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Pioneering Newborn Cleft Palate Surgery in India | Richardsons Hospital
Discover unparalleled expertise at Richardsons Hospital, leading the way in advanced newborn cleft palate surgery in India. Our compassionate team ensures the best care, transforming lives with precision and compassion. Trust Richardsons for a brighter, healthier future.
#Newborn Cleft Palate Surgery in India#Newborn Cleft Palate Surgeon in India#Cleft Palate Surgery In India#baby cleft lip surgery in india#cleft lip surgery cost in india#cleft lip and palate surgery in india#cleft palate surgery in India#Youtube
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Expert Baby Cleft Lip Surgery in India | Richardsons Hospital
Trust Richardsons Hospital for compassionate and skilled baby cleft lip surgery in India. Our experienced team provides top-notch care.
#Baby Cleft Lip Surgery in India#Baby Cleft Lip Transformation in India#Baby Cleft Lip surgery in india#cleft lip surgery in india#cleft lip surgery cost in india#cleft lip and palate surgery in india#cleft palate surgery#Youtube
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Cleft Lip Surgery
The cleft lip surgery is very important in the formative years of the child. Cleft surgery is performed at various stages of life to complete the most natural looking appearance of the entire face. Best cleft lip surgeon in India are able to successfully reconstruct the lips and correct the deformities in the nose. The child is growing and the facial statistics change as he or she will grow up is a fact that the best cleft lip surgeon will keep in mind when operating.
The best cleft lip and palate surgery in India
Cleft surgery is a highly specialized surgery and is done by experts and the best cleft lip surgeon in India. Cleft lip surgery involves joining the tissues that fail to join when the baby is developing in the mother's womb. This can happen because of a few reasons such as genetics. The aim of the best-cleft lip and palate surgery in India is to give the best functional and aesthetic outcome as the child grows.
The best cleft lip and palate surgery in India is done under general anaesthesia so that the baby does not move and it is easier for the surgeon to work without interruptions. There are various methods and surgical techniques that are used by the best-cleft lip surgeons across the world. The best-cleft lip surgeon in India might use different techniques, but the results are the same. The best cleft lip surgeons perform cleft surgery on thousands of patients every year therefore you can be rest assured that your baby is in good hands. You can always talk to the cleft lip surgeon if you have any doubts in your mind about the procedure and recovery in detail and rest assured that your baby is in the best hands.
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1-16-2021: 10:29 pm
I am using the same computer I always use for this post, I am not using a smart phone, I am not using any kind of phone. The system is hijacked to make it look as though a phone was used for making this post. It is very difficult to find a text box to write in that is not hijacked, so I am trying this one, it may show up as though Sparacino of 545 Jackpine wrote the post, or, Monroe at 434 Jackpine could show as the place the that posted this. neither one is the author of the post.
It could show that Wesely Crowel of 549 Jackpine is the one who posted the information, but he is not the author of the information. So far, no one of official capacity has ever spoken with the author of this information in any way, not by phone, nor by email, nor by US postal mail, nor with response to this account at the place where messages can be sent at Tumblr. I only get one scary message that is about my children being safe, and far away, with no other information or contact from them in many years. A phone call from family is no good anymore, Screen Actor Guild has too many ways of manipulating the voices and words with combination of recordings, actors, and audio effects processors. There is no way to be certain who is on the calls unless they are saying some identifiable information that no one else could possibly have, and even then, that information will be recorded, and used as a way to fool everyone involved on a telephone call. Text message is absolutely useless for knowing who is on the other end of the message.
There is some good news, is probably a set-up though. I was able to access this text box for editing with my computer. Here is another screen shot of my computer as I write. I will open a Ten Codes tab at the top tabs to try to help identify what is what, and the time on the bottom.
Scroll down to see it at after three other photos of my computer screen.
11:38 pm:
I write. The page gets long. The part I already wrote inches up higher in the computer screen, up there, above the tool bar, out of sight, is where the terror bastards are changing what I wrote a moment prior to that. Then, I post what I wrote, then read it, to see that information was slightly changed, “The” gets inserted all over the place. Duplicates of the same same words are placed into the post, such as “same” that I did intentionally that time. Many small changes happen without my knowledge or consent. So far, I don‘t see any major changes in the archive, but, there are many there to look at for baby sitting. I cannot be expected to write the information necessary to save the whole world, and have to make sure that some asshole does not change it later on. If I change my access password, the keystroke recorder that is in the norton Life Lock product will just help the bastards know how I think when I choose passwords. When I access, I do not type in a password, and, I have never told the web browser to save my password for access of any of my accounts.They all open automatically, without password necessary, there is nothing I can do to change that from happening. It’s all wide open, no security of any kind, no privacy, no US national Guard.
That, and the sheriff broke my letter n on my keyboard when the broke down my door on June 15 to arrest me for stuff that did not happen, and a bunch of rock stars were killed inside the fucking jail with the weapons they were allowed to bring in there, to kill me with.
So, I am doing way more than should be required by any citizen, even in third world countries just to stay alive long enough to get a fucking message out in world filled with Smart Phones and communication technology. It’s all designed as counter productive, intentionally set up to prevent communication from occurring.
That, and I am a disabled man, with spinal injuries, and spinal fusion. I have a fucking metal plate that holds my head on, with four bolts, so, tell the terror bastards that I will just dull their swords, and they won’t be able to kill me.
I am Disabled American Citizen... you better be scared of me. punk.
