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Sunday, June 18, 2023

Surgery/ Medicine: The ills of over the counter psychological dependence.

Title: Drawbacks of the Casualization of Surgery and the Panacea Perception of Medicine

Introduction:

The evolving landscape of healthcare has witnessed the casualization of surgery and the emergence of medicine as a perceived panacea for all ills. While these developments have brought numerous advancements and benefits, it is crucial to examine the potential drawbacks associated with these shifts. In this article, we will explore the challenges and concerns surrounding the casualization of surgery and the panacea perception of medicine.

The Casualization of Surgery:
a) Complacency and Safety Concerns: As surgery becomes more casual and routine, there is a risk of complacency among healthcare professionals. The attitude of "routine" may lead to a decline in meticulousness and a decrease in adherence to strict safety protocols. The potential for errors or oversights increases, compromising patient safety and overall surgical outcomes.

b) Lack of Informed Consent: While patient empowerment and access to information are positive aspects, the casualization of surgery may inadvertently lead to a lack of comprehensive informed consent. Patients, driven by a casual perception of surgery, may not fully comprehend the potential risks, benefits, and alternatives associated with a procedure. Informed consent requires thorough discussions between patients and healthcare providers, ensuring patients are adequately educated and empowered to make informed decisions.

c) Unrealistic Expectations: The casualization of surgery may foster unrealistic expectations among patients. The perception of surgery as a routine and easily accessible procedure may lead individuals to underestimate the potential risks, recovery time, and challenges associated with certain surgeries. Unrealistic expectations can result in disappointment, dissatisfaction, and psychological distress when outcomes do not meet these inflated expectations.

Medicine as a Panacea:
a) Overreliance on Medications: The perception of medicine as a panacea may lead to an overreliance on medications as the primary solution for all health issues. This overemphasis on pharmaceutical interventions may overshadow alternative treatments and lifestyle modifications that could be equally or more effective, especially in cases where non-pharmacological approaches could yield better long-term results or fewer side effects.

b) Neglecting Underlying Causes: The panacea perception of medicine sometimes encourages a symptom-focused approach rather than addressing the underlying causes of health issues. While medications may alleviate symptoms, they may not necessarily address the root cause of the problem. Neglecting the underlying causes can lead to prolonged reliance on medications and potential exacerbation of the condition in the long run.

c) Side Effects and Dependency: Medications, while beneficial in many cases, can also come with side effects and potential dependency. The indiscriminate use of medications as a panacea may subject individuals to unnecessary risks and adverse reactions. Moreover, long-term reliance on medications may result in a cycle of dependence, making it challenging to explore alternative treatment options or lifestyle modifications that could potentially offer sustainable solutions.

Conclusion:

While the casualization of surgery and the panacea perception of medicine offer significant advancements and benefits in healthcare, it is crucial to acknowledge and address the potential drawbacks. Maintaining a balance between accessibility, patient empowerment, and safety is vital to ensure the highest standards of surgical care. Similarly, promoting a comprehensive and holistic approach to healthcare, considering non-pharmacological interventions and addressing underlying causes, can lead to better long-term outcomes. By recognizing and mitigating the challenges associated with these shifts, we can ensure that healthcare continues to evolve in a manner that benefits patients while prioritizing their safety and well-being.

Friday, April 28, 2023

AV Malformations/ Hemangiomas

https://youtu.be/w4yuZmg9pRM

A relief for the parents when they see their child free of deformity......

Thursday, May 12, 2022

TIME TO TURN YOUR BACK

 

Time To Turn Your Back,        


                                To Make Necks Turn……


Summer is the time when people practice the idiom to the core, 

You Got It, You Flaunt It.”

Numerous times little to big flaws keep us from baring our backs for the morning dip at the beach, a Merlot dress for the high tea event, or a Sabyasachai Saree at a Friend’s Wedding.


 

People do ask us for these and we made a list:

  1. Discolouration/ Dark Pigmentation
  2. Pimples/ Acne on the back
  3. Hair
  4. Stretch Marks
  5. Wrinkles
  6. Moles and Nevi
  7. Folds and Grooves (Excess Fat)
  8. Skin tags and small swellings

 

Its mentioned in the textbooks: 

Plastic Surgery is a Problem Solving Specialty.

So we present to you the various solution to the above mentioned problems. 

But the treatment has to be individualized. One size doesn’t fit all……..


Discolouration/ Dark Pigmentation:

              Creams (Cetaphil)

              Microdermabrasion (Diamond polish)

              Peels (Chemical)

              Microneedling (Dermapen 4)



 

Pimples/ Acne on the back:

              Benzoyl Peroxide Body Wash

              Gentle  Cleaning of the Skin (No scrubbing)

              Avoiding backpacks, Oily skin care products

              Avoid Sun Exposure


 


Hair:

              Laser hair Reduction

 


Stretch Marks

              Microneedling (Dermapen 4)

              Excision (Surgical)

 

Wrinkles

              Microneedling (Dermapen 4)

              Excision (Surgical)

 


Moles and Nevi

              Micronutrients (Dietary supplements)

              CO2 Laser Ablation

              Excision (Surgical for big moles)

 

Folds and Grooves (Excess Fat)

              Liposuction

              Back Lift Surgery



 

Skin tags and small swellings

              CO2 Laser Removal

              Excision (Surgical)

 

WE GOT YOUR BACK.

