Video – StJeanClinic

Diabetes Prevention is of utmost importance considering it can be chronic if not implementing preventive measures like eating more healthfully, becoming more physically active and losing a few extra pounds.

1. Choosing water, coffee or tea instead of fruit juice, soda, or other sugar sweetened beverages.
2. Eating at least three servings of vegetable every day, including green leafy vegetables.
3. Eating up to three servings of fresh fruit every day.
4. Choosing nuts, a piece of fresh fruit, or unsweetened yoghurt for a snack.
5. Limiting alcohol intake to a maximum.
6. Choosing lean cuts of white meat, poultry or seafood instead of red or processed meat.
7. Choosing peanut butter instead of chocolate spread or jam.
8. Choosing whole-grain bread, rice, or pasta instead of white bread, rice, or pasta.
9. Choosing unsaturated fats (olive oil, canola oil, corn oil, or sunflower oil) instead of saturated fats (butter, ghee, animal fat,

Conditions We Treat
The Orthopedic Specialty at SJC effectively managing the treatment and care of patients with orthopedic disorders has been our main priority since its openning in 1997.

This Medical Center, led by Dr A.Dinassing, Chief Consultant in Orthopedics, blends the skill, expertise and surgical excellence of our surgeons with warmth, compassion and Magnet level nursing to give our patients the best care SJC can offer.

SJC team of orthopedic doctors, surgeons, specialists and dedicated nurses are committed to providing advanced care management for orthopedic conditions.

Pediatric Orthopedic Surgery
Spine Surgery
Sport Medicine

Acute Septic arthritis in Children
Bowlegs
Clubfoot
Congenital Scoliosis
Flat Feet
Kneecap Pain
Knocked-Knee
Medial (Inside) Knee Pain
Osgood-Schlatter Disease
Pediatric Spinal Fractures
Scheuermann’s Kyphosis

Endoscopic Degenerative disc
Endoscopic Herniated Disc Surgery
Laparoscopic Spinal Surgery
Microscopic Lumbar Discectomy/Foraminotomy
Microscopic Cervical Discectomy and Fusion
Microscopic Lumbar Decompression Laminectomy/
Laminectomy without fusion
Computerizes Assisted LumbarLaminectomy and Posterior Fusion
Epidural Spinal Injection (IPD Case)
Epidural Spinal Injection (OPD Case)

Arthroscopic Knee with Meniscal Repair
Arthroscopic ACL Reconstruction
Arthroscopic Meniscus Debridement
Arthroscopic and Microfracture
Arthroscopic RTC Repair
Arthroscope Shoulder with Acromioplasty
Arthroscopic Bankart Repair
Arthroscopic AC Joint Arthritis
Endoscope Shoulder Disorders
Endoscopic Ankle Disorders
Endoscopic Knee Disorders

ARTHROSCOPY
LAPAROSCOPY
Endoscopic
PROSTRATE SURGERY

Why the Procedure is Performed
Arthroscopy may be recommended for these knee problems:

Some fractures of the bones of the knee
Removal of Baker’s cyst — a swelling behind the knee that is filled with fluid. Sometimes this occurs when there is inflammation (soreness and pain) from other causes, like arthritis.
Small pieces of broken cartilage in the knee joint
Misalignment of the kneecap (patella). Misalignment puts the kneecap out of position.
Inflamed or damaged lining of the joint. This lining is called the synovium.
A torn or damaged anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL)
A torn menisc us. Meniscus is cartilage that cushions the space between the bones in the knee. Surgery is done to repair or remove it.

We also perform arthroscopy of the ankle and shoulder for diagnostic as well as therapeutic purpose.

Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen (tummy) and pelvis without having to make large incisions in the skin.

This procedure is also known as keyhole surgery or minimally invasive surgery.

A laparoscope is a small tube that has a light source and a camera, which relays images of the inside of the abdomen or pelvis to a television monitor.