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1-17-2021: 12:16 am:
There are terror soldiers out by (my) cars in the front yard. It sounds like they are torturing an animal. It must be the Myers of Five-Six-Zero (560) Jackpine. That is how the Myers do terror, they come to the house, and kill something or someone as you watch, right there at the front porch after knocking, sometimes.
There might be a dead animal or person by my car when I go out there next time.
Juseph Myers
Kyle Myers
nora Lee Myers
Rita Myers’
Rena Myers
The scariest people on earth, hands down, there is no competition for that.
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In case there are people fucking with my computer thinking that they are warning me about danger.... stop doing that. You are going to get me killed. just let me deal with it my way, without the distraction.
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1-17-2021: 1:16 am:
A walk to the mail box was.... different.
It’s cold, foggy, I did not check the thermometer but guess that it’s about 32 degrees outside.
There were no dead animals or other bodies that could be seen on a walk to the mailbox in the dark.
There is someone from the Clyde Baum terror cell making signaling to others with owl calls. The “Whooo... whooo... whooo“ at Deitricks 601 or Taylors at 600 is a person, not an owl.
As I reached the mailboxes, where there is a communication device inside one or more of the mailboxes where terror soldiers have to stop to say who they are and why they are in the neighborhood, was used as a way to hear that I had reached the mailbox, as I closed mine, the sound alerted other terror soldiers who are behind my house and behind 520 right now. They are doing a terror scenario called “Hounds of the Baskerville’s”, a set of scary circumstance all roled out in effort to produce a victim in one way or another. The scenario includes that the sound of many coyotes could be heard yelling as they do. But, there are no coyotes in these parts of Oregon, so, the people who are able to make the coyote screams very well, are those who are from India, such as Nicole Sparacino is. I suspect the Sparacino’s are working with Clyde Baum, and someone from Dietricks to do the “Hounds of the Baskerville’s” terror murder scenario, however, Clyde does not seem to be staying at his own house lately. It seems as the terror cells have mostly all switched houses for the time being, as I mentioned last week or so. I suspect Clyde is staying at Dietricks 601.
Tonight the scenario includes a lot of set-up work at Monroe’s, where a whole bunch of three dimensional items are outside, arranged in a way the (that) tells a story about rakes and pitch forks, shovels, dead wood, all wielded by creepy ness. There is no one there at exactly where all of that stuff is arranged, but there was someone closer to the road in the Monroe yard, making croaking frog sounds, such as those made by a Female Grommet soldier. (read about that here in this account somewhere else).
It was very dark outside.
I brought a super duty flashlight tonight, I rarely use a flashlight in favor of a Bic Lighter, and keeping my hands free for fighting.
I feel as though there is someone far away who is wanting some verification of events that took place many years ago, as is laid out in the Monroe three dimensional terror communication with use of rakes, pitchforks, shovels, shafts, stumps, wood rounds, a telescope, a camera on a log pointing at me, a large metal wagon wheel from historic wagon of some kind, a big dragon fly yard art, and a lot of other items all arranged so that I will tell about a time when my family and I fought against terror soldiers on horseback as the horses jumped the fence on attack by men with long horseman’s sabers. They had been attacking us daily, making us run to the house. One day, I prepared a defense, and we killed one horse and rider to my recollection. They stopped attacking by horseback, changed to a different attack plan after that.
So, if that is what is needed to know, then, yes, that is what happened so long ago with the men on horsback with long sabors, they may have been women, but I don’t remember and we did not do a pap smear to find out. The Monroe’s terror cell are getting the messages from somewhere far away, and arranging items in the yard, so that I will say something about it here. Each time I tell an anecdote, the story gets added to an existing data base of terror reporting and other personal information, all of which is used to hurt me and other people, is turned around backwards, and used to make me appear as a terrorist, while the terrorists take credit for the report, such as Clyde Baum has done with some intervention I did on at least two commercial airline flights, where my actions stopped a hijacking on board the plane... Clyde Baum gets the credit, the story got changed from the giant size of the truth, down to a much smaller, comparatively insignificant story about what happened on those airplane rides.
no one has ever spoken with me about any of that either.
One of the coyote’s sounded like Burt Dietrick. (WM, 45 y/o, 190 lbs. very full brown beard, short dark hair.)
The frog/Grommet soldier smelled like Theresa Sparacino. (India/w female, 18 y/o, long dark hair is dyed mostly in blonde streaks, 125 lbs.)
The Owl sounded like Clyde Baum. (WM, 60 y/o, short grey hair, 200 lbs, 5′9″)
The other coyote sounded like Nicole Sparacino. (India female, long black hair, predominant nose hook, may have vaginal/anal injury healed from sword fight long ago, deep voice, 5′10″ long skinny legs, 130 lbs)
I think Sean Sparacino is dead already but here is a description:
WM, 5′9″, 220 lbs, short butch hair cut most of the time, 42 y/o, has a hair lip, or cleft lip, or some other thing about his mouth, is fat, mass murderer, over 100,000 US citizens killed by Sean and Nicole Sparacino. Sean Sparacino may have a body alteration where he had his belly button removed, covered w/plastic surgery, presents himself to victims as “An alien being” points out that he has no belly button. Or, he uses make up for a the same effect.
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1-18-2021: 11:56 am: Additional:
Sparacino Belly Button Alien Terror:
I learned the (this) more than once. The latest time was around 2005-ish.
Use “Contemplating my naval” in place of “Belly Button“.
“Contemplating my naval” is a statement I have heard more than a few times. while on a phone call, and while in person.
