛëóåÝÞí ÚLïÞõ ÞçùÜë_ ÕëHëí ±ë ÚÔð_ É ÝùBÝ ßíÖõ ×Ý<_ èùÝ. ÖõÜ ÈÖë_ FÝëßõ 15 ìØäç ÕÈí ÛßëÝõá<_ èùÝ äÃõßõ Éõäë ÀëßHëù×í ÃÛëóåÝÞí ÉÜíÞÜë_ ÚíÉ ÕÍäë áùèíÞí ÖÕëç (±ë +HCG) ÀßäëÜë_ ±ëäõ Èõ IÝëßõ ìßÕùËó ÞõÃõìËä Ü<UÀõá ×´ ½Ý Èõ. ±ëäõ Èõ. ±Þõ IÝëßõ Îßí äë_ì{Ýë Üèõb_ çë_Ûâä<_ ÕÍåõ, Îßí áùÀùÞë ÃÛó ËÀí ßèõ Öõ ÜëËõ ÜëÖëÞë åßíßÜë_ ÝùBÝ äëÖëäßHë èùÝ ±õ Éwß ÕþfÞùÞù çëÜÞù Àßäù ÕÍåõ ±õ ìäÇëßõ ØØa ìÞßëåëÞí ÃÖëóÜë_ Èõ. ´QÝ<Þùáù°Àá ÕþùOáõÜ ÉõÞõ APA ìçLÍùÜ ÀèõäëÜë_ ±ëäõ Èõ. çë×õ ÔÀõáë´ ½Ý Èõ. çë×õ À> Âëáí ßèõäëÞí TÝ×ë ±Þõ ÚëâÀ ìäÞëÞù çë×õ N. K. Cell ±×äë ±õLËí ×ë´ßùÍ ±õLËíÚùÍí-±ë ÚÔë ÂëáíÕù Öù Âßù É. ìÀVçë±ùÜë_ ÃÛëóåÝÞí ±_Øß ±õäí ½ÖÞë Àùæ èùÝ Èõ Éõ ÃÛóÞõ å<_ ±ëäí ÕìßãV×ìÖÜë_ ÚëâÀ ×äëÞí Àù´ å@ÝÖë Âßí? ±ë ÕþfÞ VäíÀëßÖë Þ×í. ÉõÞõ ´QÝ<Þùáù°Àá ±Þõ ìèÜõËùáù°Àá ÀèõäëÜë_ Íù. Õ>ìHëýÜë ÞëÍÀHëaÞõ Õ>ÈÖë_ Öõ±ù èëÞù µkëß ±ëÕõ Èõ. ±ëäõ Èõ. ÃÛëóåÝÞí ±_ØßÞ<_ äëÖëäßHë ÛþòHëÞõ ÜëËõ ±Þ<À>â èùÖ<_ Íù. Õ>ìHëýÜë ÞëÍÀHëa Àõ ÉõÜHëõ ÕùÖëÞí ÀëßìÀØaÞí åßð±ëÖ ØìZëHë Þ×í ±õ Ëáõ Öõ ÛþòHëÞõ ÕÀÍí åÀÖ<_ Þ×í. Ã<ÉßëÖÞë ìÀSáë ÕëßÍí Éõäë ÞëÞë ÞÃß×í Àßí èÖí ±Þõ èëá èäõ ±ëÕHëõ ±õ ½Hëí±õ Àõ ±ëäë ØØaÞí çëßäëß ±ëÕHëõ À´ ßíÖõ Öõ±ù ÞëÍÀHëa èùãVÕËá ±Þõ ËõVË Ëu<Ú ÚõÚí çõLËß-ìÀSáë ÕëßÍí, Àßí åÀí±õ. ËûäõLËí ÎVËó çõLEÝ<ßí èùãVÕËSç Õþë. áí., äëÕí ±Þõ ËûäõLËí ÎVËó äëß_äëß ËõVË Ëu<Ú ÚõÚíÞí çëßäëß ìÞWÎâ ô èùÝ IÝëßõ ØØa±õ çõLEÝ<ßí èùãVÕËá ±Þõ ËõVË Ëu<Ú ÚõÚí çõLËß, ç<ßÖ ±õÜ À<á hëHë Íù@Ëß çë×õ ÚõçíÞõ ±õ ìäÇëß Àßäù ÕÍõ Àõ µÕß ÉHëëTÝë Ü<ÉÚÞë èùãVÕËáÞë ÍëÝßõ@Ëß Èõ. 2000×í äÔëßõ ±ë´.äí.±õÎ, ´@çí Öù Àù´ ÀëßHëù Öù LèùÖë Þõ? ÚõÚí, 50 ÜõÞùÕù{á ÕþõBÞLçí, 150 Ëíçë, Üíçë ¦ëßë ÕþõBÞLçí, 45 çú Õþ×Ü Öù ØØaÞë ß_Ãç>hëùÞí ÇÀëçHëí Àßäí ÕÍõ. APLA, ANA, Áù{Þ ±õQÚþíÝù ÚõÚí ±Þõ 10 çßùÃçíÞù Éå Íù. Õ>ìHëýÜë ACA, LA, N. K. Cell, Anti Thyroid, AntibodyÞí ÇÀëçHëí Àßäí ÞëÍÀHëaÞë Îëâõ ½Ý Èõ ±õäë Íù. ÞëÍÀHëa Õëçõ ±ëÕHëõ çÜ°±õ Àõ ÕÍõ . Îßí ±õÀäëß èíVËùVÀùÕí Àßäí ÕÍõ. ÃÛëóåÝÜë_ ½âë èùÝ Àõ Úõ-hëHë äÂÖ ËõVË Ëu<Ú ÚõÚíÞí çëßäëß ìÞWNâ ½Ý ÕÈí ÕHë çõMËÜ èùÝ Öù ÀëÏä<_ ÕÍõ. ÃÛëóåÝÜë_ Ëí.Úí. èùÝ Öù ÖõÞí Øäë Àßäí ÚëâÀ Àõäí ßíÖõ ×´ åÀõ. ÕÍõ. ±ë ÚÔí ÇÀëçHëí ÕÈí 25-30 ÀëßHë Üâõ ±Þõ ÖõÞí çëßäëß ±ë ìäåõ ìäÃÖõ Õ>ÈÖë_ Íù. Õ>ìHëýÜë ÞëÍÀHëa±õ ÉHëëTÝ<_ Àõ ÛþòHëÞë Àßäí ±ÃIÝÞí Èõ. çÎâÖëÕ>äóÀÞë ±ëßùÕHë ÜëËõ Õèõáë Öù çëß_ð ÛþòHë èùä<_ Éßð_ßí Èõ. ÃÛëóåÝÞ<_ ÕÍ ÕëÖâ<_ èùÝ Öù Öõ ÜëËõÞí Øäë ´VËùÉÞ äÃõßõ áõäë×í ÉÜíÞ çëßí èùÝ ±Þõ çëßð_ äëÖëäßHë Üâõ IÝëßõ É ÚíÉ ±_À<ìßÖ ±Þõ áùèí ÕëÖâ<_ ×äëÞ<_ ´LÉõ@åÞ áõäë×í ´QÝ<Þùáù°Àá ÕþùOáõÜ ×ëÝ Èõ. ±èÙ ÉÜíÞ ±õËáõ ÃÛëóåÝ. ±Þõ N. K. CellÞë ÕþùOáõÜÞù µÀõá ±ëäí ½Ý Èõ. ÃÛëóåÝÞ<_ ÕÍ FÝëßõ jëíÚíÉ ±Þõ Õ<wæÞë å<¿ëb_ ÛõÃë Àßí ÖõÞ<_ ÎáíÞíÀßHë

33 Medical Tourism 2015 çëßë ÛþòHëùÞõ É ÃÛëóåÝÜë_ Ü>ÀäëÜë_ ±ëäõ Èõ. ±ë×í ÕþõBÞLçí 8mm ×í äÔí ½Ý ±Þõ äõV@Ý<áëßíËí äÔí ½Ý ÕÈí ÛþòHë VäíÀëßäë ßèõäëÞí å@ÝÖë 30" äÔí ½Ý Èõ. ÜëËõ ±õLÍùÜõËíÝÜ çZëÜ ×´ ½Ý Èõ.

