Sacred offerings from Renowned temples!

He was gentleman of around 50-55years age. He speaks very gently and unlike other disappointed patients, he never complained me that why i am unable to cure his psoriasis.
                   Instead everytime he comes with prasad from different temples. A couple of times from tirupati a few times from vaishnodevi and many times from different local temples.
                   I wonderd what he asked to his various Gods ?  A cure for him or a little more brain for his doctor ?

Ways of understanding !

"Its called papular urticaria and it is caused by allergy to insect bites " Almost a dozen skin specialist she visited in last 6 months and everyone told her the same.
                     Her child was suffering from these itchy rashes all over his arms and legs and a few over face too.
                     "Look doctor, we dont have any insects in our house and if you are going to say same, i am afraid its not going to work" she clearly told me beforehand.
                      "Ok, but see one thing" i tried a logical approach.
                       "He is having rashes only on open parts of body, coverd parts are almost spared . Its an allergy that involves only open parts, so if you would keep it covered with full sleeves dress it would disappear automatically" as i said this, she looked  a little agreed types.
                        After a month of medicines and full sleeves the boy was relieved of rashs.
                        Actually she never continued earlier medicines just because doctors told her that its a mosquito allergy, keep you home clean and avoid insect bites.
                          I wonderd if she took the doctors saying as blame on her parenting?
                         
                      
                    

Nature do not know morals!

"Doctor,i sing prayer songs in temples ,and since last 15 years i haven't charged a single penny for this" He said proudly while i was examining his only son who was having severe generalised fungal infection all over his body.
All he meant was that since he was doing good all his life , his son wouldn't suffer from any serious illness.

                               But problem is that nature do not know any morals. Morals and ethics are created by humans and limited to humans ,fungus and bacteria dont play by morals.
                               There are
no moral justifications for the things happening to us randomly.

Magical Cure : Autoimmune reversal

"Hello doctor do you remember me?" As he asked i looked at him and tried to remember this guy.

"I had severe psoriasis and you cured me 4 years back" as he said smilingly i recalled everything.

He was a 25 year old young man with very severe psoriasis. All his skin was affected and both knee joints were swollen and painful.
                          He was very lean and weak and was having high doses of immunosuppesants since last several years.
                          Everytime he visited me i thought his disease is not going to cure and instead he would die someday .And when he stopped visiting me i actualy thought that he died.
                          And here he was looking healthy and completely cured of his psoriasis. That was a moment of extreme surprise and happiness for me.
                          
                           It was certainly not happened because of my treatments instead it was an example of autoimmunity against autoimmunity. Nature heals by autoimmune reversal.
                          
                          
      

A bit of behavioral therapy

Mr. X was presented with a very unique problem. He was a patient of psoriasis and we prescribed usual medicines that most of the skin specialist start with.

Once he came to know that he has to take a tablet in weekly pattern he started feeling nausea.

Methotrexate is the drug that elicits nausea and vomiting in many patients because of its minor side effect of gastritis in normal or above normal doses.

Then we enquired about his past history of treatments and why he never responded to any of them.

Everytime he went to a skin specialist they give him this medicine which is in weekly doses and Everytime it causes vomiting. He was unable to take this important medicine so there was no improvement in his skin lesions.

This was an example of conditioning response of vomiting to the stimulus of dosing pattern .

Patient was unaware of the medicine name. Just the weekly dose was conditioned with nausea and vomiting. His spouse told us that even a sight of this tablet makes him vomiting. So we made this unique attempt of systematic desensitization of stimulus.

We adviced same thing initially as half tablet and daily doses just to stop conditioned reflex.

Later on we suggested him to reduce days one by one until it comes to two days a week.

The dose was reduced so there was no gastritis and dosing pattern was different than usual methotrexate so conditioned response of vomiting was not elicited.

Mr. X was happy after 4 weeks of treatment and he tolerated well this medicine and almost forgot how he felt initially with weekly doses.

Dotted white Lips : Vitiligo phobia

"Doctor , look at my lips , are they turning white?" This young lady was worried about white spot disease developing on her lips.

"No,its not , what you are thinking about.These are abnormal glands which are giving a pinpoint white appearance. Its not Vitiligo" we assured after examining her lips.

"So what doctor ? They are looking white and even if its not white spot disease but everyone would think so.Please do something" she was not happy with my assurance.

"But these are glands,its the structure of your skin,how can they just go away with medicines?" We always try to satisfy people with less or no medicine no surgery principle.

"All doctors say so, every one says its nothing.But i cant live with these spots doctor .Please do something." She was desperate.

And then we did CO2 Laser Ablation With local anaesthesia. It took an hour of very fine touching of each and every gland with magnification. Lips were turned a little red .

After one week she happily came with all normal lips . Execpt one or two dots still left and she wanted to undergo same procedure again .

"No doctor, its not possible"

"Look at this doctor, she is having these itchy rashes all over her body " while her mother was very  tense and explaining her problems with little exacerbation,  that cute small child was playful with the paperweight on the doctors table.
                     "Nothing to worry about ,this is Lichen Urticatus a sort of mosquito bite allergy " i was observing the child, she was still interested in my paperweight.
                     "No doctor this is not possible,we dnt have any mosquito in our house" her mother was not happy with my diagnosis.
                     "These rashes never appear on covered areas like back or belly, it occurs only on exposed ,open parts" i tried to convince her.
                     "No doctor there are rashes on back "she tried to find out but cdnt find any.
                     "So whatever it is, if not mosquitoes,its coming from outside,thats why only open parts are effected"i tried my best to educate her .
                      "No doctor there is no mosquito,no dust she is always indoors,how can this happen to my child"
                    She was in complete denial mode. Was she  taking my diagnosis as  blame on her parenting ? If there are a few insects its not her fault.