Sean Sparacino uses a covered up, altered, plastic surgery belly button body enhancement to say the same thing, while pretending to be an alien from space.
My assessment is that there is at least one US Navy Serviceman “Partner”, “Companion”, “Side-Kick”, kidnapped victim of forced surgical alteration, somewhere nearby where I am. Most likely place closest is 507 (Five-Zero-Seven) Jackpine at Harold & Joan Phillips terror cell.
The subject matter is complex, dangerous, is scary, horrifying.
A “Partner” is often a victim who rides in a trunk of a car, or, is strapped to the bottom of a big-rig truck, or, strapped to the undercarriage of any vehicle... above the spare tire of a full size pick-up truck beneath the bed at the rear axle, is a place where “Partner’s” are put, attached to the vehicles. Their job is to use electronic blue-tooth communication device to stay always in contact with their captors who are driving the vehicles the “Partner’s” ride in and under. The captor’s do not speak English well enough to have a conversation, so, as an attack is happening, the Captor terror assassins need to engage in some kind of a set-up of a dialogue with an intended victim. The reason the dialogue is necessary is to ensure that the intended victim is not also a terror soldier, they are not uniformed, everyone looks like an intended victim, also, everyone looks like a terror soldier, so, the pre-attack dialogue is mandatory, and the “Partner” is the one who does the talking, from inside of a trunk of a car, or from beneath the undercarriage of a big rig or UPS, Fed-Ex, Bekins Moving truck, or while riding above the spare tire of a full size pick-up truck beneath the bed.
The point here is that anyone can be a “Partner”. They are surgically altered, amputated arms and legs, are small, fit in odd places, are strapped into odd places, and forced to communicate in English for their captors. If the “Partner” tries to make a cry for help, the captors will push the eject button while the vehicle is in motion. So, they are not likely to be doing anything other than exactly as they are told to do.
I suspect there is at least one US Navy partner around where I live.
I just got him killed with this post.
There is No Way To Get Help.
Josephine County Judge Lindi Baker and her husband Buck Baker keep, use, house, traffic, kidnapp, and help to produce “Partner” “side-kick” victims. Honorable Judge Baker had a “Partner” in the trunk of her car the day she was killed in defense at the AM/PM Luke’s Arco on Terry Ln. a couple of years ago. I demanded that she open her trunk when I heard the victim in the trunk, and she did open the trunk, the “Partner” escaped, Lindi Baker was killed, and the entire AM/PM staff and the staff at Fred Meyer Gas Station all began an emergency hunt for the escaped “Partner” victim, who scurried away as I was fighting with Lindi Baker that day.
I don‘t think the “Partner” was able to find help. no one has questioned me about why the judge was killed at the AM/PM.
Harrison Ford is a carpenter. He built the “Partner” kennels that the Bakers used at one of their properties on Upper River Road. They have other property also at Lower River Road, and at a remote cabin on the Illinois River west of Selma Oregon.
Buck Baker is in charge of all of the trucking that happens around here, from Salem Oregon to the California border, if it’s in a big rig, Buck Baker made it happen. He is still producing “Partners” who are transformed at “The Pleasure Dome”, a subterranean secret terror experimental surgery center in Medford Oregon built by Bill Gates in the late 1980′s and early 1990′s. The place is beneath a neighbor hood of houses, is not visible, a multi billion dollar endeavor made possible by Bill Gates.
Study this account to learn more, including maps and details about the mustard gas that is used for keeping prying eyes away.
Let me try a more graphically offensive means to get some attention here:
Twitter news media might say this next bit is a “V-Shaped Recovery” if they can get in contact with the Dog Catcher in the area where the Partner escaped captivity and is running amok, out of control.
That Afghan Hound is close to some of the finished products of the Pleasure Dome. Peter Fonda’s “Partner” looks very similar to that dog. Peter Fonda’s Partner would be mistaken to be a dog, before anyone will consider that the dog is a human being.
Yes, I am dead serious about that.
Human, US Citizen Children go in one end of the machine, when they come out of the machine, they look like that dog, if that is what the SAG Card Holder specified on the custom order sheet, such as what Peter Fonda ordered.
I have spoken with Peter Fonda’s Partner person victim at the Bi-Mart in Grants Pass, where they have parties, many SAG Card Holders bring their partners, for watching them fight to the death and betting, or for a Partner Sex Party.
Weapons are taped to the Partners, they fight, or are killed for refusing.
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Also at Monroe there seems to be some indication of “Clearwater”. There is a composting company called Clearwater, they are said to use sewage waste mixed with other organic waste, such as yard and brush, tree trimmings and such for making a soil amendment product. They are likely to be a source of “V-8″ or “Red Hydroseed” where human beings are but into a giant blender and mixed with water and seeds, to be sprayed onto the hillsides as ‘Erosion Abatement” for the Department of Transportation, done by state contractors for a profit at State tax payer expense.
Millions of US Citizens were put into the giant blenders alive, ground up into pulp at the Walmart parking lot during a fake construction project there in around 2001 or so. My brother was put into the blender, he was alive, I watched it happen, but that was in Arizona after I had been told to come to his funeral, he was not dead, until I arrived for the fucking funeral. There was nothing I could do to stop a enormous Christian terror army who are all bent on global domination in Biblical way.
Rendata is the force behind Clearwater.
There is another place called Jo-Grow, I suspect they are also in the V-8 Business. Those are all the same people who are building the Cascade Public Storage near the Club Northwest Gym. Jo-Grow is a Josephine county government company located at the former county land fill, is now a Transfer Station. Too dangerous to go anywhere near the old dump anymore.
