What are the 100 Symptoms of COVID?

What are COVID Symptoms?

What Are the 100 Symptoms of COVID-19?

There are multiple symptoms of COVID. More than 100 symptoms have been found to be experienced by people affected by COVID-19.

What parts of the body are affected?

COVID-19 causes varied symptoms in many different systems. Virtually all parts of the body are affected. The symptoms can range from routine to long lasting effects on the organ system.

Why Happens During An UltraMarathon?

What weird things have runners described seeing?

Runners described seeing weird things. One runner stated seeing stones lined up like animals and pictures of faces on the walls of a tunnel. Another runner felt like she was being followed by someone and saw the shadow of a human figure in the tunnel close to finish line.

Is there an Example of Ultramarathon?

In this example, 95 people ran a 246 km or 153 miles ultra-distance race in 44 hours going up a mountain 3.2 kms or 2 miles and then coming back. They started running for 2 nights starting at 8 pm on the first day, all of the second day, and until 4 pm on the third day for a total of 44 hours.

Where did this ultramarathon happen?

This was an ultramarathon run in Taiwan, a country in Asia. Taiwan is a country in East Asia and is bordered by China, Japan, and Philippines. Most of Taiwan has mountains and is amongst the most densely populated countries in the World. This ultramarathon happened in a mountain range called Hehuan mountains which is 3.3 km or 2 miles above sea level.

What was the run course?

This was a 246 km ultramarathon. Out of the 246 km of the run, the first 80 km were on a wide, flat well-lit road. The next 40 km had alternating uphill and downhill part. The next 110 km was very difficult. There was a 40 km uphill on a narrow road and then an 80-90 km downhill. The final 25 km was along rocky cliffs with tunnels. The weather was 26 degrees C or approximately 75-degree Fahrenheit on the first night and then dropped to single-digit in Celsius. It was foggy and windy on the mountain summit on the second day. On the third day, the weather was breezy and cool with a light shower.

Who were the runners?

Of the 95 people who ran the ultramarathon, there were 82 males and 13 females. The runners were in great shape and in great health. In other words, runners who had heart problems, kidney problems, seizures did not participate in this. The runners were aged approximately between 32 years and 60 years. Out of the 95 runners who started running this ultramarathon, 33 were able to finish this. If you are into running, you know this is amazing. One runner finished the whole 246 km in just 34 hours.

How about sleeping during the race?

All runners were permitted to rest and to freely consume water and food throughout the race, according to standard ultra-marathon regulations. All these eight runners claimed to have slept only about 30 min of sleep during the race. This was like a power nap.

Were there any health changes?

For the 8 runners who agreed, blood samples were taken a week before, immediately after the race and 3 days after the race to examine some of the changes that could happen in the body. Now here is the thing. No runner reported headaches during or after the race. No runner suffered from heat-related illnesses, such as cramps, exertional hyperthermia, heat syncope, or body temperature of >40.0°C (104.0 °F), or anything that indicated heat stroke.

On the other hand, no runner had cold injuries, such as hypothermia with core body temperature below 35°C (95 °F), chilblain, trench foot, frostbite, or any such thing.

How were the runners trained?

Ultramarathon is very challenging; we all know that. These runners had a lot of training. They had been running ultramarathons anywhere between 1 to 5 years and some of them trained with running for more than 100 km a week.

What are those things the runners experienced?

The vivid things the runners experienced are called visual hallucinations. Hallucinations are when someone feels things that do not exist in the real world. It may be related to seeing, hearing, smelling, or tasting.  These runners had visual hallucinations because of a combination of lack of sleep and vigorous exercise. There are guidelines put forth by some of the ultramarathon organizations and they suggest taking small naps of 8-20 minutes during the running course. I don’t think I would be able to do this, but I am really impressed with the stamina and health of these ultramarathon runners.

Did the runners have hypoglycemia or low blood sugar?

If you think about it, In endurance athletes, carbohydrates are the main energy source to keep them going. On average the ultramarathon runner burns about 60-kilo cal every km of the race. In general, we all as humans can store 2000 cal of glucose and absorb 250 cal per hour.