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(8 cell or blastocyst) ÛþòHë ÃÛëóåÝÜë_ Ü>ÀäëÜë_ ±ëäõ Èõ. ÉõÜë_ çëÝËùMáëVËíÀ ËëLçÎß ÕþõBÞLçí ßèõäëÞí å@ÝÖë äÔí ½Ý Èõ. Âëç ÀßíÞõ 35 äæó×í äÔ< Éõ jëíÞë jëíÚí½õ çëßë ÞíÀâÖë èùÝ ÖõÞë jëíÚíÉÜë_×í µÜßäëâí jëí±ù èùÝ Àõ ÉõÜÞë ÛþòHëÞ<_ ÀäÇ 15 Üë´¿ù×í äÔëßõ çëÝËùMáë{ÜÞù ±_å á´Þõ ä_KÝIääëâí jëíÜë_ Ü>ÀäëÜë_ ±ëäõ Öù èùÝ Öõäë ìÀVçëÜë_ ±ë Õþì¿Ýë Úèð É çëv_ ÕìßHëëÜ ±ëÕõ Èõ. ÕþõBÞLçí ßèõäëÞí å@ÝÖë äÔí ½Ý Èõ. ±ùäÜ ÍùÞõåÞ Éõ jëíÞí ÕþõBÞLçí ßèõäëÞí å@ÝÖë 25 ×í 50" äÔí ½Ý Èõ. ç<ßÖÞí ËûäõLËí ËõVË Ëu<Ú ÚõÚíÞí çëßäëß ìÞWÎâ ô èùÝ ÖõÞë ÕìÖÞë å<¿ëb_ ÎVËó çõLEÝ<ßí èùãVÕËá ±Þõ ËõVË Ëu<Ú ÚõÚí çõLËßÜë_ áõçß ±Þõ ±LÝ ÞëÞí µÜßÞí ÎËëó´á jëíÞ<_ ÚíÉ á´Þõ ÛþòHë ÖöÝëß ±ëìçVËõÍ èõgÇà ¦ëßë çëßäëßÞí åw±ëÖ ×´ ô Èõ. ±ë ÀßäëÜë_ ±ëäõ Èõ. IÝëßõ ÕþõBÞLçíÞí å@ÝÖë 50 äÔí ½Ý Èõ. çëßäëß×í ÈõSáë ×ùÍë ìØäçùÜë_ hëHë jëí±ù ÕþõBÞLË ×´ ô Èõ.

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Medical Tourism 2015

Medical Tourism 2015

Newer treatments in women's healthcare

SUDHIR M. PARIKH, M.D., F.A.C.A.I

36

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Uterus can be preserved. omen's Health has been a major Do young women with fibroids need to focus of attention as far as have their uterus removed? breakthroughs and newer technological No. Young women desirous of further childadvance are concerned. Excellent tools and bearing can undergo another stitchless treatment modalities in the past few years surgery we have devised. It involves galvanized new hope for infertile couples removal of just the tumour (fibroids) and who are desperate for quick and safe keeping the uterus intact. Any number of results. fibroids can be removed with this technique.

Medical tourism has now been more Which is your third ‘stitchless’ surgery? organized than ever before. Women's The third of these ‘stitchless’ surgiries is surgeries have come in the forefront, called Vdula`s Sling operation. This offering excellent, economical and operation is for replacing a prolapsed Uterus Dr Mukesh Bavishi caring treatment without any waiting in young women back to its normal position. period.

This operation has been dedicated to my wife Dr Vidula.

Mrs Harsha form USA, has profuse menstrual bleeding Can tumors of the Ovary be removed ‘stitchless’? while on a social visit to Ahmedabad, undergo Bavishi’s Yes. Most Ovarian tumors can be removed with this Stichless’ Hysterectomy, goes home next day and is technique. able to make it to the wedding she came to attend, next What cancers do you treat? week.

Well, we treat Gynec Cancers like those of uterus, cervix, Mrs Mala Desai undergoes a “tummy tuck in ovaries, vagina, vulva and breasts. Early stage cancers Ahmedabad, works out very very economical compared give better results. We do a lot of debunking surgeries to her USA clinics. No complications in spite of her being and recurrent cancers. A comprehensive individualized Diabetic. The stories are endless. But they are stories of treatment plan gives grate survivals and good quality of surgical success as well as patient's satisfaction. life.

Dr Mukesh Bavishi is a renowned Gynec Surgeon and What is the advantage of Laser surgeries?

Gynec Cancer Surgeon whose dedication to patients Laser came in with a big fanfare. It is an excellent and care and commitment to excellent surgeries and latest precise tool for surgery. We use it in all cases. esp treatment modalities have earned him grate reputation involving cervical and pre-cancerous lesion of uterus, around the globe. vagina and vulva (outer skin). Laser accrue grate What are the newer avenues in treating infertility? advantages in precision and healing.

Infertility is still rampant globally. One in five to seven What is vessel sealing device? couples are childless. A methodical approach with Excellent vessel sealing device are now available in the never avenues like IUI (Intra Uterine Insemination) has armamentarium of Gynec Surgeries. Women are spared rendered excellent results in infertility. Unexplained of any internal stitching up. Instead, this device seals off infertility, women's with tubal blocks, with ovarian blood vessels. It has decreased our operation time causes like Polycystic ovaries (PCOD), with Fibroids , further, healing has improved and chances of post with pelvic inflammatory Disease and long standing operative bleeding have been eliminated.

Endometritis can very effectively bear results along Why do people come from different countries for with other condition. Please remember that “Infertility treatment? is not a disease”. They need guidance. The current Globalization has shrinks' the world, it has become more aggressive approach yields quick and gratifying accessible. Global Medical and surgical treatments in results.

India have been very popular now. Ahmadabad has What are ‘stitchless’ surgeries? become a global hub for Gynec Surgeries and Infertility ‘Stitchless’ surgeries spare the women of any cut or scar treatments. We have treated patients from 18 countries on the abdomen. When such layers are not opened - no including The USA, UK, East Africa, Gulf countries, infection of wound, sepsis or hernia happen. Time saved, South East Asia & Europe. There are no long waits and less anesthesia give better post operative recovery! A we offer excellent, economic and caring treatment!

Stitchless hysterectomy (removal of uterus), A Dr Mukesh Bavishi ‘stitchless’ myomectomy (removal of fibroids and ( Gynec Surgeon) keeping the uterus intact) and a ‘stitchless Vidula’s Mobile: 91-9898926262, sling (repositioning of uterus in prolapsed conditions) mukeshbavishi@hotmail.com, are the surgeries we offer. They are 20 minute surgeries, www.mukeshbavishi.com are bloodless and painless. Patients stay is 24 hours.

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CENTER FOR ASTHMA & ALLERGY (New Jersey), ASTHMA ALLERGY MEDICAL CARE (New York) ALLERGY & ASTHMA ASSOCIATES OF MURRAY HILL (New York City), Diplomate of American Board of Allergy and Immunology, Clinical Associate Professor-RWJ Med School Michael Teitel, M.D. Purvi Parikh, M.D. Guli Khan, M.D. Paul Ehrlich, M.D. Sreenivasrao Amara, M.D. Renata Witkowska, M.D. Martin Pine, M.D. Shameen Khan, M.D. Deborah V. Fishman, M.D. Urlich Bauer, M.D. Aliona Rudys, M.D. Shari Klig, M.D. Thomas Golbert, M.D. Savithri B. Bonala, M.D. Fawzi Suliaman, M.D. Wei Wei Li, M.D. Faina Gutin, M.D. Richard J. Bukosky, M.D. Munirih Tahzib, M.D. Carlos Morales, M.D. Alaaddin Kandeel, M.D. Salvatore Dangelo, M.D.

TOLL FREE 1-800-535-5277 NEW JERSEY LOCATIONS - CENTER FOR ASTHMA & ALLERGY - (SUDHIR PARIKH, M.D., P.A WWW.CENTERFORASTHMAALLERGY.COM 18 North Third Ave. Highland Park, NJ 08904 Tel 732-545-0094 Fax: 732-545-4087 300 Hudson Street Hoboken, NJ 07030 Tel: 201-792-5900 Fax: 201-792-5320 617-79th Street North Bergen, NJ 07047 Tel: 201-854-8119 Fax: 201-854-4875

279 3rd Ave. Ste 102 Long Branch, NJ 07740 Tel: 732-542-8149 Fax: 732-229-6366 1818 Oak Tree Rd. Edison, NJ 08816 Tel: 732-205-0343 Fax: 732-205-0348 1018 Broad Street Bloomfield, NJ 0703 973-893-0093 973-893-0090

706 Alexander Rd. Princeton, NJ 08540 Tel: 609-243-0100 Fax: 609-243-0055 90 Millburn Ave, Ste 200,Millburn NJ 07041 Tel: 973-763-5787 Fax: 973-763-8568 2566 Nottingham Way Trenton, NJ 08619 Tel: 609-587-3041 Fax: 609-587-9347