So, information spelled out with rakes and pitchforks at Monroe’s seems to ask for “Clearwater”, and honestly I don’t know that Clearwater recycling is actually involved in the V-8, but, i suspect they are, and, it’s really not my job to do that kind of investigative work, I am an old disabled man with many spinal problems, and am poisoned by the people who seemingly are of a subject of interest, by people who are in contact with Monroe terror cell at 434 Jackpine. Have them go talk to the folks at Clearwater, or at Rendata of Merlin Oregon if you need investigating done at that level.
I do know quite a lot about Clearwire, a cellular company that was hijacked by Sprint in a fake merger, I was heavily invested in Clearwire and lost a lot of money when the shit did not work out the way the contract said it was supposed work
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Community Health Rotation
I spent my first week doing a rotation in the Dept. of Community Health – a primary care specialty that is probably most analogous to Family Medicine in the US. There is a heavy emphasis in the department on patient outreach and preventative/public health. Public health and population-level outcomes are departmental priorities, and there (refreshingly) seemed to be less of a disciplinary/epistemological separation between clinical medicine on the one hand and public health on the other (compared with the US). Both urban and rural health were emphasized. We spent the week at either: (1) an urban health center on the outskirts of a slum called Austin Town about a 20 min drive south of St. John’s or (2) a rural health center in the village of Mugalur, about a 1 hour drive east of St. John’s.
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On the morning of day one, we (i.e. Dr. J, a St. John’s 2nd year post-grad 1, a Downstate classmate, and I) took an autorickshaw to Austin Town.
After checking in at the urban health center (the Arogya Raksha Yojana or ‘ARY’ clinic) 2, we ventured out to the anganwadi 3 in the heart of the Austin Town slum. Anganwadi roughly translates to "courtyard shelter." They are government-funded child care centers for children up to age 5. They provide rudimentary healthcare services, meals, and informal education to local under-5 children, under the supervision of one or two anganwadi workers (akin to pre-school teachers). There are approx. 13.3 million anganwadis in operation in India. The anganwadi we visited was a one-room windowless structure, quite small (approx. 12’ x 12’), serving 11 children. We were told that most of the children were migrants from Tamil Nadu and thus spoke Tamil rather than Kannada. Our role for the day was to help Dr. J take measurements of the children’s height, weight, and mid-arm circumference and then plot the results on WHO growth charts to screen for malnutrition/underweight/growth stunting. Several of the children were mildly underweight, one had significant stunting, and the rest were more-or-less normal.
We also saw a child with a cleft palate + repaired cleft lip of indeterminate age. One of the attendings later told us that if the cleft palate doesn’t affect feeding, parents may opt to only have the cleft lip repaired, for both cost and cosmetic 4 reasons. Dr. J examined and wrote notes for all of the patients, with plans to refer the children with pressing issues to the ARY clinic. Milk fortified with protein powder was one of the therapies for malnutrition/stunting +/- albendazole tablets to ensure that helminth infection was not a cause of malnourishment.
One thing I was curious about was whether the WHO growth charts were adjusted for a country’s relative level of wealth/development. I figured they must be – the charts represent the normal distributions of the heights & weights of the population’s healthy children, and these distributions would be vastly different for the children of developing countries vs. developed ones. But I was wrong! Apparently the WHO pooled data from six countries (Brazil, Ghana, India, Norway, Oman, and the US) to produce an international standard, stating that, “children born anywhere in the world and given the optimum start in life have the potential to develop to within the same range of height and weight. Naturally there are individual differences among children, but across large populations, regionally and globally, the average growth is remarkably similar. For example, children from India, Norway and Brazil all show similar growth patterns when provided healthy growth conditions in early life.” 5 These ‘healthy growth conditions’ include: “recommended infant and young child feeding practices 6, good healthcare, mothers who did not smoke, and other factors associated with good health outcomes.” Thus, the WHO growth standards are essentially a normative formulation of what healthy growth from birth to age 5 ought to look like (ex. breastfeeding, moms who abstain from smoking, etc.). 7
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The following three days were spent at the rural health center in Mugalur village, which was fully staffed and run by St. John’s clinicians. The trip to Mugalur took about an hour by van, and it was nice to transition from the congested traffic of urban Bangalore to the lush greenery of the agrarian countryside.
Post-grads interested in going into Community Health spend 6 months of their PGY2 year living in Mugalur and overseeing the daily clinics. Each day was dedicated to a different subspecialty clinic (ex. maternal/child health, NCD clinic, psychiatry (‘Manasi clinic’), geriatric clinic). Patients were drawn from the surrounding villages. I learned that patients paid user fees for lab services 8, medications, and procedures (including minor surgery), but that St. John’s provided them at discounted cost (ex. ~1500 Rs for cataract surgery; 25% subsidy for medications).
On the first day, we were driven to a smaller neighboring village close to Mugalur called Madapanahalli. There, the post-grads/residents ran the day’s geriatric clinic in a makeshift space just outside the village temple. The village homes were small, colorfully painted, and surrounded by acres and acres of lush farmland. We were joined by one of the ASHA workers (i.e. community health workers) whose job it was to regularly visit patients at their homes to ensure that they showed up on clinic day and to remind them to take their meds. The post-grads carried around a large metal box that essentially served as a portable pharmacy – packed with common, mostly generic medications for chronic conditions like HTN, DM, anemia (ex. ACEi, ARBs, calcium channel blockers, metformin, pain meds, a few antibiotics, iron tablets, multivitamins).