So, if the runners don’t get enough to eat or drink and burn out all the glucose how will they maintain it?

Over time there will be net calorie loss and the glucose can go down. This can be common in runs of more than 4 hours – typically more than a full marathon. If you are going on a marathon and super long run, make sure to prepare yourself. Running can put a lot of physical and psychological load. Runners world is a website with a lot of resources and I have left the link in the description below. (runnersworld.com).

https://www.runnersworld.com/

VIDEO DISCLAIMER: All the views expressed in this video and other videos in the channel are personal opinions of the speakers and do not represent the views of the organizations either past or present they represent

MEDICAL ADVICE DISCLAIMER: All content in this video and description including information, opinions, content, references, and links are for informational purposes ONLY. Accessing, viewing, reading, or otherwise using this content, or providing any medical information to the author does NOT create a physician-patient relationship. The information in this video is not intended nor implied to be a substitute for services of a trained physician or health care professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately credentialed health care worker or your own doctor/healthcare professional in all matters relating to your health or your child’s health or both. Never disregard professional medical advice or delay seeking it because of something you have seen or read in this video.

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Videos and Audio: Canva, Epidemic sounds, Pinterest.com, Fiverr.com

Reference: Huang MK, Chang KS, Kao WF, Li LH, How CK, Wang SH, Lin YK, Hwang YS, Chien DK, Chiu YH. Visual hallucinations in 246-km mountain ultra-marathoners: An observational study. Chin J Physiol. 2021 Sep-Oct;64(5):225-231. doi: 10.4103/cjp.cjp_57_21. PMID: 34708714.

What Are The Oral Manifestations of Systemic Diseases? 8 Systemic Diseases That Show In Mouth (With Solution)

What Are The Oral Manifestations of Systemic Diseases?

There are many different health problems that can easily show up in the mouth and teeth. Since mouth and teeth are easy to examine it is important to know about these.

What is Diabetes? What happens in Diabetes?

Diabetes Mellitus or simply known as high blood sugar is a super common problem. If you have diabetes your body is either not making enough insulin or is unable to use the insulin that it is already making. If either of these happens then too much sugar stays in your blood causing high blood sugar and it can also spill over in the kidneys into the urine and show up as urine sugar on a urine test. Over time high blood sugar can cause serious health problems like heart disease including heart attacks, changes in vision, kidney disease, and changes in the gums.

What are the mouth changes in Diabetes?

In the mouth, diabetes can cause periodontal or gum disease. Specifically, there can be inflammation of the gums and damage to the surrounding bones. It is more like a two-way street. Diabetes can increase the risk of periodontal disease and on the other hand, diabetes can get worse because of periodontal disease. Treatment of one problem can take care of the other problem.

What is Acid Reflux? Is it Caused by Bacteria?

Acid reflux is another common problem. Patients with acid reflux typically have heartburn, there can be a bitter taste in the mouth and in some cases difficulty swallowing, bad breath, and teeth erosion. The stomach acid is an acid after all and is an irritant to the teeth. The teeth can become torn out and even yellow at times. Patients with acid reflux can also have sensitive teeth.

If your symptoms of acid reflux are bad and are not easily controlled with medicines like ranitidine or omeprazole, then it may be time to see a doctor. Acid reflux can also be the result of a bacterial infection called H. Pylori or Helicobacter Pylori. This bacteria is very easy to test in a lab and if you end up having this infection it can also be easy to treat with antibiotics for a few days. If the infection is not treated there is a risk of developing stomach ulcers.

What is Leukemia? What are its Symptoms?

Leukemia is a broad term for cancers of blood cells. There are many different types of leukemias. In common language, this is frequently referred to as blood cancer. Patients with these types of cancers can have fever, chills, weakness, frequent infections, severe loss of weight that is not on purpose, enlarged lymph nodes, the liver can get bigger, the spleen can get enlarged. There can be pain on many spots in the body easy bleeding through the nose and red spots on the skin. In the mouth, leukemia can present with bleeding in the mouth, ulceration, and enlargement of the gums as you see here.

What is Bulimia? What Changes Does it Cause in Teeth?