546 Westfield Ave Westfield, NJ 07090 Tel: 908-232-1565 Fax: 908-232-9301 222 Schanck Rd. # 203 Freehold, NJ 07728 Tel: 732-431-8266 Fax: 732-294-9794 200 Perrine Rd. Suite 207 Old Bridge, NJ 08857 Tel: 732-566-4494 Fax: 732-441-0490

71 South Maple Ave Ridgewood, NJ 07450 Tel: 201-445-4557 Fax: 201-445-2365 926 North Wood Ave Linden, NJ 07036 Tel: 908-925-3318 Fax: 908-95-8646 2B Cornwall Drive, East Brunswick, NJ 08816 Tel: 732-257-4008 Fax: 732-257-1958

NEW YORK CITY - ALLERGY & ASTHMA ASSOCIATES OF MURRAY HILL WWW.ALLERGYASTHMANYC.COM 35 East 35th Street Suite 202, New York, NY 10016 - Tel: 212-685-4225, Fax: 212-696-5682

NEW YORK LOCATIONS - ASTHMA ALLERGY MEDICAL CARE (SUDHIR PARIKH, M.D., P.C.) 68 Nassau Road Huntington, NY 11743 Tel: 631-423-5599 Fax: 631-423-9137

519 Route 111 Hauppauge, NY 11788 Tel: 631-724-3355 Fax: 631-724-9751

2004 Grand Avenue Baldwin, NY 11510 Tel: 516-223-7656 Tel: 516-223-7656

984 North Broadway Suite 307 Yonkers, NY 10701 Tel: 914-476-8877 Fax: 914-476-4754

109-15 Queens Blvd Suite 1P, Forest Hills, NY 11375 Tel: 718-544-2066 Fax: 718-544-6664

All Dental Treatment Under One Roof Dr. Maulik K. Vora B.D.S. (Dental Surgeon)

Dr. Archin M. Vora

DENTAL CLINIC

B.D.S. (Dental Surgeon)

Fillings

Orthodontics

Root Canal

Dental Implants

Orthodontics Oral Surgery Root Canals Dental Implants Teeth Whitening Flap Surgery 405, 4th Floor, Shivalik-5, Mahalaxmi Char Rasta, Paldi, Ahmedabad-7 M. +91-9824019318, 9924087185 Ph. : +91-79-2665 0460, 2665 0470 E-mail: drmaulikkvora@yahoo.co.in www.drmaulikkvora.com

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Medical Tourism 2015

Is your friend addicited to alchohal? ... Are You??

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someone is addicted to alcohol. any people enjoy Alcohol& sometimes 1 Have you ever felt you needed to cut it's not a problem. Even in certain down on your drinking? communities & some state like Gujarat 2 Have people annoyed you by where drinking is prohibited - many people criticizing your drinking? drinking alcohol.

3 Have you ever felt Guilty about Some people don't drink at all or drink drinking? very rarely. Other may drink at weekends or 4 Have your ever felt you needed a a few days in a week. Then there are those drink first thing in the morning (Eye who drink heavily every day and those who opener) to steady your nerves or to 'binge or get drunk on regular basis. get rid of a hangover?

People start drinking alcohol for different Answering yes to two or more of the reason such as - pleasure, to be social, to questions indicate that you should seek feel relaxed, to forget worries etc. Out of the Dr Pradip Vaghsiya treatment at a specialist or experts. ten people who start drinking for such harmless reason, two to three become How to deal with someone you are physically dependant on & mentally addicted to alcohol. concerned about I have listen, many people talk that alcohol is good for First, try to talk to the person about your concerns at a health. It is known that alcohol in very small quantity in time when they are sober & in a calm state of mind. Show very small quantity (1 to 2 units a day) will help to protect them that you care & worried about them. against coronary heart disease and some strokes. In Try to talk to them about how their drinking is affecting reality, very few people can drink themselves with such is affecting you and the rest of the family. small quantity.

Avoid getting in to argument Encouraging the drinker to get help form appropriate agency. E.g. Dead Ddicition Specialist How much one can drink = Health

Risk Man: If you drink there and more units a day there is an increasing risk to health.

Women: if more than two units a day, there is increasing risk to health. Pregnant women at very higher risk.

Beer: 330ml bottle = 108 units (4% volume) Whisky: 25ml = 1 unit (40% volume) Myths & Facts Myth: 'Alcohol is medicine & it is real fun’ Facts: Alcohol is depressant; it may make you better in short term. In long term it makes you feel worse as it depresses the central nervous system.

Myths: "Come on I say! Be a man….. Have one drink" Afraid to take because of your wife -

Harmful effect on body Organ affected - Damage Heart - Unstable blood pressure, Irregular pulse rate Pancreas - painful inflammation Liver - hepatitis, Cirrhosis Stomach - Gastritis, Peptic, cancer Muscle- weakness, loss of muscle tissue Nervous System - Tingling & loss of sanitation Brain - Cell damage, Loss of memory, confusion, hallucination Genitals - Temporary Impotence Blood - Anaemia The CAGE Questionnaire: is a useful acronym commonly used to help determine whether or not

Dr Pradip Vaghsiya Consultant psychiatrist & De. Addicition Specialist Cell 91 9879787020

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Medical Tourism 2015

Why NRIs Prefer India as a Medical Tourism

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ndia is a land that has attracted people from across the globe for centuries now, mankind has looked at the land with reverence, primarily because of country's stature as place where one of the world's most ancient civilizations grew. Along with enriching philosophers and thinkers, the nation has also provided spiritual solutions to the problems of outside world. If it has been destination India over the centuries, today, it is destination Gujarat. The state is at forefront, once again, this time proving that it is not only a destination for commerce and industry, but also one for good health and long lasting happiness. Gujarat's concept of hospitality is known worldwide. This hospitality, when plays host to a person who has come here for medical assistance, works wonders. in the arena of health, Gujarat has everything on earth to offer to its visitors. From the world of cosmetics to the treatment of complicated ailments, everything is available. Today, people are thronging the state for surgeries like bariatric surgery, breast implants, tummy tucks and face lifts, along with complex ones like angioplasty, bypass surgery, knee replacement, Lasik eye surgery and dental work.

What Gujarat has to offer to its tourists is mix of spirituality, pleasure and health. One can visit the historic city of Mahatma Gandhi's birth - Porbandar - or his ashram at Ahmedabad while having easy access to the best of health care.

India again has something very lucrative to offer to the world - it is unique blend of hospitality, spirituality and

health. The term that can aptly describe this blend is medical tourism. The factor underlying the phenomena of visitors approaching the country for health tourism is availability of world class healthcare at low cost. One can gauge the success of medical tourism in Gujarat buy he.

Fact that many of healthcare providers have opened their primary centres in Eastern African countries .A visit to any of big hospitals and you come across patients from these countries along with relatives in numbers. Moreover NRGâ&#x20AC;&#x2122;s too prefer to get planned treatment in their homeland.

The reason is obvious. Gujarat in last decade has become centre of medical excellence. With the entry of corporate sector in a big way, Healthcare has got the status of an industry offering quality healthcare comparable to the best in the world. An example is Total Knee Replacement (TKR) Surgeries, where Ahmedabad is the top destination and now labelled as centre with highest no of TKR surgeries in INDIA. Compare the price tags and you'll understand why. A bone marrow transplant costs $2.5 million in United States, while the same can be done here for $26,000.While a heart bypass surgery runs $60,00 to $150,000 in the west, in India, the average cost is less than $10,000.Other surgical procedures can be done here at a fraction of a cost, compared to what it takes in the west.

So, for a patient who comes to Gujarat for treatment, it I'd a trip to a spiritual land that has all the modern modes of entertainment to offer along with the best of health care.

- Sanjeev Dhawan (Ahmedabad)

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Medical Tourism 2015

WORLD CLASS MULTI SPECIALITY CHARUSAT HOSPITAL In CHAROTAR

CHARUSAT Hospital Indoor Patient services were launched on May 7, 2015

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he ďŹ rst phase of World Class Multi-speciality CHARUSAT Hospital has been inaugurated on February 15, 2015 which established by Charusat Healthcare and Research Foundation (CHRF) which is taking shape at lush green CHARUSAT Campus in Charotar region.

CHARUSAT Hospital Indoor Patient Services with well-equipped modern operation Theaters, CCU, NICU, Delivery Rooms which are operational since May 7, 2015. CHARUSAT Hospital is steadily marching towards its goal to establish quality healthcare in Rural Region.

CHARUSAT Hospital Out Patient Department offers services of General Medicine, Surgery, Obstetrics & Gynecology, Pediatrics, Diabetes Care, Dermatology, Neurology, Cardiology, Ophthalmology, Dentistry, Psychiatry, ENT, Physiotherapy, Orthopedics, Diagnostic Department with Clinical Laboratory& Imaging Services. It also has different clinics like Antenatal clinic, Menopause Clinic, Diabetes Clinic, vaccination Clinic, Wellness Clinic etc.

