Day 55 : Urinary bladder stone and Cystolithotrity

Saturday 26/11/22 Adarsha Hospital,Kundapura

A patient 24 year old male presented with c/o difficulty in micturition since 2 years and sudden loss of micturition (Urinary Retention) since 2 days.

He had undergone USG Abdomen and Pelvis which stated that he had Mild Calculus in the Urinary bladder. He was reffered to Urologist and he advised him surgery named Cystolithotrity.

Bladder Stones - Causes,Symptoms,Risks,Complications, Diagnosis and Treatment

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Day 44 : All about Inj Alprostadil

November 14, 2022 Monday Adarsha Hospital, Kundapura During the rounds of Dr. Adarsha Hebbar in the morning, we saw Pt. Manjunath Naik, who was admitted on 12/11/22 for gangrenous 4th right toe (ring toe). He is k/c/o T2DM,HTN.PVD and his 5th toe (little toe ) was amputated in our hospital few days back. We had done arterial and venous doppler of right lower limb which showed decreased blood supply to lower part of the lower limb. The 4th toe had turned black and looked very bad. The patient and his attenders were not reluctant for the amputation of the 4th toe. They requested the doctor to save his 4th toe by any means. At that time Dr. Adarsha Hebbar suggested inj.Prostal ( Alprostadil) 500mcg. He said we will try inj Prostal for 5 days. Even after this injection if there is no improvement,then we have to amputate the 4th toe to save others nearby toes in the future. Gangrenous toe Some details about Inj Prostal (Alprostadil 500mcg) Prostal Injection is used to treat paten...

Day 57 : Right toe ulcer with TAO ( Buerger's Disease)

Monday 28/11/2022 Adarsha Hospital,Kundapura Had night duty today. Patients were less, the night was going good. Then a patient came to casuality reffered to Dr.Adarsh by Dr.Nagesh for admission. I went to casuality to see the patient. The patient was Mr.Narayana, middle aged man k/c/o T2DM came with c/o ulcer over his right greater toe with right lower limb swelling and fever since 3 days. On examination he had a 2x2 cm ulcer over his 1st toe of right lower limb. He had done a Arterial and venous Dopler study of Right lower limb which said that he had decreased arterial flow below ankle and he had Thromboangiitis obliterans. He was admitted to ward and reffered to Dr.Adarsh (Surgeon) for further management. Dr. Nagesh was planning to start Inj Alprostadil after discussing with Dr Adarsh to increase the blood flow over there. Some details about Thromboangiitis obliterans Thromboangiitis obliterans (TAO), an inflammatory vasculopathy also kn...

Day 51 : Why am I working in Allopathic hospital being an Ayurvedic doctor?

Monday 21/11/22 Dcosta Mansion, C.S.Road, Kundapura I didn't go to hospital today as I took leave. Today I'm going to talk about why am I working in a Allopathic hospital being an Ayurvedic doctor. I didn't have practical exposure in Ayurveda during my UG days. So when I joined allopathic hospital, the patient flow was immense. This helped me to learn lot of things very quickly. It's very hard to find a job in the field of Ayurveda, and even if you get one the pay is very less or there is no pay. You have to work for free. The pay at Allopathic hospitals are atleast manageable. There are very few cases in ayurvedic hospitals and we don't get exposed to different cases. The use of modern technologies in Diagnosis is less in Ayurveda. In Allopathic hospitals,we get to learn lot of new and updated concepts to diagnose a disease and treat them accordingly . Sometimes due to our wrong diagnosis the patient might lose his life. There is no scientific explana...

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