Bulimia is a health condition where patients have a problem with their body image. They tend to eat a lot more than they should and then the guilt of overeating sets in. Once this happens, the feeling of losing weight comes in and they intentionally puke or vomit. The vomit comes along with the stomach acid and acid reflux can affect the teeth because of continuous exposure to the acid. The teeth slowly erode and become sensitive to heat, cold, or sweet. These patients can also have an increased risk of caries or tooth decay.

Does Lead Poisoning Affect Teeth?

Lead poisoning is a problem that is unfortunately common in many parts of the world. In short, lead poisoning causes loss of appetite, constipation, and iron deficiency anemia. A blue line can develop on the gums with lead poisoning. This occurs because lead reacts with oral bacteria that are normally present and can produce this blue line as a reaction. This blue line can also be seen in patients with poor oral hygiene.

The blood has small colorless particles called platelets or thrombocytes. This is responsible for normal clotting of blood which happens after an injury.

The platelets can go down in many different health conditions like cancers, infections, and immunity issues. In many cases, lower platelets may be detected because of changes in the mouth. If there is a trauma or injury in the mouth like biting off the tongue this may cause different types of lesions called petechiae, purpura, or a hematoma formation. People with low platelets can also have bleeding in the mouth with minor trauma and sometimes with no apparent reason.

Can Cancer in Other Parts of the Body Show in Mouth?

Cancers in other parts of the body can go into the mouth and this can be the last stage for some people. In this example of an 85-year-old man from Japan, cancer in the lung is progressed to spread in the mouth. This patient had a type of cancer called adenocarcinoma of the lungs along with the spread of cancer to the brain and abdomen inside the pancreas and kidneys. Subsequently, there was a rapid growth of this oral lesion over a two-week period with bleeding and pain. Then the tumor rapidly progressed with a fatal outcome. Any suspicious lesion in the mouth requires a prompt biopsy.

Can Medicines Cause Any Changes in The Mouth?

Enlargement of gums can happen with the commonly used blood pressure medicine called calcium channel blocker. This can also happen with other medicines like phenotype used for seizures and a medicine called cyclosporine. This can cause problems with chewing and speaking. If this happens in younger people, there can be a delay in tooth eruption. This can be taken care of by temporarily stopping the medicine and switching to a different one in consultation with the doctor. Sometimes surgery may be required to take care of this.

VIDEO DISCLAIMER: All the views expressed in this video and other videos in the channel are personal opinions of the speakers and do not represent the views of the organizations either past or present they represent MEDICAL ADVICE DISCLAIMER: All content in this video and description including information, opinions, content, references, and links are for informational purposes ONLY. Accessing, viewing, reading, or otherwise using this content, or providing any medical information to the author does NOT create a physician-patient relationship. The information in this video is not intended nor implied to be a substitute for services of a trained physician or health care professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately credentialed health care worker or your own doctor/healthcare professional in all matters relating to your health or your child’s health or both. Never disregard professional medical advice or delay seeking it because of something you have seen or read in this video.

REFERENCES:

Urse GN. Systemic Disease Manifestations in the Oral Cavity. https://ofpjournal.com/index.php/ofp/article/view/20

British Dental Journal. https://www.nature.com/articles/sj.bdj.2009.524.pdf?origin=ppub Ito H,

Onizawa K, Satoh H. Non-small-cell lung cancer metastasis to the oral cavity: A case report. Mol Clin Oncol. 2017 Mar;6(3):422-424.

Chi AC, Neville BW, Krayer JW, Gonsalves WC. Oral manifestations of systemic disease. Am Fam Physician. 2010 Dec 1;82(11):1381-8. PMID: 21121523.

http://www.canva.com

What is the Cause of Sensitive Teeth? Cure That Works

What is the cause of sensitive teeth?

What are the symptoms of sensitive teeth?

Pain or tingling sensation when you drink hot coffee or hot tea or eat ice cream or sweets.

What to do about Sensitive Teeth?

Now that you know you have sensitive teeth, the first thing you do is change your brush and the way you brush. If you don’t have one get a soft bristle brush, not a hard one, not a medium one but a soft bristle brush. Stop doing side-to-side brushing and move it at a 45-degree angle.