More than 60000 patients are served by Out Patient Department services since February 2013.

CHARUSAT hospital has dedicated Intensive Critical Care Unit (ICCU), Neonatal Intensive Care Unit (NICU), Delivery suite as well as 24 hours service of Accident and Emergency Department, along with well-equipped State of the art Operation Theatres which are unique in whole Charotar region.

In-Patient department of this hospital has different facilities like General ward, Special room and deluxe room.

CHARUSAT Hospital is providing all services with affordable rates and serving each patient with the Moto of "Care with Compassion".

CHARUSAT Hospital aims to provide quality Healthcare services affordable to all.

Hence, it also look forward to serve NRG, NRI patients to serve poorer of the poorest patients.

Secretary Dr. M. C. Patel informed that we could establish this hospital with the generous donation from philanthropist from all the corners of the society.

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Medical Tourism 2015

Medical Tourism 2015

'World now small unit in term of Medical Tourism’ People are mobilized form one place to another for better, quality and economic medical treatments throughout world are called medical tourism. Medical Tourism is used by all over the world especially in developed and developing countries. Medical Tourism helps to create awareness about special technology or innovation in medical practices.

After mobile revolution people come to close throughout world so it is very easy to update personalized every individual.

Any innovation in medical treatment need lots of awareness to accept to practice in medical field and this can create by only medical tourism with help of media.

In case of African countries people used to visit UK, USA & Meddle east countries for their medical treatments because of limitation for medical facilities. While same quality & advance treatment they are getting in economy, is big reason to come India as substitute countries.

Gujarat is one of the destinations where people come for medical treatment regularly from Africa because of cost effectiveness as compare to advance countries. This is big opportunities to every hospital in India to explore the opportunities especially in to African countries because of unavailability of facility in cost. This socio - economic effect on African, NRI and NRGs is basic reason to come across the countries for treatment if it is not medical emergency.

Medical tourism is prospect for hospitals in India to grab opportunities in terms of quality treatment at economy. Again there are few special techniques of doctors, who can take benefit of it by medical tourism. Because of collectively we can say that now whole world is now small unit in term of medical tourism which is a prospect.

- M. P. Singh

Radhe

Endoscopic Training Center & Reserch Institute

India’s Renowned Endoscopic Surgeon, With All Latest Technology, Equipment & VIP comfort  German Company Certified FOGSI Recognized Training Center  1st time in World - Real 3D Laparoscopy from Richard Wolf Germany 1st time in India - Lowest Height O T Table 1st time in Gujarat - Modular O T in Corian Material

Radhe Endoscopy Training Centre & Research Institute

Dr. Mehul Sukhadiya

IVF Center, 3D-4D USG & Real 3D Laparoscopy Credit for doing Bloodless TLH in 25-35 min.  German Company Certified FOGSI Recognized Training Center  1st time in World - Real 3D Laparoscopy from Richard Wolf Germany 1st time in India - Lowest Height O T Table 1st time in Gujarat - Modular O T in Corian Material

46/B/2, Swastic Society, Nr. Vodafone House, Stadium Five Roads, Opp. Vipul Dudhiya Stadium - Commerce Six Roads, Navrangpura. Ahmedabad-380 009.

Phone : 079 26464697 - 26464696 Mobile : 76220 00425 E-mail : radhehospital110@gmail.com Web. : sumiranhospital.com

Emergency Contact : 7622000430 Appointment Contact : 079-26464697/8 Reception : 7622000426 USA CONTECT BIMAL PATEL MOBILE: 614 946 6061 EMAIL ID: binalkpatel@yahoo.com

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World Most Advance Neuro-Physician Treatment in Ahmedabad Clip Reconstruction of Right MCA Bifurcation Aneurysm

Dr Jitender Singh M.D., D.N.B. (NEURO), Consultant Neurophysician

Specialized center for Neuro-Physician Treatment all brain diseases.

Brain- Nerve problem Spinal code nerve problem Headache Hysteria- epilepsy Paralysis problem etc.

65 years old woman known case of hypertension, Diabetes mellitus was brought to hospital with chief complain of sudden onset Headache and giddiness since morning. Patient was evaluated

by Dr Jitendra Singh leading neurophysician in Gujarat. On examination she was found to be drowsy but was following verbal commands.

Pupils were equally reacting to light, moving all four limbs, GCS_15. Her outside CT scan brain was suggestive of right side ICH with Sub Arachnoid Hemorrhage. So a patient was taken up for CT brain with angiography. Her CTA brain showed Right MCA Aneurysm at bifurcation. The patient was planned for surgery.

Right front temporal craniotomy and clipping of Right MCA aneurysm was performed. The aneurysm was involving walls of artery at bifurcation anteriorly and posteriorly. First temporary clip was applied for 11 minute, 13 minutes and 1 minute at an interval of 10 minutes (in order to facilitate the dissection) and removed then a definitive curved clip (5mm) was applied to cover the fundus and inferior wall of aneurysm.

Then 90 degree fenestrated clip (5mm) was applied to cover the anterior portion of the wall.

The dura was closed and the bone fixed in place and scalp closed. Post operative she was kept on anti convulsants, antibiotics and supportive management. The patients showed no neurological deficit after the patient surgery the postoperative angiography showed a good flow in the right MCA peripheral branches and the disappearance of the aneurysm.

401 Sigma Icon-2, Above Qarar Restaurent, Opp. Medilink Hospital, Nr Shivranjani Char Rasta, Setellite, Ahmedabad ( Gujarat ) Ph: 91 79 26750253, 91 9228004223 Email: myjitender1975@gmail.com

Medical Tourism 2015

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Medical Tourism 2015

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Modern Dental Treatment Modalities Root Canal Treatment (Rotary Endodontics) & Full Mouth Rehabilitation with Oral Implants In the 21st century, technological advancements have simplified dental treatment modalities. The procedures have become easier, faster, comfortable and their outcomes, more predictable. Also, with the increasing awareness regarding dental health and hygiene, more number of people tend to opt for a varied range of treatment options that are offered.

Dentistry has grown so much over the past two to three decades in equipments and materials, removable denture forms have almost become obsolete. Areas such as restorative and conservative dentistry have grown manifold.

Root Canal Treatment: Today, even the most hopelessly decayed, destructed and infected teeth can be salvaged with root canal treatment. The procedure is performed painlessly under the action of local anesthetic agent.

Decay in tooth and root canals are cleaned with special instruments. Canals are shaped and prepared for filling with special filling material. Canals are sealed tight with flowable rubber like material to prevent recurrent infection.

The tooth is filled with a resin build up material to its normal contours. A crown (cap) is mandatory for all root canal treated teeth, esp molars.

Most of the root canal treatments are completed in one single visit. One can expect long term results with properly sealed canals and crowns with no leaking margins.

Magnification of vision and special instruments for canal shaping and filling are of utmost importance for predictable and long term results.

IMPLANTS PLACED IN THE UPPER JAW

XRAY SHOWING IMPLANTS

We thrive to excel in simple / complex cases with a planned and organized approach towards the case to give patients a high level of satisfaction they look forward to when they choose to be our patients. Our practice has flourished over these years by "word by mouth" referrals. According to me all my patients are our "BRAND AMBASSADORS". Hope all the readers find this article interesting and informative.

TITANIUM FRAMEWORK FIXED TO THE IMPLANTS FOR CROWN FULL MOUTH REHABILITATION WITH ZIRCONIA CROWNS AND BRIDGE OCCLUSION

BEFORE

AFTER

BEFORE

AFTER

Implant supported restorations for full arch/mouth rehabilitation Edentulous (without any teeth) patients of the 21st century do not have to go through the embarrassing situation of loose removable dentures.

A full arch can be restored with 6 to 10 implants placed at sites selected from the CBCT- detailed x ray picture that gives an exact idea of the type of bone, the available width and height of good quality bone that shall enable selecting implant of appropriate size. This x ray picture is of importance to understand the underlying vital structures such as maxillary sinus and the mandibular nerves.

Surgical implant placement is actually easier than a surgical extraction of a fractured brittle tooth.

Implant placement is performed under local anesthesia or conscious sedation. Asepsis is very important.

Once the implants are in place, temporary restorations - removable or fixed are given as per indicated.

At times, although very rarely, implants are allowed to heal without temporary restorations.

It usually takes 15 weeks in the lower jaw and 20 weeks in the upper jaw for the implants to bond with the bone. Once the implants are firmly attached to the surrounding bone, they are ready for functional loading.

