Med First ENT Centre

  Septoplasty At ENT Delhi Septoplasty is the surgical procedure to correct a deviated nasal septum (DNS). Nasal Septum and DNS – Deviated Nasal Septum The Nasal Septum divides the nose into the right and left nostrils. It is made of Cartilage (malleable tissue – anteriorly), and Bone (Posteriorly). Though ideally the Septum should be straight there is some deviation to either side in some individuals. Causes of Deviated Nasal Septum The child may be born with a deviated Septum due to pressures in the womb. Injury- while growing up, or as a child while playing games, or sometimes after and accident. Pressure of swelling like large growth/ polyp on one side of the nose can push the septum to the other side. INDICATIONS OF SEPTOPLASTY Nasal Blockage Recurrent Nasal bleeding Snoring and sleep Apnoea As an approach or access to Nasal Surgery like FESS or skull base surgery To repair a nasal septal deviation Anaesthesia for Septoplasty Local Anaesthesia – after discussing with the patie...

During health human blood maintains an Oxygen saturation of about 94-99 %. This is also called SPO2 ( the amount of blood saturated with oxygen or also the percentage of Oxygenated haemoglobin in the blood). This level is measured by a simple device that is clipped on to your finger and which gives an accurate reading in a few seconds ( a Pulse Oximeter - see picture above). Hemoglobin is the Oxygen Carrier in the blood and it helps transport Oxygen to various tissues all over the body for their functioning.  Our breathing is controlled by a very complex mechanism called the Respiratory Drive - it has many components including the involvement of Neural and Peripheral Chemoreceptors. The Central Chemoreceptors in the brain are very sensitive to Carbon Dioxide (CO2) levels.  Even a minor increase in CO2 levels brings about immediate changes in our breathing - a 5mmHg change in PaCo2 can double breathing rates in healthy persons. Build up of excessive CO2 normally occurs alo...

The Corona Virus - SARS CoV-2 causes the disease Covid-19. This is similar to a virus named HIV causing the disease AIDS. Currently, there is no known treatment for Covid - 19. There is an intense amount of research but there is no definite breakthrough.  Molecules to treat diseases take years of testing - Lab, Animal studies, Human trials before they are declared to be fit for human use. The suddenness and the severity of the Coronavirus has given us very little time to develop a new molecule. In this situation various treatments which were successful against Viruses of a similar nature in the past are being tried out - a process called "Repurposing" - a strategy for off label use of known drugs. To understand treatment strategies for Covid-19 we must break the disease into its stages - because treatment is different at each stage. Asymptomatic and Pre Symptomatic patients The good news is that in a large majority of patients there are no symptoms. Apart f...

Your ENT DOCTOR IS HERE Dr.( Major ) Rajesh Bhardwaj MBBS, MS, DNB, DLO, DHA Due to the risk of transmitting infection during the COVID-19 pandemic most hospital's OPDs and Clinics are closed. Patients are also facing difficulties in traveling during the lockdown. To overcome this situation we are available ONLINE for you with Live Chat, Share your prescriptions, images, or discuss at length. Please click on the link and get E-consultation in less than an hour. Pls book prior APPOINTMENT for a medical checkup from ( 10 Am to 5 Pm; Mon-Sat) https://youtu.be/cGVs94cqCJg https://bit.ly/fill_medical_form

Your ENT DOCTOR IS HERE Dr.( Major ) Rajesh Bhardwaj MBBS, MS, DNB, DLO, DHA Due to the risk of transmitting infection during the COVID-19 pandemic most hospital's OPDs and Clinics are closed. Patients are also facing difficulties in traveling during the lockdown. To overcome this situation we are available ONLINE for you with Live Chat, Share your prescriptions, images, or discuss at length. Please click on the link and get E-consultation in less than an hour. Pls book prior APPOINTMENT for a medical checkup from ( 10 Am to 5 Pm; Mon-Sat) https://youtu.be/cGVs94cqCJg https://bit.ly/fill_medical_form

Your ENT DOCTOR IS HERE Dr.( Major ) Rajesh Bhardwaj MBBS, MS, DNB, DLO, DHA Due to the risk of transmitting infection during the COVID-19 pandemic most hospital's OPDs and Clinics are closed. Patients are also facing difficulties in traveling during the lockdown. To overcome this situation we are available ONLINE for you with Live Chat, Share your prescriptions, images, or discuss at length. Please click on the link and get E-consultation in less than an hour. Pls book prior APPOINTMENT for a medical checkup from ( 10 Am to 5 Pm; Mon-Sat) https://bit.ly/fill_medical_form

During health human blood maintains an Oxygen saturation of about 94-99 %. This is also called SPO2 ( the amount of blood saturated with oxygen or also the percentage of Oxygenated hemoglobin in the blood). This level is measured by a simple device that is clipped on to your finger and which gives an accurate reading in a few seconds( a Pulse Oximeter - see picture above). Hemoglobin is the Oxygen Carrier in the blood and it helps transport Oxygen to various tissues all over the body for their functioning.  Our breathing is controlled by a very complex mechanism called the Respiratory Drive - it has many components including the involvement of Neural and Peripheral Chemoreceptors. The Central Chemoreceptors in the brain are very sensitive to Carbon Dioxide (CO2) levels.  Even a minor increase in CO2 levels brings about immediate changes in our breathing - a 5mmHg change in PaCo2 can double breathing rates in healthy persons.  Build up of excessive CO2 normally...