How to brush correctly?

An effective way to brush your teeth is to start from the last tooth of your mouth and come to the middle tooth for each quadrant, for the upper same thing for the lower same thing. So, we’re going to start from the last most tooth.  We’re going to engage the last tooth we’re going to put the bristles at a 45-degree angle so we engage the gingiva we’re going to give a little vibratory and then we’re going to roll it out we’re going to repeat this engaging three teeth at a time reaching the midline and then we’re going to brush the top surface so we’re going to do moving forward and now we’re going to do the same thing engage at a 45 degree angle and wave the gingiva. Now we’re going to repeat the same actions on the other side of the outside or closure and the inside on this side of the quadrant. We’re going to do the outside or closure and inside we’re going to repeat the same things for the upper the only difference is in the upper you roll it downwards whereas in the bottom teeth you roll it upwards in the upper teeth you engage the last teeth at a 45-degree angle again facing towards the gingiva. Like this…move forwards…

What toothpaste do I use?

Change your toothpaste to a brand that states for sensitive teeth. The two common examples are Colgate sensitive and Sensodyne. If you’re able to get a fluoride gel toothpaste, you can actually use that.

How about diet changes?

Stop drinking soda and eating sweets both of this attack enamel and will cause more pain. What you can eat are fruits and vegetables. Milk, cheese, yogurt, or curd also provide relief. You can drink coffee or tea assuming it is not too hot.

What do I do if I have symptoms?

If you do end up eating or drinking anything that causes pain, don’t brush your teeth immediately. First wash it with water and wait for an hour or two before you brush.

I grind my teeth. Is that a problem?

If you have the habit of grinding your teeth this may be contributing to sensitive teeth. You have to control this behavior by addressing the stress if that is causing your grinding of teeth. Practice some breathing relaxation exercises. Be conscious about grinding so you can stop them or prevent them. Ask your friend or family member to remind you when you grind your teeth so they can tell you, so you can stop doing it.

Does using bleach to whiten teeth increase sensitivity?

Ask yourself are you using a bleach to make your teeth white? If yes, stop doing it immediately. Sensitive teeth may be caused by many underlying problems. Now is the time to go see your dentist take care of those problems.

VIDEO DISCLAIMER: All the views expressed in this video and other videos in the channel are personal opinions of the speakers and do not represent the views of the organizations either past or present they represent MEDICAL ADVICE DISCLAIMER: All content in this video and description including information, opinions, content, references, and links are for informational purposes ONLY. Accessing, viewing, reading, or otherwise using this content, or providing any medical information to the author does NOT create a physician-patient relationship. The information in this video is not intended nor implied to be a substitute for services of a trained physician or health care professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately credentialed health care worker or your own doctor/healthcare professional in all matters relating to your health or your child’s health or both. Never disregard professional medical advice or delay seeking it because of something you have seen or read in this video.

How to Improve Brain Health? BRAIN FOOD | PROTEIN 49.7 g | Fat 9.1 g [Preparation time 1 minute]

How to Improve Brain Health? What is Brain Food?

What is Brain Food?

Here is a drink you can easily make at home using natural ingredients in less than a minute. This drink improves your brain health, your memory, promotes antioxidant and is healthy. This is also vegetarian friendly. You can drink this every morning or anytime during the day and you will be full for many hours.

What are the Ingredients?

  • Six to eight medium sized strawberries
  • 10 almonds
  • 3 tablespoons of greek yogurt or curd
  • Half glass of water
  • 1 scoop of protein powder
  • 1 teaspoon of chia seeds
  • Pinch of turmeric
  • Mix these ingredients in a blender and blend for 10 to 15 seconds. You can add more water as desired. If you blend for less time the almonds will stay crunchy and you can enjoy the crunch of it.

How does Strawberries improve brain health?

Strawberries have anthocyanin which gives its rich red color. This helps protect the brain cells from damaging and also increases communication between brain neurons. If you do not have strawberries, no worries. You can use bananas or any other fruit of your choice.

How does Almonds improve brain health?

Almonds has good amount of high quality fat and vitamin E both of which promote brain health and increases memory. Almond also increases intelligent quotient or IQ.