Impressions are made, followed by trials of the supporting chrome cobalt/titanium/zirconia framework. Once the trial fit, bite and insertion are checked, the laboratory completes restoration contouring and finishing.

It usually takes three to four weeks to complete the entire case after the impressions are made. Single unit restorations can be completed in 7 to 10 days.

Our dental technicians and ceramists are highly skilled and qualified for such complex cases. Our clinical procedures are very well supported by such ceramists that enable us to give our patients the most satisfying results in terms of aesthetics and function.

RIGHT

FRONT

LEFT

Dr. Neerav has obtained the license to practice Dentistry in the State of California in 2005.

During majority of his stay in USA, he has worked for offices in San Jose, (Silicon valley - Bay area). This gave him the much-needed exposure to dentistry as practiced routinely in dental offices in United States of America as per norms and the "Standard of Care" set by the American Dental Association. He is a California Dental Board Certified Dentist and a Consultant Prosthodontist.

His extensive and varied clinical experience in Endodontics (Root canal treatment), Cosmetic Dentistry and eventually Oral Implantology happened at his private office in Ahmedabad over a period of 20years of Practice. The professional exposure in the USA is like a feather in the cap.

Along with regular practice, Dr. Neerav has been constantly updating his Dental Education as part of his incessant learning process.

We specialize in Contact Details * Aesthetic Dentistry jhaverineerav@hotmail.com * Endodontics (Root Canal Treatment) Call : 011 91 982 439 6369 * Full Mouth Reconstruction Website: www.ezidents.com * Oral Implants Dr. Neerav Jhaveri * Laser Aided Dentistry DDS (USA), BDS, MDS (Prosthodontics)

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Successful Re-plantatation of an amputated hand

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e-implant is a technically difficult surgery compared to other microsurgical reconstruction like flaps which are quite successful. Reimplantations are tricky because of various factors like type of injury, weather clean cut or crush, the time duration form start of surgery to time of injury.

The crush element especially the amount of muscle injury which is very critical because of "crush syndrome" and reperfusion injury which may necessitate removing even successfully re-implanted Dr Ayyappan Thangavel limbs.

Here we represent a case of young man who had this hand cut by sord in Bhavnagar. He had gone to the local hospital form where the patient was directed to go to Dr Ayyappan at SAL hospital. He was in serious condition and also had a lot of blood loss. By the time he

reached Ahmedabad form Bhavnagar after going to various hospitals he had spent more than 8 hours. So a critical was taken to re-implant the limb (despite more than the golden 6 hours) taking into consideration the patient, the way limb was stored which was perfect in a polythene cover with ice packs and also the climatic condition being favorable a decision was made re-implant.

The donor area was prepared under the microscope and made ready for anastomosis. The patient was subsequently taken to the OT and the amputated and was re-implanted successfully.

The total duration of surgery was 6 hours, surgery steps including " Bone shorting and fixation with k wires " Muscle debridement " Venous anastomosis " Arterial anastomosis " Nerve repair " Multiple tendon repair The post operative period was smooth as anticipated. The patient went home with a smile on his pace. He had come to follow up after 15 days with successful surgery and happiness written all over his face.

- Dr Ayyappan Thangavel, (Plastic & Cosmetic Surgeon)

'World Record by Indian Doctor Couple'

D

r Mukesh Bavishi and his gynecologist wife, Dr Vidula Bavishi created a world Record in the year 2000 when they performed 50 'stitchless' hysterectomies (removal of uterus and its tumors) in 16 hours in a day. This mammoth task was accomplished in a charity camp where very poor and needy women form tribal and backward communities were benefitted.

The medical world took note of the feat.

These 'stitchless' surgeries made him world-famous. In 2001 he was invited to demonstrate his three 'stitchless' operations to the surgeons and gynecologist in Virginia, USA. In Last year, he was invited by the famous Victoria Hospital, Mauritius to show his exemplary work in the field of Gynec Surgery. He has by now been awarded with 5 international and 10 national awards including the prestigious American medical of Honor, hall of Fame Award, outstanding professional in Gynec surgery (USA), 500 leading Scientists Award, and Kentucky Colonel by the Governor of Kentucky ( USA).

Besides, he has been awarded the D. Ganatra Gynecologist of the year by Indian medical association, Gujarat, Indra Sadhbhavana Award, Rashtriya Chikitsa Ratna and Sachin Tendulkar of Gynec Surgery Award among others. He Dr Mukesh Bavishi was awarded 'Dr BN Mehta Oration Award" 2008 on recent advances in Gynec surgery. Dr Mukesh Bavishi has performed more than 8000 operations.

His patients range from VVIP to slum dwellers. He has operated upon patients form practically every city of India. He is a leader in Medical Tourism in Gynec Surgeries.

ìäØõåÞë ÚØáõ äÖÞÜë_ ØØa±ùÞí çõäë ÀßÖë Íù. Üèõå Øõçë´ çëZëßÞÃßí ÞìÍÝëØ ÜõìÍÀá èÚ ÖßíÀõ çÖÖ ìäÀëç ÕëÜÖí ½Ý Èõ. ÞìÍÝëØÜë_ ìäAÝëÖ Üñâ°Ûë´ ÕËõá ÝðßùáùìÉÀá èùãVÕËá (ìÀÍÞí èùãVÕËá), ÜèëÃðÉßëÖ èùãVÕËá, ÍíÍí±õܱõÜ èëËó ³ãLVËuËuñË, ìçìäá èùãVÕËá, ±ëÝðäõýìØÀ èùãVÕËá, ç_ÖßëÜ ±ë³ èùãVÕËá äÃõßõ ìäìäÔ ßùÃùÞí çëßäëß ÀßÖí èùãVÕËáù ±ëäõáí Èõ. ±ëÕHëõ ±èÙ äëÖ ÀßäëÞë Èí±õ ìÀÍÞí èùãVÕËáÞë ÜõìÍÀá ìÍßõ@Ëß ±Þõ ÜõÞõìÉ_à ËVËí Íù. Üèõå Øõçë´Þí. Íù. Üèõå Øõçë´Þð_ ÞëÜ ìÀÍÞíÞë ìÞWHëëÖ Íù@ËßÝðßùáùìÉVË ÖßíÀõ ØõåìäØõåÜë_ ½HëíÖð_ Èõ. ÜùËë ÛëÃÞë ØõåìäØõåÜë_ äçÖë ÞëÃìßÀù ÜëËõ ÞìÍÝëØ ±õËáõ ç_ÖßëÜ Ü_ìØß ±Þõ ìÀÍÞí èùãVÕËá. ìÀÍÞí èùãVÕËá ±õìåÝëÞí ËùÇÞí ìÀÍÞí èùãVÕËáùÜë_Þí ±õÀ èùãVÕËá Èõ. ±ë èùãVÕËáÞõ ±ë³±õç±ù 9001Ñ 2008 çìËóìÎÀõË ±õÞëÝÖ ×Ýõáð_ Èõ, Éõ µIÀòWË ±Þõ ÃðHëäkëëÝð@Ö, ±IÝëÔðìÞÀ ÖÚíÚí çõäë±ù ÜëËõ ±ÕëÝ Èõ. ±ë ìÀÍÞí ËëLçMáëLË çõLËß äöãfäÀ ÔùßHëùÞí çßÂëÜHëí Àßõ Èõ. Íù. Üèõå Øõçë´ ÛëßÖÞë lõWÌ ÝðßùáùìÉVËùÜë_Þë ±õÀ ÝðßùáùìÉVË Èõ ±Þõ ìäfäìäAÝëÖ Èõ. Öõ±ù ÕùÖëÞí ÜëÖëÞí ³EÈë ÕñHëý Àßäë ÜëËõ ÖÚíÚí Zëõhëõ ½õÍëÝë èÖë. Íù. Üèõå Øõçë´ Àèõ Èõ, èð_ ÕðHëõÜë_ ¶ÈÝùý. 16 äæýÞù èÖù IÝëßõ ÜëÖëÞð_ ±äçëÞ ×Ýð_. ÖõÜÞí ³EÈë èÖí Àõ èð_ Íù@Ëß ×ª Öù ÃëÜÞõ ÎëÝØù ×ëÝ. ÜëÖëÞí ³EÈë Õñßí Àßäë ±ÜõìßÀë Àõ ÝðÀõÜë_ V×ëÝí Þ ×Öë_ äÖÞ ÞìÍÝëØÜë_ V×ëÝí ×´Þõ ØØa±ùÞí çõäë ÀßäëÞð_ Õç_Ø ÀÝð*. åöZëìHëÀ ÕìßäëßÜë_×í ±ëäÖë Íù. Üèõå Øõçë´±õ ÉÞßá çÉýßíÜë_ ±õÜ. ±õç.Þí ìÍÃþí ÕðHëõ ÝðìÞäìçýËíÜë_×í Üõâäí èÖí. ±ë ÕÈí ßùÝá ÀùáõÉ ±ùÎ çÉýßí{ ±ùÎ á_ÍÞ ±õLÍ ±õìÍÞÚÃýÜë_×í ÎõáùìåÕ ÕþëMïÖ Àßí èÖí. ÝðÀõÜë_ ÖõÜHëõ Ýðßùáù°Üë_ Âëç ÖëáíÜ Üõâäí èÖí. ÝðÀõÜë_ ìåZëHë ÜõâTÝë ÕÈí Öõ±ù ÝðÞë³ËõÍ VËõËûçÞë Õþäëçõ ÃÝë èÖë. ÖõÜHëõ ÔëÝð* èùÖ Öù Öõ±ù ÝðÀõ Àõ Ýð±õç±õÜë_ ßèíÞõ Õþõã@Ëç Àßí å@Ýë èùÖ, Õß_ Ö ð Öõ ± ù ÕùÖëÞë äÖÞÞí, ÜëI²ÛñìÜÞí, äÖÞÞë ÞëÃìßÀùÞí çõäë Àßäë ÜëËõ ±ëTÝë èÖë. ÖõÜHëõ Õþ õ ã @ËçÞí åw±ëÖ ±ÜØëäëØÜë_ ÝðßùáùìÉVË ÖßíÀõ Õþë³äõË Õþõã@Ëç×í Àßí èÖí.

