What are stones in the kidney?
Why they form and what nuisance they create in our day to day life.
WebMD provides a lot of details on this murky problem.
Understand the problem by viewing the video
IF U R NOT TAKEN TO THE WEBSITE ON ITs own, please cut and paste the following URL
A CLEAR WARNING TO ALL THOSE IN THE MEDICAL COMMUNITY, CONSUMERS AND PHARMACEUTICALS, DOCTORS, CONSUMERS, DISTRIBUTORS, SUB-DISTRIBUTORS, CHEMISTS AND DRUGGISTS, LAST BUT NOT THE LEAST THE VULNERABLE SECTIONS OF THE GROUP... THE CONSUMERS. THE PATIENTS.
BE AWARE:
MEDINDIA.NET REPORTS AS UNDER:
After several years of debate regarding the safety of nimesulide, cisapride and phenylpropanolamine (PPA) the Drug Controller General of India (DCGI) Dr. Surinder Singh has finally decided to ban these three unsafe drugs. Since the adverse effects of these drugs outweigh the benefits the Drugs Technical Advisory Board (DTAB) that had been examining the safety of the three drugs for several years has now recommended their withdrawal from the market.
(please click at the title to read more or cut and past the following URL )
BUT WHAT IS MORE WORRYING IS THAT THE DRUGS ARE COMBINED WITH OTHER DRUGS TO APPEAR AS IF THEY ARE MORE EFFECTIVE, QUICK TO ACT, SUSTAINING ALSO. THE SAD FACT REMAINS THAT A SIGNIFICANT PERCENTAGE OF DOCTORS ARE INFLUENCED UNDULY and also BELIEVE IN WHAT THE MEDICAL REP SAYS OR SHOWS.
COMBINATIONS OF A FEW OF THE DRUGS IS MORE DANGEROUS.
THOUGH THE INDIVIDUAL DRUGS AIM AT THE SAME RESULT, THEIR WAYS OF WORKING IN THE PHYSIOLOGY OF HUMAN BODY ARE DIFFERENT. FOR INSTANCE,
NIMUSULIDE AND PARACETAMOL. ( THEIR METABOLISM IS DIFFERENT)
CISAPRIDE WITH ANTACIDS.
ANTI HYSTAMINE LIKE CETRIZINE WITH CHLOROPIRAMINE MALEATE.
MOST OF THE DRUGS THAT ARE PRESENTLY BANNED IN INDIA, ARE BANNED IN UNITED STATES OF AMERICA A NUMBER OF YEARS AGO.
FURTHER, THERE IS EFFECTIVE SUPERVISION, MONITORING AND SURVEILLANCE ON OVER THE COUNTER DRUGS. PITIABLY, IN INDIA THERE EXISTS NONE.
I REPEATED VOICE CONCERN AT THE OVER GROWING NUMBER OF PATIENTS RELYING ON THE ADVICES OF THE QUACKS DROPS OUT OF SCHOOLS ACTING AS DOCTORS IN MOST OF THE CHEMISTS/DRUGGISTS SHOPS'
A FEW DAYS AGO, IN A NEIGHBOURHOOD MEDICAL SHOP, A MIDDLE AGED PERSON CAME AND ASKED FOR A COUGH SYRUP WHICH COULD CONTROL PHLEGM. THE SALESMAN GAVE ONE. IT WAS AN EXPECTORANT. THE VISITOR THEN SAID THAT THE CONSUMER, HIS FATHER, IS AN OLD MAN, AND AS HIS FAMILY IS GOING FOR A VACATION AND LEAVING HIS FATHER ALONE FOR THE NEXT DAYS, HE WANTS SOME MEDICINE TO CONTROL HIS PHLEGM AND INTERMITTENT COUGH EFFECTIVELY.
I WAS CLOSELY OBSERVING WHAT THE SALESMAN GAVE.
HE GAVE FOUR CAPSULES OF CIPROFLAXACIN OF 500 MG STRENGTH,, THREE TABLETS OF HYDROCORTISONE OF .5 MG STRENGH .