How is Yoghurt or curd important?

Yogurt is made of protein, calcium, vitamins and the healthy bacteria that the body needs.

I don’t like dairy. What do i do?

If you do not like yogurt or curd or have any intolerance you can use dairy alternatives like oat milk or almond milk or just use water.

How does water affect brain health?

75 percent of the brain is made of water. It is important to have good hydration as dehydration can affect the mood. Water is a natural brain health promoter.

How does protein improve brain communication?

Protein is the second largest matter in the brain after water. The brain cells talk to each other using amino acids which are the building blocks of protein. Protein rich food supports brain communication.

What protein should i use?

The options are: you can use whey protein, you can use peanut butter powder or any other protein of your choice. If you do not like protein powder that you buy from the store there are so many videos on social media describing how you can make protein powder at your own home.

What is chia seeds?

Chia seed is known as superfood. It has high amount of omega-3 fatty acids, which is an essential high quality good fat. Chia seed takes care of the brain by increasing communication between brain cells. If you cannot find chia seeds you can skip this. If you buy it, keep in the refrigerator so you can prolong the shelf life of it.

What are the benefits of Turmeric?

This contains a chemical called curcumin which increases memory. Turmeric is also known to decrease the risk of Alzheimer’s disease. Keep in mind not to use too much turmeric as this can alter the taste and can also cause gastric irritation.

MEDICAL ADVICE DISCLAIMER: All content in this video and description including information, opinions, content, references, and links are for informational purposes ONLY. Accessing, viewing, reading, or otherwise using this content, or providing any medical information to the author does NOT create a physician-patient relationship. The information in this video is not intended nor implied to be a substitute for services of a trained physician or health care professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately credentialed health care worker or your own doctor/healthcare professional in all matters relating to your health or your child’s health or both. Never disregard professional medical advice or delay seeking it because of something you have seen or read in this video.

VIDEO DISCLAIMER: All the views expressed in this video and other videos in the channel are personal opinions of the speakers and do not represent the views of the organizations either past or present they represent

Video and Audio: Final Cut Pro, Epidemic Sounds, Canva

The Attack of Iron Deficiency

How to know if hemoglobin is low?

Symptoms and Signs of Iron Deficiency Anemia

Why to check for Iron Deficiency? 

If you want to find out if you have iron deficiency or low hemoglobin, you can do it in few minutes at home without using any extra equipment. If you are a vegetarian or vegan it is even more important to do so. If you don’t check for it, you may never know you have low haemoglobin. 

How to check for signs of iron deficiency?

  • The first thing to do is stand in front of the mirror, pull your lower eyelids normally it should look bright red. If you see any painless like you see in the picture this may indicate iron deficiency.  
Sheth TN, Choudhry NK, Bowes M, Detsky AS. The relation of conjunctival pallor to the presence of anemia. J Gen Intern Med. 1997;12(2):102-106.
  • Next thing is, stand in front of the mirror and smile. Look at your gums. The gums should normally be bright red and should not be pale. 
  • The next thing is extend your hands and fingers and look at the palmar crease. Normally there are two palmar creases. The palmar crease should look bright red and if you see any paleness again it indicates iron deficiency. 
Image@canva.com
  • Next thing is to look at the nails. The nails have a normal shape. If they look   Spoon shaped, also known as spoon shaped nails, this may indicate severe underlying Iron deficiency.
Image@wikipedia.com
Moiz B. Spoon nails: still seen in today’s world. Clin Case Rep. 2018 Jan 31;6(3):547-548. doi: 10.1002/ccr3.1404. PMID: 29531740; PMCID: PMC5838265.
  • Look in the mirror and put your tongue out. If the tongue is swollen, inflamed with red spots this may indicate iron deficiency. If it is severe you may also have pain during speaking, chewing and also tenderness, which is pain on the young’s on touch. 
Lu SY. Perception of iron deficiency from oral mucosa alterations that show a high prevalence of Candida infection. J Formos Med Assoc. 2016 Aug;115(8):619-27. doi: 10.1016/j.jfma.2016.03.011. Epub 2016 Apr 28. PMID: 27133388.