1971-72Üë_ Íù. äíßõLÄ Øõçë´ ÝðÀõÜë_ µEÇ ìÍÃþí á´Þõ ÞìÍÝëØ ÕëÈë ±ëTÝë. ÝðÀõÜë_ Íù. Üèõå Øõçë´ Íù. äíßõLÄ Øõçë´Þë ç_ÕÀóÜë_ ±ëTÝë èÖë, Éõ±ù ÕÈí ÞìÍÝëØ ±ëTÝë èÖë ±Þõ ÖÚíÚí çð ì äÔë±ùÞë ±Ûëä×í ÕíÍëÖë ÞìÍÝëØ×í ÜëìèÖÃëß ×Ýë. Íù. Øõçë´ Àèõ Èõ Àõ, Öõ çÜÝõ ìÀÍÞí çëßäëß ÜëËõ Àù´ ç_V×ë ÞèùÖí. ìÀÍÞíÞë ßùÃùÞí çëßäëß ÜëËõ ±õÍäëLç ËíËÜõLËÞí Éwß èÖí. Íù. äíßõLÄ Øõçë´ ±ë ÚëÚÖõ ç½Ã èÖë ±Þõ Ào´À Þäð_ Àßäë ÜëÃÖë èÖë. ÖõÜÞõ ÖõÜÞë ÕöçëØëß ØØa±ù ÖßÎ×í ÍùÞõåÞ ÜâÖ_ð èÖð_. ±ë ÍùÞõåÞ ÉÜíÞVäwÕõ èÖð_, FÝë_ ±ëÉõ èùìVÕËá ¶Ûí Èõ. ÜùËë ÛëÃÞë_ ÍùÞõåÞ åðÛõEÈÀù ÖßÎ×í ±ëäÖë_ èÖë_ ±Þõ 1978Üë_ 25 ÚõÍ çë×õ èùãVÕËá åw ×´. ±õ äÂÖõ çÜÃþ ÃðÉßëÖÜë_ ÍëÝëìáìçç ±Þõ ËëLçMáëLËÞí çðìäÔë ÞèùÖí, ÜëâÂëÀíÝ çðìäÔë µÕáOÔ ÞèùÖí. ±ë×í Íù. äíßõLÄ Øõçë´±õ ÖõÜÞë ìÜhë ÕþèûáëØ° ÕËõáÞõ Üâí ÞìÍÝëØÞë Çëß×í Õë_Ç ØëÖë±ùÞõ äëÖ Àßí. ÕÈí ÇõìßËõÚá ËVË åw ÀÝð*. ÉÝßëÜÛë´ ÕËõá Üñâ ÞìÍÝëØÞë äÖÞí. ÖõÜÞõ ÃëÜ ÜëËõ Ào´À Àßí È^ËäëÞí Öíäþ ³EÈë ½Ãí, ÖõÜHëõ À ëð_, èð_ ÜØØ Àßíå. ±ë ÕÈí w. 50 áëÂÞí ÜñÍí×í èùãVÕËá åw Àßí. ±õ äÂÖõ hëHë ìÚãSÍà èÖë_ ±Þõ Çëß ±ùÕßõåÞ ì×ÝõËß èÖë_ ±Þõ äíç ÚõÍ èÖë. ìÀÍÞí èùãVÕËáõ Úõ ÍëÝëìáìçç ÜåíÞ çë×õ ±ë çðìäÔë åw Àßí.

19Üí ÜëÇý, 1978Üë_ ÛëßÖÞë ßëWËÕìÖ Íù. ÞíáÜ ç_°ä ßõ~íÞë èVÖõ èùãVÕËáÞð_ µØûCëëËÞ ×Ýð_. èùãVÕËáÞí ÜðAÝ áùÀìÕþÝÖë 1980Üë_ ×´, FÝëßõ èùãVÕËáÜë_ Õþ×Ü ìÀÍÞí ËëLçMáëLË ×Ýð_. ÃðÉßëÖÜë_ çúÕþ×Ü ìÀÍÞí ËëLçMáëLË ÞìÍÝëØÞí ìÀÍÞí èùãVÕËáÜë_ ×Ýð_ èÖð_, Öõ Úèð ±ùÈë áùÀùÞõ ÂÚß Èõ. ±ë ÕÈí ìÀÍÞí èùãVÕËáõ ÕùÖëÞí ìäfäçÞíÝÖë ÕþV×ëìÕÖ Àßí. Íù. äíßõLÄÛë´Þõ èëËó ±õËõÀ ±ëäÖë_ ÚëÝÕëç çÉýßí Àßëääë ±ÜõìßÀë ÃÝë. ÕëÈë ±ëTÝë ÕÈí ÖìÚÝÖ ÃHëÀëÝëý äÃß ËëLçMáëLË Çëáð ßëAÝë_ èÖë_. 1981Üë_ ÚëÝÕëçÜë_ Îßí ÖõÜÞõ ÖÀáíÎ ×´, Îßí×í çÉýßí Àßí, ÕÈí ±äçëÞ ÕëQÝë. ±ë×í Íù. Üèõå Øõçë´ ±Þõ ±LÝ ÍùÀËßù±õ Þyí ÀÝð* Àõ ±ëÕHëõ ±ë ÀëÜÃíßí Çëáð ÞèÙ ßëÂí±õ Öù äíßõLÄÛë´Þõ ±LÝëÝ ×Ýù ÃHëëåõ. ÖõÜÞë ÜëÞÜë_ Íù. Üèõå Øõçë´ ±Þõ ÖõÜÞí ËíÜõ ËëLçMáëLËÞí ÀëÜÃíßí Çëáð ßëÂäëÞð_ Þyí ÀÝð*. 30Üí ½LÝð±ëßí, 1982Þë ßùÉ 11Üð_ ËëLçMáëLË çÎâ ×Ýð_.

Íù. Øõçë´ Àèõ Èõ, 1980-81Üë_ ±Üõ Øß 15 ìØäçõ ËëLçMáëLË ÀßÖë èÖë. ÜùËë ÛëÃÞë Íù@Ëßù çMÖëè ØßìÜÝëÞ TÝVÖ èùäë×í ±Üõ çÉýßí Øß ßìääëßõ ÀßÖë èÖë.