We saw a few patients at the temple and also made a few home visits, where we observed the post-grads performing basic H&Ps on the patients. Not speaking the language, I simply sat and watched politely whilst awkwardly munching on a Yelakki banana (i.e. baby banana) that I was offered. One patient had a surprisingly modern and ornate home near the village center, which I later learned from the residents was likely purchased with money secured from selling their land. As a result, the wealthier villagers all had nice homes, but ultimately possessed a diminished capacity to generate new revenue/wealth. The post-grads mused that these villagers’ children/grandchildren likely moved away from the village and into urban Bangalore to look for work – part of the accelerating urbanization of the region, I suppose.
On our walk around the village we were also shown the large, government-maintained water tank that supplies filtered potable water for the entire village. It was essentially a ‘water ATM’ in which villagers would insert 1 Rs to get ~20L of water.
We also got to visit a Grama Hiriyara Kendra (GHK) Program – essentially a senior citizen center established by St. John’s that serves the village’s over-60 population 9.
It was a moderate-sized, one-room structure in which about 12 women 10 gathered to receive basic health education, engage in physical activity, have meals/milk/tea, and enjoy one another’s company. I was served a cup of cold buttermilk with cilantro & spices as the ladies stared bemusedly at their pale-faced visitors. We were told that the concept of a senior center was not widespread in India, and that the GHK Program was, in part, intended to be a pilot initiative to demonstrate to the government the value of having senior-centered programming to bolster the physical and psycho-emotional well-being of India’s elderly 11.
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For the Maternal/Child Health (MCH) Clinic, we started our day by making a pit stop at a regional Primary Health Center (PHC) en route to Mugalur to pick up vaccines. The vaccines (incl. IPV, OPV, measles, rubella, a few others) were kept refrigerated at the government-run PHC and were re-stocked by the government approx. monthly. The St. John’s crew would come pick them up and temporarily store them in plastic coolers for the trip to Mugular.
The maintenance of the vaccine cold chain is an interesting logistical challenge. I brought up the operational model of Project Last Mile, which seeks to leverage the distribution and cold-chain apparatus of Coca-Cola to deliver medicines and vaccines to the farthest reaches of the globe 12. Dr. N, one of the attendings, responded by discussing the benefits of engaging the private sector, but also the drawbacks (ex. giving Coke a veneer of do-gooderism so that they can sell more soda, eventually necessitating the use of their cold chain to deliver insulin to the world’s latent diabetics...).
Indian physicians follow the WHO vaccination schedule, with a few adjustments for the local context (ex. BCG vaccine for childhood TB). Unlike us, they don’t routinely vaccinate against mumps or VZV. Dr. N explained that the incidence of those infections simply wasn’t high enough to warrant inclusion in the routine immunization schedule, and that a cost-benefit consideration factored into the decision. Another example of how a public-health orientation informed decision-making. Also reminded me of this recent NYT article about how challenging it is for individual US physicians to engage in a similar cost-benefit calculus when deciding on treatment options for their own patients. As a provider, do you decide to forgo an expensive (but marginally more effective) treatment in order to decrease overall costs? Important to consider, given how crucial cost containment is in the US.
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The last days of the rotation were spent in the NCD and Manasi (i.e. psychiatry) clinics. It seemed that many of the diabetic patients had never before seen a physician before coming to the NCD clinic. Thus, the initiation of treatment with a simple regimen of metformin + a low-dose sulfonylurea (in addition to counseling re: diet & exercise) turned out to be extremely high yield. Many of the patients saw a dramatic decrease in their random glucose (300s –> 100s) within a few months of therapy initiation, which must have been extremely gratifying for the docs. Most of the patients seen at Manasi clinic had mixed psychiatric and neurological complaints, including epilepsy and headache. The most common psych disorders were depression and anxiety.
Finally, on our last day, the Mugalur clinic hosted a group from the Indian Institute of Science (IISc) 13. This group seemed to be marketing a new augmented reality ultrasound technology for use in low-resource settings. In the course of their discussion, I learned that transcranial ultrasound could be used to measure the degree of midline shift in the setting of intracranial mass effect, with good correlation to the measurements obtained from head CT. Really neat, especially in settings where head CT is not readily available! Did some more digging and stumbled on this paper 14, which described the theory and technique in patients with space-occupying stroke.
