Being bright student since schooling days, just after class 12, Dr Bindu Rohatgi was selected for M.B.B.S. at GSVM Medical College Kanpur U.P. in 1986.She cleared her MBBS in 1991 with 2nd position in her batch of 180 students with Honors & after1 yr internship she was selected for POSTGRADUATION (M.S.) at UPSCHMH,GSVM Medical College with 1st position in state level examination in1992 .
.She cleared her MS IN1995 with 2nd position in batch of 10 & did her Thesis in ''Trial of labour in patients with previous caesarean sections''. As being got married to a Kolkata Dr G.M.Rohatgi, she decided to settle in Kolkata after her MS. She joined LOHIA MATRI SEVA SADAN as RESIDENTIAL SURGEON in 1995. .She served hospital till 2007 & had vast experience of conducting deliveries, gynaecological operations & clinical cases .She got trained in laproscopy & hysteroscopy by Dr P. Das Mahapatra & Dr Neeta Warti (Mumbai) & doing the same for 8 yrs.
She did her Sonography traing in workshops in UK & Switzerland & using it for benefit of her patients in her personal clinic. She is visiting consultant at MATRIMANGAL PRATHISTHAN, COLUMBIA ASIA HOSPITAL, ILS MULTISPECIATILY CLINIC, DIVINE NURSING HOME, RECOVERY NURSING HOME, SANJIVANI NURSING HOME.
MBBS MS (Obstretics&Gynae) trained in Sonography, Infertilty treatment Endoscopic Surgery(Laproscopy & Hysteroscopy) HonoraryProfessor of Obs & Gynae at J.B.Roy State Hospital (qualification yearwise,career overview given already).
It is a commonest serious haemoglobinopathy worldwide. In India 1.5 - 4% population is carrier of affected gene. A carrier woman usually has persistent anaemia despite appropriate iron therapy. Hemoglobin electrophoresis usually identifies carrier of Beta Thallassemia gene with high HbA2 levels. If the wife is a carrier the husband should be investigated for Beta Thallassemia. Gene testing can also be done.
If both of couple are carrier for Beta Thallassemia gene,then their born baby have 25% chance of being affected by Beta Thallassemia Major. So during pregnancy in such couple prenatal diagnosis is possible by CVS(Chorion Villus Sampling)beyond 11 weeks of pregnancy or by AMNIOCENTESIS at 16 weeks followed by genetic testing (fish test)in the prenatal sample.
MIRENA (Levonorgestrel releasing intrauterine system) contains harmone levonorgestrel ,it is placed in uterus& remain effective for 5 years ,releasing 20microgram levonorgestrel daily.Uses of MIRENA & Side effects of MIRENA
Despite Despite some scattered regions of rural or hilly India, which are still iodine deficient, most of Indian population is either iodine sufficient or having borderline insufficiency. So in urban metropolitan cities Hypothyroidism is usually autoimmune. The femalesare uniquely susceptible for thyroid disorders from womb to tomb!
It is done by *blood testing in empty stomach preferably on first 2to3 days of menstrual cycle,that blood for serum TSH,T4,T3,FreeT4 Index,TBG(Thyroid Binding Globulin)& Anti Thyroid Antibodies
*USG of Thyroid gland, If Goitre or Nodule
Normal Serum TSH levels are 0.5-4.7 mIU/lt, but WHO criteria for reproductive years(18-40yrs) is 2.5-3.5mIU/lt. Level more than 4.7mIU/lt with decreased T4 level indicates HYPOTHYROIDISM & level less than 0.4 mIU/lt with symptoms indicates HYPERTHYROIDISM
*If amenorrhoea (absence of mensuration) with hypothyroidism serum Prolactin levels to be tested
So it is recommended that screening for thyroid dysfunctions by S.TSH estimation should be routine inwomen before or during first 12 weeks of pregnancy.
Thyroid Thyroid hormone play crucial role inbody metabolism,so it has profound influence on girl child growth, puberty, women’s menstrualcycle & reproductive functions.Dietary goitrogenous like cabbage, cauliflower, broccoli,soy supplements& even water purifier filter might lead to the problem of hypothyroidism.
Thyroid disorders can be 1.HYPOTHYROIDISM 2.HYPERTHYROIDISM
Hypothyroidism Increase in serum TSH, decrease in T4 level &/or presence of antithyroid antibodies. It may manifest as growth failure, intellectual impairment ,disturbed lipid profile, ,goitre,pubertal abnormalities(ieearly or delayed start or irregular cycles),weight gain, heavy or scanty periods, infertility, abortions IUGR. Symptoms can be weight gain despite loss of appetite, lethargy ,body pain & stiffness ,dry skin ,brittle nails & hair, cold & exercise intolerance, depression.
Hyperthyroidism Decreased serum TSH level & increased T4 levels .It presents as weight loss, heat intolerance, palpitations, sweating, flutter(shaking of hands), diarrhoea, proposes (swollen pushed out eye balls) ,menstrual irregularities(especially heavy & short cycles),infertility, excess vomiting during pregnancy ,pregnancy losses, IUGR. There can be thyroid swelling ,firm &nodular.
Lemon is rich in a-hydroxy citric acid that helps in breaking the molecular bonds between dead cells and living cells in cracked heels. Rub the fleshy side of a cut lemon on the cracked and damaged area to remove calluses and dead cells and reduce theseverity of cracked heels. Olive oil moisturizes the skin. Mix 2 tablespoons of olive oil and 1 teaspoon of lemon juice. Apply this mixture daily on cracked heels and leave it for 10 minutes.Wear socks to retain the moisture in feet before going to bed.
Add half a cup of honey to a bucket of warm water and soak cracked feet in it for at least 20 minutes, and then scrub cracked areas of the feet with a loofah to remove the dry skin. Follow this process daily till cracked heels are healed.The antibacterial and antifungal properties of the honey keep the cracked area clean and free from infection.Honey also absorbs moisture from the air and upholds the healing process.
Mash a ripe banana to make a paste. Wash cracked heels, apply this paste on the heels, massage gently, and leave it for 10 to 15 minutes for the skin to absorb the moisture from the paste. Then rinse the feet with lukewarm water. Repeat this thrice a week to restore the softness and smoothness of the feet. Banana is rich in potassium, which is required for moisturizing the skin, and vitamin A, which helps heal cracked heels.
44 Shib Krishna Daw Lane Kankurgachi,
Near New Hariyana Bhawan
(lane opposite AKSRA GOLD Building on RAM KRISHNA SAMADHI ROAD)
timings Monday , Tuesday , Thursday , Friday
12noon - 4 pm.