50 ËëLçMáëLË ×Ýë ÕÈí ±Üõ µÉäHëí Àßí èÖí. ÖõÞë×í èùãVÕËáÜë_ µIçëè äKÝù. ±ë ËëLçMáëLË 60×í 65 ËÀë çÚìçÍë³{ûÍ èÖð_. ÉÝßëÜÛë´ ÕËõá, ±ùEÈäÀëÀë, ÕþèûáëØÛë´ ÕËõá äÃõßõ ÜðAÝ ÜõÞõÉÜõLË ËVËí±ù±õ ±ÜÞõ ËõÀù ±ëMÝù. 1984Üë_ 100 ËëLçMáëLË ÕñHëý ÀÝëý_. ±Üõ ±Üëßë ìß{SË ÇõÀ ÀÝëý_, ÂëÜí Øñß Àßí, ÀëßHë Àõ ±Üëßù èõÖð Àù´ ÕHë ÀùãQMáÀõåÞ äÃß çÎâ ËëLçMáëLË ÀßäëÞù èÖù. 1984Üë_ Þäë ìÚãSÍ_ÃÞð_ ìÞÜëýHë ÀÝð* ±Þõ w. 40 áëÂÞë ÂÇõý ßõìÍÝùáù° ÜëËõ ±SËë-çëµLÍ ±õ@çßõ ÜåíÞ Âßízð_. Þäë´Þí äëÖ ±õ Èõ Àõ 1984 ÕÈí ±ÜÞõ ßìääëß Áí ÜYÝù èÖù. ±ë ÕÈí Ýðßùáù° ±Þõ ÞõÁùáù°Üë_ ìÀÍÞí èùãVÕËáõ åëÞØëß ÀëÜÃíßí Àßí. ÖõÜHëõ Ýðßùáù° ±Þõ ÞõÁùáù°-ìÀÍÞí ËëLçMáëLËÞë ZëõhëÜë_ ìßçÇý ±õLÍ ÍõäáÕÜõLË ±Þõ ÕùVË ÃþõFÝð±õåÞ ±õÉÝðÀõåÞÞí åw±ëÖ Àßí. ÉÝßëÜØëç ÕËõá ±õÀõÍõìÜÀ çõLËßÜë_ ìÀÍÞíç_Ú_ìÔÖ ìäfäÞí çú×í lõWÌ çðìäÔë µÕáOÔ Èõ. ËëLçMáëLËÜë_ ±õãLÉÝùÃþëÎí ÀßäëÞí åw±ëÖ Àßí. Õíçí±õÞ±õá ÀßäëÜë_ çÜÃþ ÛëßÖÜë_ ìÀÍÞí èùãVÕËá ì¦ÖíÝ èÖí. ±IÝëß çðÔíÜë_ 2800 ËëLçMáëLË ÀßëÝë Èõ ±Þõ 27000 VËùÞ ËíËÜõLË Àßë´ Èõ. ±IÝëßõ ìÀÍÞí èùãVÕËáÜë_ 48 ËÀë Õþùìç{ß VËùÞ ËíËÜõLË ×ëÝ Èõ. èëáÜë_ ÍëÝëìáìççÞë_ 28 ÜåíÞ Èõ, Éõ Çëß ìåÎËÜë_ Çëáõ Èõ. Þäë ìÚãSÍ_ÃÜë_ 40 ÍëÝëìáìçç ÜåíÞ áëääëÜë_ ±ëäåõ. ±ëÜ À<á 78 ÍëÝëìáìçç ÜåíÞ ×åõ. ±IÝëßõ ±ÌäëìÍÝëÜë_ Çëß×í Õë_Ç ìÀÍÞí ËëLçMáëLË ×ëÝ Èõ. ÉÝßëÜÛë´ ÕËõáÞë ìÕÖë Üñâ°Ûë´ ÕËõá ßëÉÀùËÞí ßëÉÀ<Üëß ÀùáõÉÞë Õþ×Ü ³ãLÍÝÞ ìÕþãLçÕëá èÖë. ÖõÜÞë ÞëÜ×í ±ë èùãVÕËá ÚÞí Èõ. Íù. Üèõå Øõçë´ ÛÃäëÞõ ÛõË ±ëÕõáë çÉýÞ Èõ, ÉõÜÞõ èùãVÕËáÜë_ ØØa±ù Üõâääë ÜëËõ Àù´ ÜõÞõÉÜõLË VËõËõ° Àõ ÜëÀõýìËoà Ëõã@ÞÀ ±ÕÞëääí ÕÍí Þ×í. Íù. Üèõå Øõçë´ Àèõ Èõ, ÛëßÖÞí ÇëßÕë_Ç ìÀÍÞí èùãVÕËáÜë_ ±ëÕb_ V×ëÞ Èõ . VËùÞ, áõ Õ þ ù VÀùÕí, ßùÚùìËÀ, ÕíìÍÝëìË À çÉý ß í, ËëLçMáëLË Zëõhëõ ìäfäÜë_ çú×í äÔð Õþå_çë Üâí Èõ. èùãVÕËáÜë_ ÀõLçßÝðßù±ùLÀùáù° ìÍÕëËóÜõLË åw ×Ýù Èõ. èùãVÕËáÜë_ ßùÚùìËÀ çÉýßíÞí åw±ëÖ çMËõQÚß 2010Üë_ ÀõLÄíÝ ±ëßùBÝÜ_hëí ÃðáëÜÞÚí ±ë{ëØÞë èVÖõ ×´ èÖí. ±IÝëßõ 700 ßùÚùìËÀ çÉýßí ×´ Èõ. ìÀÍÞí èùãVÕËáÜë_ ØØa±ù ÜëËõ ÉÞßá, çõÜí VÕõìåÝá, VÕõ ì åÝá äùÍó Èõ , Õß_ Ö ð Öõ Ü ë_ ËíËÜõLËÜë_ Àù´ É Îõß Þ×í. ±ë ÇõìßËõÚá - ÞùÞ-ÕþùìÎËõÚá èùãVÕËá Èõ. ÉwìßÝëÖÜ_Ø ØØa±ù ÜëËõ 20 ËÀë ÁíÞí çðìäÔë Èõ. ±ë äæõý èùãVÕËáõ 12 ÃëÜÜë_ Øß ÜìèÞõ ÀõQÕù ÀÝëý Èõ ±Þõ 1660 ÕõåLËÞð_ ìÞØëÞ ÀßíÞõ 101 ØØaÞõ èùãVÕËáÜë_ çëßäëß ÜëËõ áëTÝë Èõ. èùãVÕËáõ ±ë ØØa±ùÞù w. 95 áëÂÞù ÂÇý µÌëTÝù Èõ. ìÀÍÞí èùãVÕËáÜë_ çëßäëß áõäë ±ëäÖë 60 ËÀë ØØa ÃðÉßëÖÞë Èõ, 30 ËÀë ßëÉV×ëÞ, ÜKÝ ÕþØõå, ÜèëßëWË×í ±ëäõ Èõ. ÚëÀíÞë Øç ËÀë ÝðÀõ, Ýð±õç±õ, ³ßëÀ, ìÜÍá³VË, ±ëìÁÀë×í ±ëäõ Èõ. Íù. Üèõå Øõçë´Þù ±õÀ Õðhë Íù. ìÜìèÖ Ýð±õç±õÜë_ áùç ±õLÉáçÜë_ ÝðìÞäìçýËí ±ùÎ çÔÞý ÀõìáÎùìÞýÝëÜë_ ÝðßùáùìÉVË ±Þõ ßùÚùìËÀ çÉýÞ Èõ, FÝëßõ Õðhëí ßõHëð ÇùÀçí áùç ±õLÉáçÜë_ ±õÜÚí±õ ×´Þõ ±õÞ°±ù Çáëäõ Èõ. Íù. Üèõå Øõçë´Þë_ ÕIïÞí ìÀÍÞí èùãVÕËáÜë_ ±õÞõ×õãVËVË Èõ. ìÀÍÞí èùãVÕËáÞõ ØëÖë ÉÝßëÜÛë´ ÕËõáõ w. 50 ÀßùÍÞð_ ÍùÞõåÞ ±ëMÝð_ Èõ ±Þõ Øß äæõý w. ±õÀ ÀßùÍ ±ëÕõ Èõ. ìÀÍÞí èùãVÕËá ±IÝëßõ ÕþÃìÖÞë Õ_×õ Èõ ±Þõ Þäí ìÚãSÍ_ÃÞð_ ìÞÜëýHë Àßí ßèí Èõ Éõ ËëLçMáëLË Ëëäß ÖßíÀõ ±ùâÂëåõ, ÉõÜë_ ±ùÕßõåÞ ì×ÝõËß, ±ë³çíÝð, äùÍó, ±ùÕíÍí, áíÃá ìÍÕëËóÜõLË, ìßçõMåÞ, ±ùìÎç Úõ äæýÜë_ ÕñHëý ×´ Éåõ. ±IÝëßõ ±õÀ äùÍóÜë_ 12×í 15 ØØa èùÝ Èõ. ±ë×í ÖõÜÞõ ç_ÀùÇ Þ ×ëÝ Öõ ÜëËõ äùÍóìçVËÜ Ú_Ô ÀßäëÜë_ ±ëäåõ. ÚíÉ\_ ìÚãSÍ_à Úë_ÔäëÜë_ ±ëäåõ, ÉõÜë_ hëHë ÚõÍÞù wÜ, Úõ ÚõÍÞù wÜ, ±õÀ ÚõÍÞù wÜ èåõ. ±IÝëßõ èùãVÕËáÜë_ À<á 170 ÚõÍ Èõ. äÔð 200×í 250 ÚõÍÞí çðìäÔë µÜõßëåõ. èùãVÕËáÜë_ Þäë ìÚãSÍ_ÃÜë_ w. 15 ÀßùÍÞù ÂÇý Úë_ÔÀëÜ ±Þõ ³LVË%ÜõLË áëääë ÕëÈâ ×åõ, FÝëßõ ±LÝ w. 15×í 20 ÀßùÍ ËëLçMáëLË ËëäßÞë ìÞÜëýHëÜë_ ×åõ. Íù. äíßõLÄÛë´ Øõçë´ ±Þõ ÉÝßëÜÛë´ ÕËõáÞð_ çÕÞð_ èÖð_ Àõ ØßõÀ ØØaÞõ ÃðHëäkëëÝð@Ö çëßäëß Üâäí ½õ³±õ, ÞëHëë_Þë ±Ûëäõ Àù´ ØØa çëßäëß×í ä_ìÇÖ Þ ßèõäù ½õ´±õ. ±ë çÕÞð_ ±IÝëßõ Íù. Üèõå Øõçë³ ±ëÃâ ÔÕëäí ß ëë Èõ.