[1] Akin to a PGY-2 in the US. ↩︎
[2] The urban health center is jointly funded by St. John’s (who provides the clinicians) and by Biocon (who provides generic medications at discounted cost). Biocon is the largest biopharma company in India. Interestingly, it began as a two-person operation in the 1970s with 150 USD in startup capital, before growing into the pharma behemoth it is today. ↩︎
[3] See: https://en.wikipedia.org/wiki/Anganwadi. ↩︎
[4] This is especially true for the girls, as their parents will be concerned about their marriageability. ↩︎
[5] See: http://www.who.int/mediacentre/news/releases/2006/pr21/en/ ↩︎
[6] i.e. breastfeeding ↩︎
[7] I then wondered whether this universal formulation could serve as a proxy indicator for class/SES since, for instance, poor mothers may have decreased capacity to regularly breastfeed their children and, in general, are less able to provide the optimal environment for growth as outlined by the WHO. In other words, screening for stunted growth in children is tantamount to screening for extreme poverty. ↩︎
[8] Contracted out to a private company. ↩︎
[9] See: http://www.stjohns.in/Special_services/SeniorCitizensProgramme ↩︎
[10] Apparently, there were initially men involved in the program, but we were told by the senior post-grad that they all eventually opted out because they felt uncomfortable with the high female:male ratio, perhaps suggesting (at least amongst the older generations) the novelty of gender-integrated social activities. ↩︎
[11] Reminds me of something Atul Gawande said in Being Mortal: that as formerly agrarian societies modernize, the task of taking care of the elderly becomes socialized – that is, the duty shifts from being the private responsibility of an elderly person’s family to the public responsibility of the government/state. ↩︎
[12] See: http://www.coca-colacompany.com/stories/projectlastmile ↩︎
[13] Part of a group attempting to research and manufacture affordable medical devices. ↩︎
[14] You’re essentially measuring the degree of lateral shift of the third ventricle. See: Stolz, E., et al. (1999). "Comparison of transcranial color-coded duplex sonography and cranial CT measurements for determining third ventricle midline shift in space-occupying stroke." AJNR Am J Neuroradiol 20(8): 1567-1571. ↩︎
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Cleft Lip and Alveolus Deformity This baby girl was born with a left-sided cleft lip and alveolus deformity. Parents brought her to our hospital for corrective surgery. She underwent cleft lip repair at 3-1/2 months of age. She underwent reconstruction of the floor of the left nasal cavity with recreation of the nasal sill utilizing a C-flap. A three-layer closure of the cleft lip was then performed with perfect approximation of the orbicularis oris, subcutaneous tissue and skin under magnification of a surgical loupe. Her parents were very happy with the esthetic and functional results of the surgery. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #cleftlip #cleftdeformity #cleftlipsurgery #maxillofacialsurgery #maxillofacialsurgeon #alveolusdeformity #cleftliprepair #drsmbalaji #smbalaji #balajidental #india #chennai #tamilnadu #cleft (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/B_97HO8lEB8/?igshid=2lqfx4wyg1pj
#cleftlip#cleftdeformity#cleftlipsurgery#maxillofacialsurgery#maxillofacialsurgeon#alveolusdeformity#cleftliprepair#drsmbalaji#smbalaji#balajidental#india#chennai#tamilnadu#cleft
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Distraction Osteogenesis Devices Market Top Players Revenue and Forecasts Research
Distraction osteogenesis devices are classified as internal and external distractors based on the placement of the device. The external distractor allows bone distraction in three planes and aids surgeon to alter the direction, or vector, of the distraction process. External distractors allow for easier adjustment of the direction of the distraction. Moreover, the miniaturized internal distraction devices have made surgical procedure clinically feasible and practical, providing higher comfort to the patients.
Increasing number of pediatric bone defects is expected to aid in growth of the distraction osteogenesis devices market
Distraction osteogenesis devices aid in orthopedics, maxillofacial, and oral surgery. Distraction osteogenesis devices are used for surgical-orthodontic skeleton and asymmetries, to treat rising number of bone defect cases, and craniofacial anomalies such as cleft palate, craniosynostosis, hemifacial microsomia, and others. According to Centre for Disease Control and Prevention, 2015, about 2,650 babies are born with cleft palate and about 4,440 babies are born with cleft lip each year in the U.S. Also, according to the study by Medical Futurist, 2013, skull and bone defects, foot deformities, cleft palate account for 34% of the birth defects in the U.S., thus, leading to increasing demand for distraction osteogenesis devices in medical settings to efficiently treat facial deformities. According to the survey by Craniosynostosis and Positional Plagiocephaly Support (CAPPS) Organization, 2014, incidence of craniosynostosis is around 1 in 2,000/3,000 births, accounting for 175 infants born each day, with craniosynostosis globally.
Increasing focus on initiatives by organizations and market players to accelerate the market growth
Various initiatives by public organizations to offer effective surgical care for facial deformities globally, is expected to bolster the market growth. For instance, Operation Smile Foundation provides free surgeries for children and young adults in emerging economies such as China, India, Sub-Saharan Africa who are born with cleft lip, cleft palate or other dental and facial conditions. Operation Smiles has a global network of medical professionals providing high surgical care in over 60 countries. Also, the World Craniofacial Foundation links families of patients with medical professionals in every continent to ensure that the children with facial deformities receive high surgical and medical care.
Major players operating in the global distraction osteogenesis devices market are Johnson & Johnson, Zimmer Biomet Holdings, Inc., Stryker Corporation, KLS Martin Group, Osteomed, Acumed LLC, and Titamed.
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Why Must Life Be So Unkind to Young Ones?
I wept before I fell asleep last night.
I kept asking God “why, why, why” do young ones have to suffer or die early, sweet, innocent young ones.
The death that has many of us in mourning involves Matadi Sela Petit, an 8-year-old Congolese boy born in Kinshasa who suffered from cleft lip and a huge facial tumor that greatly distorted his face.
The Dikembe Mutombo Foundation announced Saturday that the youngster died after he “suffered a rare and unpredictable genetic reaction to anesthesia.”
Mutombo enjoyed a 17-year NBA career for which his legendary defense earned his eight all-star berths and election to the NBA Hall of Fame in 2015. Since then he has lived in Africa and immersed himself in humanitarian efforts.
The Dikembe Mutombo Foundation is “dedicated to improving the health, education, and quality of life for the people of the Democratic Republic of the Congo,” according to the charity’s website. Mutombo’s foundation has built a hospital in his native country.
