Dr. Shanu Jain, P.T. created status
17 Feb
After a short break I am back with Avery intresting Disease.Before introducing this disease I would say something about it ..How you will feel that all of sudden ur bone is missing from the body?,Or just out of the blue your x-ray reveals that ur bone is fractured? .As if a ghost in your body...The disease is called GORHAM'S STOUT DISEASE OR simply GORHAM'S DISEASE. Now I will share some detailed knowledge about this rare but fear causing abnormal condition. GORHAM'S DISEASE also known as BONE DISAPPEARING DISEASE.Itis an extremely uncommon medical condition of the skeletal system which does not have a specific etiology in which there is an uncontrolled proliferation of lymphatic channels within the bone causing resorption and replacement of bone fibrosis. Gorham’s Disease or Disappearing Bone Disease does not have any clear cut treatment and only treatments conducted are clinical trials which mixed results.    GORHAM'S DISEASE is an extremely a rare medical condition with unknown etiology.But it has been diagnosed in males,females and all races of the world.It has been oftenly recognized in children and young people.T he medical reports have been found from each and every continent. As the disease is not common and commonly misdiagnosed exactly how many people are diagnosed with this disease is not clearly known. But a figure of about 200 cases has been found by literature.The risk factor is unknown but it has been suggested that trauma or any sort of injury is a basic risk factor CAUSES- The main cause is unknown.But the mechanism has been found.Actually in our body continuously wear and tear of bone goes on under osteoblasts and osteoclasts.And a proper balance maintains the homeostasis of the body but in this bone disappearing disease there is an imbalance of the enzymatic activity of these bone forming and bone destructing cells. Gorham and Stout found that vascular anomalies always occupied space that normally would be filled with new bone and speculated that the presence of angiomatosis may lead to chemical changes in the bone. The Gorham-Stout syndrome may be, essentially, a monocentric bone disease with a focally increased bone resorption due to an increased number of paracrine or autocrine stimulated hyperactive osteoclasts. The resorbed bone is replaced by a markedly vascularized fibrous tissue. SYMPTOMS- The initial phase is very aggressive and active followed by slow relapsing phase.But few symptoms have been observed such as Acute onset of localized pain and swelling Reduced range of motion and generalized weakness Increased risk of fracture Difficulty breathing and chest pain may be present if the disease is present in the ribs. When Gorham’s disease affects the maxillofacial (jaw) bones, symptoms can include jaw pain, loose teeth, fractures, and facial deformity Some people with Gorham’s disease may develop pleural effusion, a condition where there is ‘water on the lungs’ due to the build-up of excess fluid between the pleura or thin membranes that line the lungs and the inside of the chest cavity. Because the pleura help to lubricate and are important for healthy respiratory function, Gorham’s disease can lead to respiratory distress (i.e. breathing problems) and even respiratory failure COMPLICATIONS-Pleural effusion, haemaengioma, pathological fracture, pleural carditis. DIAGNOSIS-MRI,CT SCAN AND BIOPSY TREATMENT-Antivascular and immunosuppressant medications have been proved effective in slowing down the progression and even reversing the damage effects caused due to this disease and at last stabilizing the body.The medicines are sirolimus,interferon alpha-2b ,Bisphosphinates. SURGERY- In this case the affected part is being removed but surgery is not so effective, as it cannot cure the disease. Radiation therapy is recommended for treating pain and other symptoms but it's delayed complications makes it 2nd line of treatment. PROGNOSIS-Highly unpredictable PREVENTION-Still not clear but research is going on. My motto to share this knowledge disease was to make people aware and understand thaat regular check up complete body us must as anything can disturb your body.And any change in daily routine is felt or observed so be serious and go for tests as most of the people either takes body tests to be lightly or just ignore which can be hazardous for life..As it is very well said TIME NEVER COMES BACK.