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Medical Tourism 2015

Medical Tourism; The Midas Touch....

here's actually nothing new about medical tourism. The direction of the flow is what is new. Historically, people from poor countries travelled to wealthy ones in search of advanced medical attention. The flow is reversing today, as people from wealthy countries now hunt healthcare in less developed areas where it's less expensive. Patients travel overseas seeking a high quality & affordable healthcare. In many developing countries, one can have major surgery for a small percentage of the cost in the U.S., U.K., Canada, or Western Europe… Most elective surgery - such as cosmetic surgery, certain dental surgeries, and even hip replacements - are not covered by insurance in the U.S. But if the cost is much lower overseas, you might elect to make the trip for surgery. Medical tourism has gained momentum in India over the past few years, a trend underpinned by the continual emergence of new high-quality healthcare service providers and low-cost advantage. Approximately over 2, 00,000 patients arrive in India every year from across the globe for medical treatment. Government of India predicts that India's health-care industry as a whole could grow 13% per annum for the next six years, with the inflow of international patients, which industry analysts say is growing at 30% annually. It has witnessed an enormous growth, and has opened a plenty of opportunities in India in the private and voluntary sector. Travelling from across the world, medical Shahid Parwez Dy. General Manager- tourists seek essential healthcare services. The future of Medical Tourism in India looks very bright as the Health Care Services hospitals in western world continue to remain overburdened and there is no check on spiralling cost of health Apollo Hospitals care and health insurance premium in USA and elsewhere. Medical tourism is really generating more buzz International Ltd. these days. More people prefers to travel India, where the costs of medical procedures are much cheaper yet guarantees the same success result as compared to some expensive hospitals in the US India has an international reputation of being a knowledge-based economy." The available talent base of over 500,000 doctors and seven 700,000 nursing professionals, India can provide Medical and Health care of international standard at comparatively low cost.

Hence India becoming preferred health care destination for many. India is traditionally attracting patients majorly from Middle East and African countries. In countries like Nigeria, Tanzania, Kenya, Zambia, etc the health care costs are beyond the reach of a common man and the outcomes are unreliable. Insurance companies in Africa send their patients to Indian hospitals whereas earlier they used to send them to South Africa and Europe. Their outcomes have remained the same but the costs to insurance companies have gone down significantly! States like Gujarat who is already contributing to 31 % of Health care industry in India. whose strengths lies in excellent infrastructure, warm and friendly people, relatively litter free and less polluted environment, over 6 million Gujarati overseas make 32 % of NRI Diaspora, Airport with international connectivity, Colorful fairs, festivals & distinctive lifestyles, attires & cuisines. Further with more collaborative and cooperative approach by Government and private hospitals together will take medical tourism in India ahead of others. Although there are scope of improvement in this state like more investment for bringing high end technology ( e.g. cyberknife, robotic surgery) plus more direct flights specially from Africa, Middle East, CIS and SAARC countries. On track, Apollo Hospitals in Ahmedabad has been receiving patients from these countries for the treatment of Knee Surgeries, complex Cardiac Surgeries, Renal Transplant, Autologous & Allogeneic Stem Cell Transplant and others. In fact Gujarat becomes the preferred medical tourism destination, the state has various advantages and the large NRG population living in the UK, USA, Australia, are one of the major ones.

Apollo Hospitals, Ahmedabad offers superlative services in line with international patient care standards and has therefore carved a niche in the health tourism sector. Recently The Week Magazine survey ranked Apollo Hospitals as No. 1 Multi-specialty Hospital in Ahmedabad, Gujarat. A fact that has helped patients from all over the world comes to our hospitals with the confidence of receiving quality medical treatment. Apollo Hospitals, Asia's biggest and most trusted healthcare group, has always attracted the best doctors, nurtured the best support staff and invested in tomorrow's technology, today. This is what enables us to provide comprehensive healthcare. Market and Research, a consulting firm in USA, reported in a market study that "India offers vast range of medical treatments - from simple dental procedures to the complex cardiac surgeries. Patients can save 60%-95% of their treatment costs by undergoing treatment in India." Not only Bypass surgery or Knee Replacement operations which can be performed in every Indian metro but the newer and costlier treatments like Bone marrow transplant, Liver transplant and Stem cell therapy are also available in premier Indian hospitals at a fraction of the cost. Interestingly, the outcomes of these procedures and therapies in hands of Indian doctors match the best in the world! JCI (Joint Commission International) of USA, has given its accreditation after tough inspection procedures, to number of hospitals in India. JCI seal ensures comparable US standards for the quality of care and patient safety of these Indian hospitals, which includes seven Apollo Hospitals in India with large resource pool of highly skilled, overseas trained & English speaking Doctors and skilled Nurses. India now enjoys a considerable superiority over South Africa, Mexico, Singapore and Thailand as preferred medical destination in medical tourism market with similar technology, quality care, renowned hospital brands and excellent outcomes - all at a price these countries can't match! Indian hospitals are gearing up to capitalize on the opportunity. Many of them have set up offices abroad and are encouraging international patients to contact them through electronic medium. Also medical tourism providers / healthcare facilitator, who coordinate for patient's treatment and travel, and they handle every detail of your trip, often including potential follow-up sources once you are back home.

MEDICAL & HEALTH TOURISM; MT focused on treatment of acute illness, elective surgeries like Cardiology, Cancer, Orthopedics, etc while HT focused on Wellness, Rejuvenation, Preventive Health, Image Health, combined with Traditional Medicine like Ayurveda, Yoga etc.The Indian healthcare industry is growing rapidly, and expected to touch close to $300 billion by 2020. The success of the sector - ranging from improved healthcare facilities to low-cost treatment - has been driven primarily by private enterprise. Other contributing factors include the growing population, increase in lifestyle-related health issues, improved access to healthcare, thrust on medical tourism, improved penetration for health insurance, etc. MEDICAL TOURISM focused on treatment of acute illness, elective surgeries like Cardiology, Cancer, Orthopedics, etc while HEALTH TOURISM focused on Wellness, Rejuvenation, Preventive Health, Image Health, combined with Traditional Medicine like Ayurveda, Yoga etc. On the down side of the story, the unregulated market and poor service providers can spoil the efforts. There is no mandatory accreditation system for the hospitals in India and that can allow substandard hospitals to compete in the industry. Most of the countries that offer medical tourism have weak malpractice laws, so the patient has little recourse to local courts or medical boards in case of need arises. Some negative perceptions about the country-hygiene & sanitation, etc.

Medical tourism is poorly popularized, and knowledge mostly shared by word-of-mouth or by persons who are Internet savvy. India is losing clients to Singapore and Thailand as ease of visa rules and greater awareness. "Medical tourism to India will increase if the nation allows faster clearance for patients through immigration points, and ease out the processing of medical visas within 24 hours."

Along with few other considerations; High degree of medical excellence with a human touch, Continue to keep the costs reasonable, More friendly medical visa and immigration facilities, Efficient airport facility and Connectivity, Standardizing medical practices, and keeping pace with technological advances, Collective Efforts for image makeover of India and establishing credibility in foreign markets.

"Advantage Health Care India 2015", an international summit on Medical Value Travel is a joint initiative of the Ministry of Commerce & Industry, Government of India in association with FICCI and Service Export Promotion Council (SEPC) with the aim of promoting Healthcare Services. Of late; e-visa, visa on arrival, speedy FRRO, etc. some steps are visible but a lot needs to be done in this direction to fulfil the great Indian dream of healing the world!