It was through his aforementioned foundation that little Matadi was able to travel to the U.S. for surgery that would remove the tumor, fix his cleft lip, and allow the world to see his beautiful smile. Surgeons at the Osborne Head and Neck Foundation in Los Angeles would operate for free, according to WLS-TV.
The hospital was supposed to perform surgery two days before Christmas Day 2018. But under anesthesia on Friday the 21st, Matadi’s body reacted horribly and he died.
Dammit, he died!
My mom tried to calm both my sadness and anger by saying “I guess God decided it was time to bring this boy home.” I love the Lord, but when a young child dies or is stricken with a life-threatening disease my belief wanes. I guess that’s why those St. Jude’s Hospital commercials hit me hard, seeing those kids with beautiful smiles bravely fighting to stay alive.
It is not fair.
The little thing ones I mentioned above don’t have to be humans. They are often animals. Minutes after seeing a report on FIOS News about Matadi watched an episode of “Amanda to the Rescue,” which follows a woman who has fought off cancer run a sanctuary for sick, abandoned, injured or lost animals. Ger idea is to get these animals healthy and have them adopted. The ones that don’t stay with her forever.
She is fabulous….except for tonight. She had the sweetest little bulldog puppy named “Splat” that suffered from a condition that didn’t allow her to stand and walk. Instead, it got around like a seal. The condition is called “swimmers syndrome.” Amanda worked her heart off to help that dog to no avail. So she decided to “humanely euthanize” the dog amid a room full of tears. That little sweetheart did not live two months.
But according to the DogzHealth.com website, dogs like Splat don’t have to die. “ In most cases, the condition will go away as the puppy grows and the adductor muscles develop and strengthen,” according to the website.
“In a case study, the researchers found that home care treatment involving food and environmental control, as well as physiotherapy such as massage helped treat a 50-day-old puppy.”
I also remember a “Pitbulls and Parolees” episode in which there were two smaller puppies with the same problem. Villalobos head Tia Marie Torres refused to give up. Her young adult sons built a maze-like structure on the floor that was thin enough to make the dogs sling their legs over each side. By doing so, it gradually strengthened the dogs’ legs made them walk. It took a few weeks, but the dogs began to walk. Within months they were walking so well that one was featured in the 2018 Puppy Bowl, an annual appetizer for the Super Bowl.
Animal Rescue shows like “The Incredible Dr. Pol,” “Dr. K’s Exotic ER,” and “Dr. Jeff: Rocky Mountain Vet” show true acts of love and often nurturing by humans to hurt or sick animals, some as small as a goldfish and others as big as elephants.
For humans, there are some doctors and hospitals that think of the patient first, instead of financial greed or medical expediency. But like those who work at St. Jude’s Children's Research Hospital based in Tennessee, the Children’s Hospital of Philadelphia, and the top-ranked (US News and World Report) Boston Children’s Hospital and a number of others go the extra mile in trying to save children.
Across the U.S., infant mortality rates for full-term babies were 50 percent to 200 percent higher than in Austria, Denmark, Finland, Norway, Sweden and Switzerland, the study found.
This is unacceptable and maybe that Oval Office Hyena should allow that bed bug of a brain he has to stop with the Great Wall of “I Hate Spanish People” and put those billions it would cost to improve our medical crisis, especially mental health.
But why does whatever greater power you believe in allow 11-year-old Camron Jean-Pierre of Brooklyn to develop an allergy to the smell of cooking cod (that’s a fish to you Trump-brained) at his home that wound up killing him on New Years Day.
And then there are those eight pukes from India who had a night of thrills by roasting three puppies alive. The video atrocity went viral on this medium and the jerks received slaps on the wrist. If I had my way, I'd go eye for an eye on these jerks starting with a well-aimed torching of their mid-body extremities.
But I must comfort myself with these words from the Mia Foundation (which is dedicated to saving animals with birth defects): “If they are born, they deserve to live.”
Ron S. Tuitt, 61, is a retired teacher and award-winning journalist from NJ
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The Difference Between Plastic & Cosmetic Surgery
Gotcha! You thought plastic and cosmetic surgery are the same didn’t you? Don’t worry 99 per cent people in India think like you? There are so many myths and facts around plastic surgery that it is difficult to realize the fact from the fiction. So let us clear the air on plastic and cosmetic surgery.
Plastic surgery is a branch of surgery which deals with reforming, restoring and altering the human body. Usually, the goal is to restore the function of a deformed part by following established surgical principles. Plastic surgery is further divided into reconstructive surgery and cosmetic surgery.
Cosmetic surgery as mentioned above is a part of plastic surgery but not the same. Cosmetic surgery deals with improving the look of various body parts but is not essential for bodily functions.
Reconstructive surgery deals with surgical operations aimed at restoring normalcy in body parts which have become abnormal due to burns, injuries, cancer, birth defects or infections.
There is no right or appropriate age for plastic surgery nor is there any suitable or unsuitable body part as plastic surgery might be required at any age by anyone be it a baby or old people.
Plastic surgeons can work independently but it is not mandatory as surgeries by other specialties such as general surgery, orthopedics, oncology, ENT and ophthalmology need back up from plastic surgeons.
Complications in plastic surgery are no different from any other surgical procedure. In fact, the surgical complications after plastic surgery are relatively less due to fine handling of tissues.
If you are thinking whether there are scars or not after plastic surgery, the answer is yes. However, the scars are not very visible due to various precautions such as fine surgical technique, delicate sutures and placing cuts in skin lines and hidden areas.