What are the symptoms of iron deficiency? 

Think about your day. Do you feel excessively fatigued? Do you have mood swings? Do you have difficulty in concentrating on work? All this may also indicate underlying iron deficiency. Some people also have symptoms like irritability. There may be excessive breaking of the nails. Some people with migraine may also complain that their migraine headache may have gotten worse recently. 

The heartbeat can get fast and they can feel their own heartbeat.

Video@canva.com

What are the symptoms of iron deficiency in children? 

If you have a child whom you’re worried about, you may see additional things like they drink a lot of whole milk and full fat milk and they have a poor oral intake. They may have unusual eating habits like snacking on ice, paper, rock, clay and this is known as pica. 

What are iron rich foods?

If you have any of the things that I just mentioned it is time to get your blood checked for low hemoglobin because this is easily treatable. In the meanwhile you can consume more iron rich foods like taking beans, green leafy vegetables like spinach, kale, tofu, chickpeas or hummus, dried fruits, nuts, brown rice and fortified foods.  

Image@canva.com

VIDEO DISCLAIMER: All the views expressed in this video and other videos in the channel are personal opinions of the speakers and do not represent the views of the organizations either past or present they represent

MEDICAL ADVICE DISCLAIMER: All content in this video and description including information, opinions, content, references, and links are for informational purposes ONLY. Accessing, viewing, reading, or otherwise using this content, or providing any medical information to the author does NOT create a physician-patient relationship. The information in this video is not intended nor implied to be a substitute for services of a trained physician or health care professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately credentialed health care worker or your own doctor/healthcare professional in all matters relating to your health or your child’s health or both. Never disregard professional medical advice or delay seeking it because of something you have seen or read in this video.

Conscious sedation for Hair Transplant. What is this and why chose this?

Why chose Conscious Sedation for Hair Transplant?

What is Conscious Sedation?

Conscious sedation is administration of medication(s) so you feel comfortable when you’re getting the transplant done. If you receive this type of sedation you will be able to respond to any verbal commands either alone or if someone touches you lightly. The breathing will be normally going without any extra support the heart and blood pressure will be maintained close to normal.

Image@canva.com

What happens during conscious sedation?

Prior to injecting any local anesthesia an intravenous line is placed. Anesthesia doctor will stay with the patient through out the procedure. The doctor administers medicines like midazolam and/or fentanyl etc. to provide a calm relaxing environment to the patient so they can get this done comfortably. In addition to this, fentanyl helps with mitigating pain which the local may not cover especially in the sensitive donor areas of the body. The conscious sedation rules may be different depending on which country you live in. Anesthesia doctor or a health care personnel who is not a doctor but specialized in sedation or administering anesthesia may care for you. Either ways make sure you have some present there. The surgeon or the person performing the procedure cannot administer sedative medications. This has to be done by a trained personnel. Because many people travel international for hair transplants make sure to check the local regulations. After all you want to have a safe outcome. 

Image@canva.com

What are the anesthesia options for Hair Transplant?

The options are Local Anesthesia, Local Anesthesia + Moderate Sedation also known as conscious sedation as discussed above, and the third option is General Anesthesia. 

Do i need general anesthesia for hair transplant?

General Anesthesia consists of using anesthesia gas or intravenous medicines to have the patient fully off to sleep. This is used in complex hair transplants like someone has a burn or other types of medical problems. So for the purpose of elective cosmetic hair transplant procedure here for male pattern baldness, the risks of general anesthesia are not worth it. 

There may be clinics using medications like ketamine and propofol. Again I personally don’t think the risks of these are warranted for a procedure like an elective cosmetic hair transplant. You all may remember Michael Jackson. Local anesthesia with mild to moderate sedation should provide a comfortable experience. 

Image@Pinterest.com

What is the common anesthesia used during hair transplant?

The main anesthesia used in a hair transplant procedure is local anesthesia. Before the local is injected, an intravenous line is placed and the patient will be placed on continuous monitoring. Monitoring will include electrocardiogram (ECG), heart rate, oxygen saturation and blood pressure. Check with your transplant clinic they do all this. 

