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Robotic assisted Pyeloplasty | dr.anant-kumar

Why a kidney transplant is needed?

Kidney transplant is needed when both the kidneys stop working in a person,the medical condition is also called end stage renal disease.

Hemodialysis is an option but not a permanent solution.

What are functions of healthy Kidney?

The two kidneys in humans are responsible for filtering and excretion of toxins, for maturation of RBCs, regulation of arterial blood,production of erythropoietin,regulation of Vit-D production, glucogenesis , regulation of Acid-Base balance,regulation of arterial blood pressure.

What Causes Kidney Failure?

Prolonged uncontrolled diabetes, Prolonged uncontrolled blood pressure , severe dehydration , trauma to kidney , misuse and overuse of over the counter pain drugs , lupus ( An auto immune disorder) , glomerulonephritis , polycystic Kidney disease.

How Kidney failure is diagnosed?

Usually no eminent symptoms are present in early stages but following symptoms indicate a kidney failure:

  • Decreased urine output
  • Swelling on legs, ankles and feet
  • Shortness of breath
  • Chronic fatigue
  • Nausea ,confusion ,pressure in chest, seizures or even patient going in coma.

How Kidney Failure is diagnosed?

  • Blood tests (BUN   & creatinine)
  • Urine analysis and urine volume
  • MRIs , CT scans
  • Kidney biopsy

Who Could be a Kidney Donor ?

In India a live donor need to be a blood relative Mother,father,son,daughter,brothers and sisters and a husband/wife. After much deliberations grandparents and grandchildren are also included in list of blood relatives.

Donor should be a healthy person between the age group 18- 55 years.

How a kidney transplant is done ?

After initial screening about feasibility for recipient and fitness of donor , approval of government of India appointed organ transplant committee clearance ,surgery date is given and patient and donor are admitted in hospital for the surgery . Donor is discharged usually in 4 to 5 days and patient remains in isolation ICU from 7 to 9 days before discharge.

Transplants can be done either by laparoscopic or Robotic way.

Precautions post Kidney transplant:

Patient need to be taking his medications at prescribed time ( Immunosuppressant) to avoid risk of graft rejection.Regular kidney function tests and tacrolimus level test initially to tailor the dose.Good personal and oral hygiene to ward off any infections due to immunocompromised state.Avoiding any strenuous exercise or physical activity for 6 to 8 weeks.Consuming only properly cooked food and carefully washed fruits.Creating healthy eating habits to help control your weight, blood sugar levels, blood pressure, and body fluid retention.

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Medical Oncology

Prostate Cancer – Treatment in India.

Prostate is a walnut size gland in human males located between the penile gland and the urinary bladder and in front of rectum.
Prostate is an important male sex organ. The basic function of prostate is to produce liquid part of semen.Prostate fluid nourishes and protects sperms during coitus and forms the bulk of volume of ejaculation.Prostate gland produces a protein called as prostate specific antigen (PSA). The functioning of prostate is dependent on male sex hormone testosterone.

Prostate Cancer is a one of the serious and life threatening medical condition affecting prostate. Prostate cancer usually affect elderly and above 65 year old men but it may affect younger men too.

Prostate cancer is the second largest cancer in men.Prostate cancer generally metastasizes to bones. Since the growth of prostate cancer is slow it may not affect or diagnosed in early stages but there are instances where the cancerous prostate cells have grown rapidly.

Who are at risk for prostate Cancer?

Prostate cancer affects men above 50 years of age.Over a period of time the survival rate in prostate cancer have improved dramatically from 30% in 1970's to 80% presently.
Prostate cancer may affect any men above the age of 50 years,but the African or African carribbean are at a three fold higher risk than white people.The man whose father or brother have been diagnosed with prostate cancer stand two and a half time higher chances than the men who never had a prostate cancer family history.
Black men are at three times higher risk of being diagnosed with prostate cancer as compared to white men.
Some studies suggest that men among the populations where consumption of "red meat" is more common are at a higher risk of developing prostate cancer.

Prevention of Prostate Cancer

Certain life style changes may reduce risk of prostate cancer. Quitting smoking and regular physical exercises at least for 30 minutes a day and five days a week can cut down risk of prostate cancer. Reduction in consumption of animal fat or red meat also cut down the risk for prostate cancer. A study although not confirmed that a diet high in tomatoes may also be helpful in reducing the risk of prostate cancer.
How Prostate Cancer is diagnosed?
Prostate cancer is usually diagnosed through screening as symptoms appear quite late in patients.The usual diagnostic procedures are a blood test called PSA or prostate specific antigen test. A higher PSA test result indicated possibility of prostate cancer. Although it may be non confirmatory too as Prostatitis may also cause elevated PSA levels.
DRE (Digital Rectal examination) may also suggest presence of prostate cancer, where a qualified and experienced doctor puts a gloved lubricated finger inside the rectum of the patient to feel any bump or hard surface on prostate suggesting a cancerous growth.
Transrectal ultrasound (TRUS) or Transrectal ultrasound guided biopsy are more confirmatory and reliable tests for diagnosing the presence of prostate cancer in a patient.