The advantages of this technique over traditional open surgery include:

a shorter hospital stay and faster recovery time
less pain and bleeding after the operation
reduced scarring

When laparoscopy is used

Laparoscopy used to carry out diagnostic and surgical procedures, such as removing a damaged or diseased organ, or removing a tissue sample for further testing (BIOPSY)

Laparoscopy is most commonly used in:

gynaecology – the study and treatment of conditions affecting the female reproductive system
gastroenterology – the study and treatment of conditions affecting the digestive system

urology – the study and treatment of conditions affecting the urinary system

What is Functional Endoscopic Sinus Surgery?
One way functional endoscopic sinus surgery differs from conventional sinus surgery is that an endoscope is used in the nose to view the nasal cavity and sinuses. This generally eliminates the need for an external incision. The endoscope allows for better visualization of diseased or problem areas

Transurethral resection of the prostate(TURP) is a surgery to remove the inside part of the prostate gland. It is done in order to treat symptoms of an enlarged prostrate

The surgeon will insert a scope through the tube that carries urine from your bladder out of the penis. This tube is called the urethra. A special cutting tool is placed through the scope. It is used to remove the inside part of your prostate gland using electricity.

Why the Procedure is Performed

Surgery is recommended for benign prostatic hyperplasia. The prostate gland often grows larger as men get older. The larger prostate play causes problems with urinating. Removing part of the prostate gland can often make these symptoms better.

Disorders of the ear, nose or throat
Loss of hearing, dizziness and ringing in the ears
Sinus disorders
Difficult swallowing or breathing
Voice and Speech disorders
Nosebleeds
Skull base related diseases
Snoring and Sleep Apnea
Cancers of the ears, nose, mouth, throat, face or neck
Injuries of the nose, face and jaw
Cosmetic reconstruction of the nose, face or neck
Allergies

Our medical team consists of Otolaryngologists, Audiologists, specially trained Nurses and a host of other support staff.

Tonsillectomy and/or Adenoidectomy
Tonsillectomies are performed on patients who have had recurrent attacks of tonsillitis, which begin as a severe sore throat associated with fever, headaches, chills and muscle pain

Treating varicose veins

Varicose veins don’t always need treatment. If your varicose veins are not causing you discomfort, you may not need to have treatment.

Treatment of varicose veins is usually necessary:

to ease symptoms – if your varicose veins are causing you pain or discomfort
to treat complications – such as leg ulcers, swelling or skin discolouration
for cosmetic reasons

If treatment is necessary, your doctor may first advise thefollowings

using compression stockings
taking regular exercise
avoiding standing up for long periods
elevating the affected area when resting

Compression stockings

Compression stockings are specially designed to steadily squeeze your legs to improve circulation. They are often tightest at the ankle and get gradually looser as they go further up your leg. This encourages blood to flow upwards towards your heart.

Compression stockings may help relieve the pain, discomfort and swelling in your legs caused by your varicose veins.

You may need to wear compression stockings for the rest of your life if you have deep venous incompetence. Deep venous incompetence is where you have problems with the valves, or blockages, in the deep veins in your legs.

In these circumstances, you will need to wear compression stockings even if you have had surgery to treat some varicose veins.

You usually need to put your compression stockings on as soon as you get up in the morning and take them off when you go to bed.

They can be uncomfortable, particularly during hot weather, but it’s important to wear your stockings correctly to get the most benefit from them.

Compression stockings usually have to be replaced every three to six months. If your stockings become damaged, speak to your GP because they may no longer be effective.

Further treatment

If your varicose veins need further treatment, or if they are causing complications, the type of treatment will depend on your general health and the size, position and severity of your veins.

Endothermal ablation

One of the first treatments offered will usually be endothermal ablation. This involves using energy either from high-frequency radio waves (radiofrequency ablation) or lasers (endovenous laser treatment) to seal the affected veins.

Radiofrequency ablation

Radiofrequency ablation involves heating the wall of your varicose vein using radiofrequency energy. The vein is accessed through a small cut made just above or below the knee.

A narrow tube called a catheter is guided into the vein using an ultrasound scan. A probe is inserted into the catheter that sends out radiofrequency energy.

This heats the vein until its walls collapse, closing it and sealing it shut. Once the vein has been sealed shut, your blood will naturally be redirected to one of your healthy veins.

Radiofrequency ablation is carried out under local anaesthetic (you are awake). The procedure may cause some short-term side effects, such as pins and needles (paraesthesia).

You may need to wear compression stockings for up to a week after having radiofrequency ablation.