Once Lockdown measures are eased and people are gradually allowed to move out of their homes what should their strategy be? It is important to understand that the Virus (Covid-19) has not gone away. Until a  viable Vaccine is made available and most of us get vaccinated we will continue to be vulnerable to this threat.  In fact, as the numbers increase our chances of catching an infection increase proportionately. And since a large percentage of affected persons are asymptomatic or have only mild symptoms it is impossible for us to predict who is carrying the disease. Thermal scanners can only pick up patients who have a fever - not the pre-symptomatic or asymptomatic cases.  So the onus is upon us to prevent ourselves from this infection. How to proceed post Lockdown First and foremost step out ONLY if necessary. Avoid going out for the purpose of a fun drive or for a casual social interaction - go out only for a specific important purpose- this ...

Is there more than one strain of the Coronavirus? There has been a lot of speculation recently about two strains of the Coronavirus – namely the S and the L strain. The alphabets refer to the names of the Amino acids in the sequence of the virus- ‘S’ denoting Serine and ‘L’ denoting Leucine. The theory is that probably from nearly the beginning of the outbreak in Wuhan the two strains co-existed. The popular theory is that the ‘S’ strain was the earlier strain which was replaced by the ‘L’ strain which had a greater propensity to spread amongst humans, and then the ‘S’ strain returned once physical distancing and other precautions were adhered to. The ‘L’ strain has been blamed for many things - from higher transmission rate to higher virulence to higher mortality rates, though the evidence for this is lacking. The ‘S’ strain is thought to transmit the milder form of the disease. According to the leading experts in the world, however, the evidence for this is lacking ...

Your ENT DOCTOR IS HERE 👨‍⚕️ Dr.( Major ) Rajesh Bhardwaj MBBS, MS, DNB, DLO, DHA Due to the risk of transmitting infection during the COVID-19 pandemic most hospital's OPDs and Clinics are closed. Patients are also facing difficulties in traveling during the lockdown. To overcome this situation we are available ONLINE for you with Live Chat, Share your prescriptions, images, or discuss at length. Please click on the link and get E-consultation in less than an hour. Pls book prior APPOINTMENT for a medical checkup from ( 10 Am to 5 Pm; Mon-Sat) https://bit.ly/fill_medical_form

Age-Related Hearing Loss (Presbyacusis) Presbycusis or age-related hearing loss is a gradual progression in hearing deterioration which happens because of factors in the hearing apparatus. The Hearing Loss can be  Sensory  (loss of Hair Cells in the Cochlea),  Neural  (some abnormality in the Neural pathways which transmit sound from the Inner Ear to the Brain),  Strial  (due to damage in the cells of the Stria Vascularis) or sometimes,  Mixed -   a combination of the above pathologies. Some Statistics (UK) Hearing loss at age 17-30 was only 1.8 % (in the better hearing ear). this went up to 60% in the age group 71-80 years of age. The prevalence of hearing loss approximately doubles every decade of life. Causes AGE - the most obvious cause MALE SEX- more prone NOISE EXPOSURE - the higher the exposure to loud ambient noise, the greater the chance of developing a hearing loss GENETIC- if a close family member has ...

There are three paired major Salivary Glands in the human body and countless minor salivary glands. The Major Salivary Glands are - Parotid (in front of the ear, on the cheeks), Submandibular (high in the neck, just below the jaw bone on each side) and the Sublingual (on the floor of the mouth). Stones are sometimes formed in these glands which cause extreme discomfort, pain and swelling. Why do they occur? Salivary Gland stones can occur due to the following conditions: Poor Oro Dental hygiene Oral Injury Dehydration Post Radiotherapy treatment Being Male and Elderly - Males and the elderly are more prone What are the Symptoms? A Salivary Gland consists of a gland (which secretes the saliva) and a duct which is the channel through which saliva passes from the gland into the oral cavity. A Stone can form in the gland or in the duct and cause obstruction. Obstruction to the flow of saliva causes the saliva to build up in the gland - this causes a pain...

There are multiple intricate mechanisms that help us to maintain our balance. These include -  Inner Ears  - The Vestibule in the inner ear contains the Utricle, Saccule and the three Semicircular canals that help to orient our body in a three-dimensional plane as well as maintain balance during movement, acceleration and deceleration, turning on an axis etc. -  Eyes  - The Eyes coordinate with the Vestibule through the vestibule ocular reflex. -  Joints - Our Joints contain receptors called Proprioreceptors which help us to judge our position with respect to the ground beneath us. As we grow older there is a gradual enfeeblement of our senses which makes us prone to falls. Some of these are Failing eyesight Poor muscle and bone strength Loss of proprioception Presbyastatis - loss of hair cells in the Vestibular sense organ Medication - especially sedatives and tranquillizers Concomitant Neurological disorders like Parkinsonism Chronic Al...