Treatments for Prostate Cancer

The treatment options for prostate cancer depend on stage and overall general health of patient.
It may involve watchful waiting or active surveillance.
Prostatectomy the surgical removal of part or whole of prostate.
Laparoscopic or robot assisted surgeries are the latest surgical techniques for smaller incision,quicker healing and precise results. Doctors do consider nerve sparing surgical removal of part or whole prostate that does not affect the normal sexual capacity and active sexual life of patient.
 We at Complete Medicare Solutions. are associated with the most experienced cancer surgeons and well equipped hospitals for prostate cancer treatment of our global guests.Expertise of a urological cancer surgeon is very crucial for treatment outcome of prostatectomy.
Other treatment options are Radiation Therapy, it could be external beam radiation therapy. With a 3D conformal radiotherapy assisted with CT scans and MRI for precise results with optimum dose to cancerous cell within the prostate gland.
IMRT or Intensity modulated radiation therapy give more flexibility of dose modulation to Radiation doctors thereby more precise results and avoiding side effect of radiation on bowel and bladder overtime.
Proton therapy is considered superior to external beam radiation therapy for more precise and less side effect associated radiation therapy for prostate cancer treatment.
Brachytherapy can be used for patients who want to avoid daily visit to radiation therapy center or do not want to stay in India for long.
The expertise of Radiation Oncology doctor is again vital for treatment outcome. CMCS Health is associated with the most experienced Radiation oncology doctors and hospitals with latest diagnostics and radiation therapy machines for better treatment outcome of prostate cancer for our global guests.
Hormonal therapies are also used along with surgical and radiation therapies for better treatment options and results for prostate cancer treatments.
Chemotherapy is used for hormone resistant and metastatic or advanced prostate cancer. A combination of chemotherapeutic drugs or single agent therapy are used for better results and lower side effects.
Targeted chemotherapy for prostate cancer holds big promise for recurrent and advanced or prolapsed prostate cancer treatment.
Dr. Deepak Singla - Medical Oncologistis Unit Chief and consultant Medical Oncologist at Dept. of Medical Oncology at Paras Hospitals,Gurgaon,Haryana,India.
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The Inaugural CHS Program at AHH,Kabul.

Afghan Youth service Organization ,an NGO of Afghanistan, Registered with Islamic Republic of Afghanistan , started conducting A CHS ( Continuous health Support) Program with an Indian,Government of India and ministry of commerce registered medical and healthcare consultancy firm CMCS Health, to create awareness for medical and healthcare among the Afghan Nationals.

The Inaugural CHS Program was conducted at The Capital city of Afghanistan,Kabul, Under the banner of AYSO, AHH ( Afghan Health Hospital ) and CMCS Health on 17th November 2016.

The program was well attended by doctors from Various Government and private hospitals of Afghanistan.

Presentations were made from attending Afghan Doctors ,Chairman of Taroon Group Dr Wahid Taroon and CMCS Health MD Mr. Arshad J. Ahmad about the current state of Medical and healthcare segment in Afghanistan and the corrective measures required for short term and long term improvement.

Afghan Health Hospital ( AHH) proposed start of a state of art ,video conference facility for Tele consultation of Afghan patients coming to India for specialized medical treatment with Indian medical specialists.

Training and exchange of ideas program through video conference of Afghan Doctors with their Global counterparts.

OPDs of Indian Medical specialists doctors at Afghan Medical Hospital for Afghan patients on regular basis.

Conducting workshops and training programs for Afghan Medical doctors , paramedical and nursing staff  At Afghan Medical Hospital for improvement in services for Afghan patients.

Regular CMEs with international faculties at Afghan Health Hospital.




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Medical Treatment of Afghans in India


Medical Treatment of Afghans in India

CMCS Health an NCR-India based registered medical and healthcare consultancy firm has signed an agreement with Ghazali Memorial Hospital, Kabul, Afghanistan for Specialized Medical Treatment of Afghans in India.

A very high number of Afghan people come to India for various medical treatments. As there is no governing or regulating body, many of these guests fall in hands of touts, who do not have a medical background and these guests lands up at wrong hospitals and wrong specialist doctors and spend a big amount of money on their medical treatments.

Medical Treatment of Afghans in India

Many times the guest are not even aware of the medical treatment required before starting from their country, the course of treatment and approx. cost of medical treatment and India and hospital stay required.

CMCS health and Ghazali Memorial Hospital in Kabul Have decided to bring in more transparency and organize the medical treatment of Afghans in India in a patient benefiting manner.

According to Dr. Walidullah Adil Sahibzada from Ghazali Memorial Hospital, Charleston Qalai, Ghaibi, Kabul, Afghanistan many provinces in Afghanistan does not have proper diagnostic facilities and medical treatment facilities for complicated medical procedures. Awareness among the population is also low. These people are targets for the touts who are eyeing these people for making some fast money.

Ghazali Memorial hospital has entered an agreement with CMCS Health to provide video conferencing facility for these guests with treating Indian doctors.

An initial screening and basic investigations will be performed at Ghazali Memorial Hospital, the reports will be sent to CMCS Health, who on their part, discuss the case with concerned leading specialist doctors from India and enquire about treatment course, cost and outcome of the treatment.

Ghazali Memorial Hospital with CMCS Health's collaborations, help the patient in choosing to treat hospitals and doctors as per their needs and budget. A treatment offer letter is given to the patient with all relevant details in Kabul, Afghanistan, empowering them with all the information about treating doctor, treating hospital, the course of treatment, cost of treatment and logistics even before they start from their country.

Medical Treatment of Afghans in India

On the patient's coming to India, their medical treatment, stay arrangement is well coordinated by CMCS Health, to ensure the patient's best interest and benefits.

As per MOU between CMCS Health and Ghazali Memorial Hospital, campaigns for awareness and screening of cancer, kidney and liver diseases, blood cancer and thalassemia will be conducted in all the provinces and then consultation and possible medical treatment will be given to Afghan patients by expert Indian specialist doctors, who will keep on visiting Ghazali Memorial Hospital.

These visiting Indian specialist will also train Afghan doctors and paramedical staff for effective management of these life-threatening conditions.

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