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Dr. Shanu Jain, P.T. created status
2018
Nurturing life is the unique experience to all living beings.But each one is not blessed with this beautiful experience.Well with the recent technology in medicine this boon is possible.IVF,surrogacy and adoption are the golden elements of continuing the procedure of progeny.But it is a universal fact that giving birth to one's own baby is the best feeling as it addresses the emotional and psychological connection.A huge thanks to the advancement in medicine that conceiving baby via uterus transplantation from a deceased donor is a hot potato in the town. Several attempts were made to deliver baby from womb transplant in the past but recently it has been discovered that a woman gave birth to a healthy child via womb transplantation from a deceased donor in Brazil. Let's have a look on the hard work performed by the medical science fir the uterus transplantations .In 1931 a number of free trials were made to continue the progeny in living beings from uterus transplants in USA, Sweden,SaudiArabia and Germany.But they failed as a result of complications and rejections..But in October2014 first baby was born via uterus transplant in Sweden.Then 8 babies were born in Sweden by womb transplant .ln November 2017 it was lucky time for the residents of USA as the first baby was born by a womb transplant recepient.And in December 2017 first baby was delivered from uterus transplantation from a deceased donor.And finally in May 2018 the first baby was given birth via uterus transplant from a deceased donor in Pune , Maharashtra India.T his a greatest milestone in the history of Medical Science. The cost of the procedure of uterus transplantation ranges from USD 18000 to 20000 in India and approx USD 70000 in USA. The duration for the entire process takes about 12 hours.Apart from costs,various ethical considerations have to be taken into account while dispensing the practice. But the best thing is that every living being can grab the boon of delivering one's own baby by this procedure.
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Dr. Shanu Jain, P.T. created status
2018
For a healthy life atleast 8 hours of sound sleep is essential but in today's fast life insomnia is one of the medical condition which is getting viral.A condition in which person is unable to sleep at all is called insomnia.The causes of this condition are stress,emotional breakdown,excessive work load and ageing.Sedatives are the medical treatment which I personally don't recommend as it can lead to drug addiction. There are various other ways to curb this growing medical condition. As this condition can lead to many diseases like dementia,stroke,hypertension,depression and various other hazardous disorders.So lets begin, we can prevent insomnia by maintaining a healthy life style with a proper time table which should be regularly followed,meditation and yoga are also good ways ,healthy diet ,a good bed and a cosy environment for sleeping and a peaceful atmosphere,reading a good book and last but not the least a mental peace is must for having a good sleep.So insomnia is not at all difficult to prevent without sleeping pills,just a small initiative is required.
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Dr. Shanu Jain, P.T. created status
2018
Health is Wealth.But in today's era people are merely busy in earning wealth that too at cost of health.Sedentry jobs,high competition leading to frustration and smoking like bad habits resulting into addiction.Lifestyle comprising of parties which includes alcohol,fastfood and drugs.Ultimately health suffers then it is physical or mental health.One of the most common physical disease caused in present scenario is obesity which means nonstoppable increase in weight of a person and according to WHO more than 100kg of weight is announced as obesity.When we talk about mental disease the most common is depression.The patient undergoes into frustration to such a peak point that he or she feels lonely,disheartened , isolated,lack of confidence and interest in everything.The ratio of sucides is also increasing due to depression.Well due to medical advancement nowadays we have bariatrics surgeries as remedies for obesity and a good level of psychiatric treatment as well as rehabilitation facilities to treat depression but as I always believe that Prevention is better than cure everyone should focus on healthy living instead of getting treated.So earn wealth with health not at cost of health.A daily few miles walk with balance diet and work with happiness without greed but with rest are the keys for living a healthy and wealthy life.
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Dr. Shanu Jain, P.T. created status
2018
Giving birth to a child is the greatest boon and the females are blessed with this power.Now the entire period from gestation to nurturing is crucial but in my opinion the gestation period is that period in which mother cannot visualize the baby every now and then and therefore utmost care should be taken during this time.With the advanced medical technology a mother can see her little one in the womb frequently by the technique of ultrasound. And on top of it ultrasonography is not only for watching the little ones activity but also study whether the baby is healthy or facing any hurdle or in any diseased condition.But many people still have a myth that doing sonography every now and then is injurious for the baby.But I wanna clear that it is just a myth and the true fact is that ultrasound method is based on sound waves and it has no connection with any sort of harmful rays.This fact is approved by various senior gynaecologists.Due to ignorance about this reality a few days back a lady got to know that she gave birth to conjoint male twins but one them had a developed limbs and other parts of the body but a partially developed head.So that baby was removed surgically as there was no other option.When surgeons asked for the previous sonography reports the female replied that she has never undergone any sonography during her entire gestation period and henceforth she was totally unaware about the deformity.So be aware of Medical knowledge and should have a clarity between the myth and fact so that no life is lost because of your ignorance.As Diagnosis is must for Treatment.
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Dr. Shanu Jain, P.T. created status
2018
During Seasonal Changes Viral infections are common henceforth everyone should keep themselves safe from infected persons and areas as Prevention is better than cure