 

DR ASHISH GUPTA

SENIOR PLASTIC SURGEON

LUDHIANA

+91-9779771111

Thursday, January 13, 2022

Plastic Surgery Suturing Vs Suturing

 

Plastic Surgery Suturing Vs Suturing




What we use and why:


FINE SUTURES:                            To prevent train track scars




MULTILAYERED CLOSURE:       To prevent stretching of scar as it takes the tension                                                                                     off the skin sutures



EARLY REMOVAL:    To prevent suture marks to become permanent.

                                                        Normal duration in which we take off the stitches is 5-7 days.


ZERO TENSION CLOSURE:        Leads to early healing

                                                                                 "As they say, Stress is Bad"


AFTER CARE:                                 Massage, avoiding sun exposure, Regular Follow up



ORIENTATION OF SCARS IN SKIN LINES:    To camouflage in plain sight



QUALITY OF SCAR:              All this leads to a  better quality scar which is nay visible J


DR. ASHISH GUPTA

SENIOR PLASTIC SURGEON, LUDHIANA



Wednesday, October 27, 2021

ANECDOTAL FIRST AID IN BURNS: LOG KEHTE HAIN (लोग कहते हैं)……

 ANECDOTAL FIRST AID IN BURNS: 

LOG KEHTE HAIN (लोग कहते हैं)……


Winters, Diwali and Farm Fires all have one thing in common; Men, Women & Children reporting to Clinics and Hospitals with Burns. And the common denominator amongst them all is the statement, “Log Kehte Hain, Eise Jaldi Aaram Milta Hai”.

Lets Take a look at the last 11 years of what 7 most common things people have applied and come to the Plastic Surgeon as First Aid in Burns and their logic behind it apart from Log Kehte Hain.


1.      Toothpaste: Commonest ointment to be applied

a.      Advantages: Ready at Hand in every home

b.      Disadvantages:

                                                              i.      Increases Pain,

                                                            ii.      Increases chances of infection,

                                                          iii.      Painful to take off from burnt area,

                                                           iv.      Seals in heat underneath your skin layers, causing more damage in the long run,

                                                             v.      Baking Soda in tooth paste delays healing.

c.       Cosmic Tip: Teeth Don’t get Burnt



2.      Mehndi/ Henna: Almost all Indian households have a packet lying somewhere

a.      Advantages: Antiseptic, Soothing effect

b.      Disadvantages:

                                                              i.      It Itself Causes Chemical Burns,

                                                            ii.      Better for wounds and fungal infections than burns,

                                                          iii.      Crusting and difficult to remove once dry

c.       Cosmic Tip: Looks Beautiful on Hands



3.      Halwaii Ki Dawai

a.      Advantages: Log Kehte Hain

b.      Disadvantages:

                                                              i.      Infections,

                                                            ii.      Delay in healing,

                                                          iii.      In one child we had to amputate 2 toes because of the infection

c.       Cosmic Tip: Halwaii’s creations should be Ingested not Applied



4.      Rattanjot: A Powerful Ayurvedic Herb

a.      Advantages:

                                                              i.      Cooling effect,

                                                            ii.      Antiseptic properties

b.      Disadvantages:

                                                              i.      Causes of extension of surface and depth of burn wounds in acute stage,

                                                            ii.      Black tattooing of the skin if not removed in  time

c.       Cosmic Tip: Not First Aid, it’s the Last Aid (Better with oils and for burn scars)



5.      Babaji Ka Lep: Wrapped in a specific kind of cloth

a.      Advantages: Trust Heals

b.      Disadvantages:

                                                              i.      Infections,

                                                            ii.      Extension of burns, Sepsis, Prolonged healing  

c.       Cosmic Tip: India Runs on faith, Do You?


6.      Egg White

a.      Advantages: Soothing efect

b.      Disadvantages: Causes Salmonella Infection

c.       Cosmic Tip: Its healthier when you eat it.



7.      Leaves

a.      Advantages: Covers the wounds

b.      Disadvantages:

                                                              i.      Infections,

                                                            ii.      Local Allergies

                                                          iii.      Extension of burn wounds,

c.       Cosmic Tip: Even Mud Has Healing Powers………



One Often Feels at a Loss as to if none of the above should be done,

Then what should actually be done.


You may refer to https://drashishgupta.blogspot.com/2020/11/how-to-build-first-aid-kit-for-minor.html for  what all things in the house you may actually use as First aid in Minor Burns.


Help is Always at Hand.



DR. ASHISH GUPTA

Senior Consultant Plastic Surgeon

Ludhiana 

+91-9779771111


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