I ASKED THE SALESMAN WHETHER IT WAS PROPER TO GIVE ANTI BIOTICS AND STEROIDS OVER THE COUNTER WITHOUT HAVING A LOOK AT THE PATIENTS' CONDITION ?
Both the visitor as well as the consumer looked at me as a joker in a circus, sarcastically. At best, they showed me the door politely as I happened to be a very very old man of the locality. I could not help hide my anguish and pity at the poor awareness levels of the consumers, even if they are educated ones.
SEVERAL TIMES, STANDING IN THE CORRIDORS OF THE SHOPS, I HAD BEEN PLEADING TO THE GULLIBLE CONSUMERS TO TAKE ADVICE FROM QUALIFIED DOCTORS, BUT THE PEOPLE BY AND LARGE PREFER SAYING THAT THE SALESMEN do HAVE such RICH EXPERIENCE WHICH EVEN THE junior DOCTORS at the 24 hour clinics ( MOST TIMES JUST PASSED OUT FROM COLLEGES) HAVE, AND THEY ( the patients) DO NOT HAVE THE TIME OR ENERGY TO SPEND AT THE DOCTORS' OFFICE, not to talk of the consultation fees they are charged. It is anywhere between Rs.150 to Rs.400 nowadays.
WHERE IS OUR MEDICAL SURVEILLANCE SYSTEM?
I HAVE A GRIEVANCE NOT WITH INDIVIDUALS BUT WITH THE SYSTEM AS A WHOLE.
PEOPLE LIVE TODAY AND SURVIVE DESPITE ILLNESSES NOT BECAUSE OF ADVANCEMENT IN MEDICAL SCIENCES AND TECHNOLOGY BUT POSSIBLY BY THE WILL OF GOD.
Two decades rolled and Tamil Nadu had five General Elections since I had my wisdom tooth extracted way back in 1990s..I would start this story with how on that historic day, Dr.Rajaraman B.D.S., who had just returned from the services of the Army, hammered it out. I still remember the sixty minutes, when he sweated and fumed as he extracted it, to the horror of those waiting outside his surgical room. Dr.Rajaraman was tall and equally obese with the shape and size of a lion. Nevertheless, seeing him sweat so profusely as he started hammering and pounded and extracted my wisdom tooth, his fees looked pittances indeed !!
In the last fifteen years, I had my mouth full of not teeth, but agony.(An unhealthy mouth neglected never gets better) Not unoften, even with a little mint or chocolate, not to talk of laddu , murukku or vella cheedai or paharka bakoda which I used to buy at Grand Sweets) pain let loose its monstrous wings. (You remember Veerappa, the villain in Tamil films!! ha ha ha haa !!!) And that too on days, when I had important programs in my faculty career. On such terrible days, antibiotics, probiotics, painkillers of every brand I swallowed but never had the courage to get all the bad teeth extracted since it revealed on me that it was more of a process than a finish . I had to stop also aspirin at least for two days.My cardiologist had earlier cautioned that teeth extraction is ok on local anesthesia but no adrenaline be administered.
Also, as most of the dentists I met preferred not to extract with the help of lignocaine alone(as they insisted combining with adrenaline) , or experiment with a patient of my type and frame of mind. One dentist suggested that I bear the pain rather than remove them, for, he said, that teeth after decaying give no more problem. Not many doctors agree with his view but I chose to live with those painful teeth, remembering the old song on books "AS UNFAILING FRIENDS ARE THEY, WITH WHOM I CONVERSE DAY BY DAY". ( Do you just throw away your wife, just because she is scolding you too often !! = the hurting teeth are sort of that perhaps!!!)
Finally, when my son said, 'Thus far and no further.. you must have a denture,' Half -willing I started searching for a dentist who would suit the mental game
There the small screen episodes started. You have read the Sindhubad story in the DINATHANTHI. It started when I was just 8. Now I am 68.It continues even this day. Like that in a lighter vein.
