” But the fad of instant gratification is a part of this smartphone generation. Electrolyte imbalances like disturbances in sodium and potassium levels can happen with quick fixes. those concerns are on everyone’s minds. Is it time to take a step back on how we embrace medicine and find answers to questions that are plaguing us?The scenarioIndia is considered the C-section capital of the world and is among the highest in diabetics, hypertension and cardiac problems. Ilraglutide (saxenda) is an injection taken daily, which is a medicine for diabetes mellitus. In a carbohydrate-rich meal (Indian diet) it is of no use. They tend to follow new fads. Most doctors and dieticians prescribe exercising, cutting down on portion sizes to increase metabolism. If a meal is rich in fat, this drug is useful. In a perfect world, the pharmacist guides you, but not in India! The patient has to come to their own conclusion.Late actress Sridevi’s sudden demise or that acquaintance you knew who died jogging on a treadmill, or the inexplicable fatality of someone relatively healthy. It causes dyspepsia, loose stools and abdominal discomfort in few cases. Yet, we do not regulate surgical procedures.The surgical conundrumThe American Medical Association called for a congressional hearing on unnecessary surgery, claiming that there were “2..A. Slow and steady wins.” But Dr Prashanth cautions, “The main or uncommon complication of any bariatric surgeries are leaks —if the surgeon is experienced and trained in laparoscopic stapling and suturing techniques, these complications are avoided!”

As for weight loss pills, according to webMD,com, there are fat trappers like chitosins that prevent fat from being digested, and fat burners that can cause fatal heart attacks, aarhythmias and strokes. Are ordinary individuals aware of these quick fixes and adverse effects? Or does corporate medicine rule? For instance, when Sumita Vedeyi, 35, and her husband decided to go the IVF way, they were coached on what happens, what to expect and the process. If any hormonal ailments are detected, he or she is then treated to avoid surgery. All these diets are yo-yo and in the long run, prove harmful. Dr Karunesh Kumar, senior consultant, Internal Medicine, Columbia Asia Hospital busts some beliefs, “Only five drugs are approved by FDA for weight loss. The other quick fixes are diets like Atkin’s, GM, keto. If one is taking injections, pills etc, the onus of reading about it is on the patient. Yet, one thing they did not know were the effects of the pills, injections and how hormonal treatment can play havoc on health. When c-section rates in a country move towards 10 percent, there is a significant decrease in maternal and newborn deaths.”But what of the quick remedies today’s patients want? Dr Karunesh Kumar HS, senior consultant, Internal Medicine, Columbia Asia Hospital, Sarjapur Road cautions, “A quick fix can never be a solution to weight loss. A recent incident of a man in Chennai who took slimming drugs from an online quack shows the trend among many to opt for such pills. Nutritionist Aruna Vijay agrees, “People today don’t go traditional in diet, health and exercise.Can you stomach it?Bariatric surgery, a rage, is only applicable to obese patients but many are resorting to it for weight loss.

Diet without supervision can lead to liver, kidney and digestion problems. We also do an endoscopic evaluation to rule out any H Pylori infections that needs attention before surgery.  Arthroscopic partial meniscectomy, one of the most commonly performed surgical procedures in the world, allows treating internal knee damage through small percutaneous skin incisions. It https://www.highsun-machinery.com/ plastic injection molding equipment costs around Rs 10,000 a month. Following diets blindly gives temporary benefits. Heart health is worrying. Slimming pills give temporary benefits and adequate research too has not been done,” she says. Consider this provocative analogy — if surgery were a pharmaceutical drug, the procedure would be required to undergo scrutiny of testing and trials and approval by the Food and Drug Administration. Diagnosis through websites, needless interventions and surgeries, and corporate medicine.4 million unnecessary operations performed on Americans.

The World Health Organisation has long recommended that the ideal c-section rate should be between 10-15 percent. Dr C. In another report by an international news agency, the latest (2017) Indian government data show rates in some Indian states are much higher. Medicine has become an industry, a corporate juggernaut where clarity in terms of a patient getting information, and accountability on the doctor’s side, both have suffered. In the United States alone, approximately 700,000 arthroscopic partial meniscectomies are done every year. Side-effects are calcium and vitamin disorders and gastrointestinal disorders. Bariatric surgery is the rage but has many side-effects, fertility treatments are the go-to and can cause clots and strokes, even cholesterol tablets have side-effects that many are not aware of.

The main criteria presently is those with a BMI > 40 or BMI > 35. Topiramate is used for epilepsy and migraines. The patient undergoes multidisciplinary evaluations, physician/endocrinology, blood tests, psychiatrist evaluations to identify the cause for obesity. But some don’t delve into the negative effects — that is their way. Prashanth, consultant, gastrointestinal and laparoscopic surgeon, Fortis Hospitals advises, “Bariatric surgery is known as metabolic surgery, and is the in-thing for obese patients. Patients, too, come in for quick solutions. Was it weight loss pills, or exercising too much or quick fixes or lack of proper knowledge that played a part? Were they advised about the serious side-effects? With the incidence of heart attacks, needless C-sections, and lack of proper communication between doctor and patient, health sits in uneasy silence. Kidney function and liver function tests should be done when on a ketogenic diet.”Dr Prashanth also advises patients to be prudent, “Orlistat’s efficacy is not proven. Orlistat prevents absorption of fat in the intestine so that excess fat is excreted in stools.”C section rates in our country are very high.” In India, the numbers are quadrupled or more. A specialist (who prefers to remain anonymous), explains, “A doctor will explain a procedure, effects.

Diet pills/fad diets all will ultimately lead to increased weight as the physiological secretion of hunger hormone ghrelin increases after extreme dieting, and a person may actually put on more weight. What can a doctor do? “Patients should be wary of any non-professionals, giving treatment for weight loss without any scientific evidence! One should follow a strict diet which is calorie based and a well-modulated exercise pattern guided by professional trainers,” says Dr Prashanth. It causes satiety (feeling of fullness), delays gastric emptying but causes nausea and abdominal discomfort.

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