The surgical procedure in plastic surgery is also like routine surgeries and involves giving anesthesia which could be local or general depending on the body parts to be operated, the age of the patient, the time taken for the surgery and the medical fitness of the patient.
Depending on your requirements, cosmetic and plastic surgeon in Visakhapatnam who are specialized in different surgical procedures can be found in Visakhapatnam. It could be anything from liposuction, breast augmentation or simply correction of conditions from birth such as cleft lips or palate, mole on the face or even a crooked smile. You can find your desired doctor on Lybrate, an online platform where vetted and verified leading surgeons in Visakhapatnam can be found and you can book appointments online to meet them.
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Cleft Palate Surgery for Babies and Revision Rhinoplasty for Improved shape of Nose
A cleft is a birth defect. Babies are born with an opening in the lip and roof of the mouth (palate). Bones and tissues of babies’ upper jaw, nose and mouth normally fuse to form the roof of the mouth or upper pallet during pregnancy. Cleft may look as a small opening in the upper lip or can be extended up to nose. Cleft might also extend into gums and affect the soft palate near the back of the throat.
Cosmetic surgeons perform cleft palate surgery of babies when they are 3-6 months old. After administering general anesthesia, surgeons use special procedures like lip adhesion or a molding plate device to bring the parts of lips closer together, before it is repaired completely. This surgery might leave a scar on the lip under the nose.
At the age of 9-12 months cosmetic surgeons repair the cleft palate by connecting the muscles of the soft palate and rearranging the tissues to close the cleft. This surgery is performed administering general anesthesia and might require a short stay in hospital for recovery and healing.
If a patient is not satisfied with the results of a nose job, surgeons can suggest going for a revision rhinoplasty after waiting for sufficient period to evaluate the results of earlier surgery. Usually a patient is asked to wait for at least a year for healing the scars.
This procedure might be different for every patient depending on the specific area of the nose to be treated and amount of amendment expected. Surgeons perform revision rhinoplasty administering general anesthesia, local anesthesia or sedation. This takes usually longer periods than primary rhinoplasty.
Surgeons try to recreate the symmetry of nose by adding or removing cartilage. This helps in opening the airway and achieving better shape of nose. Surgeons usually take incisions inside the nostrils and perform the reshaping of specific part of nose.
Tag: nose surgery in Delhi, rhinoplasty surgery cost in Delhi, nose job in India, nose reshaping in Delhi, Dr Ajaya Kashyap cosmetic & plastic surgeon in Delhi
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Get more http://www.themedspa.us/cosmetic-surgery/nose-surgery.html
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Pioneering Newborn Cleft Palate Surgery in India | Richardsons Hospital
Discover unparalleled expertise at Richardsons Hospital, leading the way in advanced newborn cleft palate surgery in India. Our compassionate team ensures the best care, transforming lives with precision and compassion. Trust Richardsons for a brighter, healthier future.
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Expert Cleft Lip Surgery Consultation in India by Richardsons Hospital
Discover comprehensive cleft lip surgery consultation in India at Richardsons Hospital. Trust our expert team for compassionate care and advanced solutions. Transform lives today.
#Cleft Lip Surgery Consultation in India#Cleft Lip and Palate Surgery in India#Cleft Lip Surgery Cost In India#Best Cleft Lip Surgeon In India#cleft lip rhinoplasty surgery in india#baby cleft lip surgery in India#cleft lip nose deformity correction in india#Youtube
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Transforming Lives | Baby Cleft Palate Surgery in India
Discover hope and healing with state-of-the-art Baby Cleft Palate Surgery in India at Richardsons Hospital. Our expert team ensures compassionate care for your little one's brighter tomorrow. Trust Richardsons for excellence in pediatric healthcare.
#Baby Cleft Palate Surgery in India#Baby Cleft Palate Surgeon in India#Cleft Palate Surgery In India#baby cleft lip surgery in india#cleft lip surgery cost in india#cleft lip and palate surgery in india#cleft palate surgery in India#Youtube
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Transforming Lives | Baby Cleft Palate Surgery in India
Discover hope and healing with state-of-the-art Baby Cleft Palate Surgery in India at Richardsons Hospital. Our expert team ensures compassionate care for your little one's brighter tomorrow. Trust Richardsons for excellence in pediatric healthcare.
#Baby Cleft Palate Surgery in India#Baby Cleft Palate Surgeon in India#Cleft Palate Surgery In India#baby cleft lip surgery in india#cleft lip surgery cost in india#cleft lip and palate surgery in india#cleft palate surgery in India
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Transforming Lives Cleft Lip & Palate Surgery in India at Richardsons Hospital
Discover comprehensive cleft lip and palate surgeries in India at Richardsons Hospital. Expert care, life-changing results. Regain confidence and smile.
#Cleft Lip and Palate Surgery in India#Cleft Lip Surgery Cost In India#Best Cleft Lip Surgeon In India#cleft lip rhinoplasty surgery in india#baby cleft lip surgery in India#cleft lip nose deformity correction in india#Youtube
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Advanced Cleft Lip and Palate Surgery in India | Richardsons Hospital Discover specialized cleft lip and palate surgery in India at Richardsons Hospital, offering advanced procedures and comprehensive care to address this condition, ensuring improved aesthetics and enhanced quality of life. Trust our expert team for exceptional results.
#Cleft Lip and Palate Surgery in India#baby cleft surgery in India#Baby Cleft Lip Transformation in India#Baby Cleft Lip surgery in india#cleft lip surgery in india#cleft lip surgery cost in india
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