It was sheer accident that I met this good dentist. One evening, my good friend Mr.Chakrapani suggested that I approach Dr.Shankar Guhanfor recasting or remoulding the denture of my spouse. The old lady was silently crying for a new denture for a pretty long time. As the procedures of casting a good denture for my spouse started, I developed sufficient admiration for this gentle dentist. Reasons were not far to seek. First, he had all his tools sterilized A dental clinic so hygienic is a rarity at Chennai. An operating table so neat. Immaculate to his appointments.A phone call whether one is keeping up the appointment . Never I found such a dentist or a clinic in my earlier years, to be honest.
Dr.Shankar Guhan, the dentist examined my teeth, leaving me wondering whether he would start pulling out the teeth right at that moment. No. It was not to happen. He removed his gloves. Asked me to have my cool. Said he would better have a digital view of all the teeth before deciding what should be done. ( A judge never pronounces a judgment till he hear all the witnesses, you know.= like that.) We then approached a x ray theatre, exclusively meant for picturing the whole universe of what appears inside your mouth. A camera peeped inside my mouth and filmed the entire teeth. I was horror struck when I saw the x ray film .(It was not digital, but sufficient for me to understand the status quo) Is it that with these bad creatures, I have been living so long!! I decided to have my teeth extracted one after another. But it was not also so easy. Having developed an intimate relationship, I bore no ill will towards my teeth though they were quite hurting and often too painful to bear. The dentist suggested extracting, mending, bending, bridging etc., I nodded my head as I had no other go. Thus started root canal treatments, painful extractions one by one for a full two month period. And finally came the D-Day Aah !! I had my lower denture ready for fitting. My dentist Dr.Shankar Guhan said, hey ! this is what u are to wear !! Look at it !! I looked at with awe and admiration with an element of surprise, shivering and realizing that this denture is to be part of my anatomy and physiology or in another words a life partner, with no jealousy from my better-half though. Aah ! my dream of having orderly good teeth is soon to see the light of the day !!
I lowered my eyes sheepishly even while lying on my dental surgical table to have a casual look, I wondered the denture had only 12 teeth. What happened to the remaining four ?? (Did I pay only for twelve instead of sixteen ! ) Conventional wisdom warned me that humans have sixteen below and sixteen above totaling to thirty-two teeth.
You remember when we get angry we say, u shut up , or else i shall break all your 32 teeth !!
Dr Sir !! Should I not be having Sixteen ? (The Sweet Sixteen I wanted to say but did not say lest my spouse would throw at me an angry glance. )
My dentist explained (even as I thought that he thought that I never needed wisdom any more , reaching or reached age 70) that the wisdom teeth practically serves no purpose indeed. It is another vestigious part. ( Is it like appendix, I asked him.) . My dentist was patient enough to explain that the practical utility of wisdom teeth is almost nil and it is conventional wisdom to remove the same even before it creates a nuisance value in the jaws. He also suggested that in onward march of human evolution, it is quite possible that given the type of food that humans consume wisdom teeth may never grow !! (Or wisdom itself will never grow !!! )
Getting back home, I pondered . God would never have created anything without a purpose, I thought. So half-unbelieving in what my dentist said, i searched in the google to find a host of interesting articles .
Methought this would be interesting to those whose wisdom teeth ache !! ( at least )
An article in the web said: Wisdom teeth used to serve a useful purpose, but are now considered vestigial organs. A vestige is a degenerative or imperfectly formed organ or structure having little or no utility, but in the earlier stage of development of a species performed a useful function. The reasons that wisdom teeth are now "outdated" are many. Until quite recently, our diet included mostly very coarse food, as well as impurities such as dirt and sand. This coarseness would abrade teeth so significantly that they would take up less space in the jaw. Permanent teeth were also frequently lost at an early age, which would create more space in the jaw. Because the diet was so coarse and hard to chew, the jaw itself would develop into a larger bone because of this constant workout. All of these factors would create more space for the wisdom teeth when they came in. (more of it when you click above) What are the Challenges and Advantages of Wisdom Teeth ? Read Here. ( to be continued...)