The commonly used local anesthesia medicine is lidocaine or lignocaine mixed with dilute epinephrine or adrenaline. Some may also use longer acting local anesthesia drugs like bupivacaine. Many times a cream called EMLA which his a mixture of lidocaine or prilocaine local anesthetics are used.

Image@pinterest.com

What is Tumescent Anesthesia?

You may also hear the name of tumescent anesthesia. This is a practice where local anesthesia like lidocaine is diluted mixed with epinephrine and sodium bicarbonate and is injected until the tissue become firm and tense. This was first done in liposuction or fat reduction surgeries and now is used in hair transplant surgery. The use of sodium bicarbonate makes the ph acidic, a little bit of chemistry here. This alkaline ph helps reduce pain with local injection and also is slowly absorbed into the body thereby reducing any toxicity or poisoning. Since the anesthesia is required for many hours, the injection may be topped off with more doses as required. The surgeon and the anesthesia doctor keeps in mind the maximum dose that can be safety administered. 

What other techniques can reduce pain?

There are many additional techniques hair transplant doctors use to reduce pain associated with the injection of local anesthetic. Typically what we do is inject local anesthesia in one site where you could feel a needle going in. Now this area will be numb. The local anesthesia is then injected starting from this area so no further needle pain is felt. Now surgeons use different methods here like vibration, pressure, etc. as a distraction to reduce the feeling of the injection and also a small gauge needle so patient don’t feel it. Same is done for donor and recipient areas. 

Image@canva.com

If i am very anxious what medications will i get?

You may also be prescribed anxiety reducing medicines like diazepam, lorazepam, clonidine etc. In addition to all this, do talk to your surgeon about the conscious sedation and availability of experienced personnel. The presence of anesthesia doctor or trained person to manage emergencies is so critical in these procedures.

Video@canva.com

Why is the presence of trained personnel to manage emergency so critical?

The presence of anesthesia doctor or strained person to manage emergencies is so critical in these procedures. Although rare, the use of local anesthetics also can cause rare side effects like allergic reactions, local anesthesia poisoning or toxicity which requires emergency management.  

Video@canva.com

Are there any complications during Hair Transplant?

Yes there are reports from the print media about patients having complications and even dying during this procedure. Here are some links:

Man loses eye after hair transplant

https://todaybharat.com/english/news/hyderabad-man-loses-eye-after-hair-transplant-3718.html

A young boy dies during hair transplant

https://www.thenewsminute.com/article/chennai-hair-transplant-tragedy-parents-speak-out-after-son-dies-due-procedure-44491

Man dies due to allergic reaction

https://www.thesun.co.uk/news/8651531/man-dies-hair-transplant-allergic-reaction/

How do i be careful?

Do your research. There are too many clinics. Check the credentials of your doctor. Make sure the clinic is able to deliver what they promise. Speak to real patients. Make a wise choice.

Image credits: canva.com; pinterest.com

 

Halloween and Coronavirus 2020: Is 2021 Different?

Is Halloween Different in 2021?

How was Halloween in 2020?

This was video made for Halloween 2020 when specific guidelines were laid out by CDC. Although nothing much has changed significantly with respect to precautions, a significant stride has been made with the availability of vaccines.

Should I get vaccinated?

Absolutely. There is enough data to show that COVID shot prevents severe infections, hospital admission and death. If you are eligible for vaccination, do get vaccinated at the earliest. If you are already vaccinated, great job. You can find out if you are eligible for a booster dose on the CDC website below:

https://www.cdc.gov/coronavirus/2019-ncov/vaccines/booster-shot.html

What are the precautions during Halloween in 2021?

CNBC recently published an article titled “CDC director weighs in on whether kids should go trick-or-treating on Halloween amid the pandemic”. The key points from CDC director on cnbc.com include “Walensky recommended trick-or-treating outside, limiting crowds and avoiding crowded Halloween parties”. This news can be accessed at the link below.

https://www.cnbc.com/2021/09/26/cdc-director-on-whether-kids-should-go-trick-or-treating-on-halloween.html

Travel Safety During COVID | International Air Travel [Doctor’s Experience]

What Documents Are Required For International Travel

What is the present scenario of international air travel?

International Travel has been disrupted for more than a year. I recently traveled internationally by air due to reasons I could not postpone. As a Doctor, I share my experience. I have shared details on how to ensure international air travel safety during COVID. In addition, you will see what documents are required and what to expect.

Are there Country Specific Requirements to travel outside the USA?

Yes. Every country have their own requirements. In general, the destination outside the USA either require a negative RT PCR test or a proof of vaccination. The USA state government has a list of COVID-19 Country Specific Information. Once you are the website you can click n the destination country to read know about the specific requirements. Here is the link to the website:

https://travel.state.gov/content/travel/en/traveladvisories/COVID-19-Country-Specific-Information.html

What are the Requirements to enter the USA?

The USA has specific requirements. Here is the excerpt i have copied and pasted from the CDC website “If you plan to travel internationally, you will need to get a viral test no more than 3 days before you travel by air into the United States (US) and show your negative result to the airline before you board your flight, or be prepared to show documentation of recovery (proof of a recent positive viral test and a letter from your healthcare provider or a public health official stating that you were cleared to travel).” Further details can be found in this link below

https://www.cdc.gov/coronavirus/2019-ncov/travelers/testing-international-air-travelers.html

Where do i find Guidance for travelers to specific countries? (e.g. China, Ireland, Europe etc.)

The CDC has laid forth guidance for all countries on their website. They have recommendations about general travel and also about COVID specific requirements. You can go this website below and click on your country of interest and find all the required information.

https://wwwnc.cdc.gov/travel/notices

What are the Guidance for travelers to India?

The CDC has provided guidance for travel to India. They have also specific recommendations for vaccinated and unvaccinated travelers. All these details can be found on the CDC website below:

https://wwwnc.cdc.gov/travel/notices/covid-2/coronavirus-india

What are Specific requirements for travel to India?

Before traveling, you will have to upload documents on the AirSuvidha Website. This will generate a pdf emailed to you along with a specific number. The pdf should be shown at the airprot.

https://www.newdelhiairport.in/airsuvidha/apho-registration

Why do Young and Fit have heart attack?

Heart Attack in Young and Fit. Why does this happen and What to do?

Can heart attack occur in young and fit adults?

Heart attack which used to be a disease in 60 and 70-year-old adults is now affecting young and fit adults in the 20’s, 30’s and 40’s. This change is concerning as more and more are affected by heart problems. Although a person may be regular at physical activity, they may have additional health problems like diabetes, hypertension that are undetected. A person may also be using recreational drugs and/or smoke both of which independently can predispose to heart attacks at a early age.

What causes heart attack?

Heart attack is caused by blocking of the arterial supply to the heart. This most commonly occurs because of a plaque in the heart. The building of plaque in the coronary artery of the heart starts at a very early age of 2 years. Plaque consists of fat or lipid cells, inflammatory cells that accumulate due to stress, smoking, low physical activity amongst other factors. Prevention is better than cure. It is important to recognize this and develop healthy habits which help prevents heart attacks. It is important to be fit and healthy to prevent heart attacks. In spite of this, the young and fit group are having increasing problems with heart attack due to factors like smoking and recreational drug use. These can cause immediate cessation of blood flow to the heart that can precipitate a sudden heart attack and could even lead to immediate death.

What can be done to prevent heart attack?

There are some basic things that should be taken care of.

  1. Stop Smoking
  2. Good nutrition. Balanced diet with fruits, vegetables and high fiber. Avoid high sugar and fried foods. As tasty they may be, the heart may not like them in the long run.
  3. Timely visit to a doctor
  4. Detection and management of hypertension, diabetes, high cholesterol
  5. Maintain physical activity or start one if you are not active. If unable to do any vigorous exercise or play contact sports, walk for at least 30 minutes every day. Climb stairs whenever you can.
  6. Maintain optimal body weight. Reduce body weight if overweight. The heart has to work hard if a person is obese and can have increased stress on the heart.
  7. Manage stress. Above mentioned strategies work in coordination to reduce stress.
  8. STOP using recreational drugs. Seek medical help if required. These can cause sudden blockage of blood flow to the heart and increase the risk of heart attack.