Endovenous laser treatment

As with radiofrequency ablation, endovenous laser treatment involves having a catheter inserted into your vein and using an ultrasound scan to guide it into the correct position. A tiny laser is passed through the catheter and positioned at the top of your varicose vein.

The laser delivers short bursts of energy that heat up the vein and seal it closed. The laser is slowly pulled along the vein using the ultrasound scan to guide it, allowing the entire length of the vein to be closed.

Endovenous laser treatment is carried out under local anaesthetic. After the procedure you may feel some tightness in your legs, and the affected areas may be bruised and painful. Nerve injury is also possible, but it’s usually only temporary.

Ultrasound-guided foam sclerotherapy

What is Prostrate Surgery
Symptoms

Transurethral resection of the prostate is a surgery to remove the inside part of the prostate gland. It is done in order to treat symptoms of an enlarged prostrate

Description

Why the Procedure is Performed

Your doctor may recommend this surgery if you have benign prostatic hyperplasia. The prostate gland often grows larger as men get older. The larger prostate play causes problems with urinating. Removing part of the prostate gland can often make these symptoms better.

Prostate removal may be recommended if you have:

Difficulty emptying your bladder
Frequent urinary tract infections.
Bleeding from the prostate
Bladder stones with prostate enlargement
Extremely slow urination
Damage to the kidneys
Getting up often at night to urinate
Bladder control issues due to a large prostate

Your prostate may need to be removed if these steps do not help. Transurethral resection of the prostate (TURP) is one of the most common types of prostate surgery.

Difficulty emptying your bladder
Frequent urinary tract infections.
Bleeding from the prostate
Bladder stones with prostate enlargement
Extremely slow urination
Damage to the kidneys
Getting up often at night to urinate
Bladder control issues due to a large prostate

HYPERTENSION

High blood pressure facts

High blood pressure (hypertension) is designated as either essential (primary) hypertension or secondary hypertension and is defined as a consistently elevated blood pressure exceeding 140/90 mm Hg.

High blood pressure is called “the silent killer” because it often causes no symptoms for many years, even decades, until it finally damages certain critical organs.

Poorly controlled high blood pressure ultimately can cause damage to blood vessels in the eye, thickening of the heart muscle and Heart attacks hardening of the arteries (arteriosclerosis), Kidney failure, and strokes.
Most antihypertensive medications can be used alone or in combination. Some are used only in combination. Some are preferred over others in certain specific medical situations. And some are not to be used (contraindicated) in other situations.

Several classes of antihypertensive medications are available, includingACE inhibitors, ARB drugs, beta-blockers, diuretics , calcium channel blockers, alpha-blockers, and peripheral vasodilators.
The goal of therapy for hypertension is to bring the blood pressure down below 140/85 in the general population and to even lower levels in diabetics, People with certain chronic kidney diseases.

High blood pressure (hypertension) in pregnancy can lead to preeclampsia or eclampsia (toxemia of pregnancy). Pregnant women should be monitored closely by their obstetrician for complications of high blood pressure.
Lifestyle adjustments in diet and exercise and compliance with medication regimes are important factors in determining the outcome for people with hypertension.
High salt intake, obesity, lack of regular exercise,excessive alcohol, or coffee intake, and smoking may all adversely affect the outlook for the health of an individual with high blood pressure.

GASTROENTEROLOGY
Services

Gastroenterology

SJC AS WELL AS SMC provides highly skilled gastroenterological care in BOTH THE CENTERS.

Our physicians are highly competent in diagnosis, treatments, and surgical innovations for a broad range of gastroenterological disorders including:

Heartburn/reflux (GERD)

Irritable bowel syndrome (IBS)

Abdominal pain, constipation, and diarrhea

Ulcerative colitis/Crohn’s disease

Chronic and acute liver and pancreatic disorders

Colonosocpy and flexible sigmoidoscopy screening

Gastric (stomach) and duodenal ulcer disease

Anal and rectal disorders

Gastrointestinal cancers

DIABETIC FOOT
How To Avoid

Diabetes, is one of the leading cause of mortality. If well controlled, patients may have live without much complication.

Diabetic foot is a serious complication which may lead to gangrene and ultimately to disarticulation of one or more toes or even amputation.

If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage your nerves or blood vessels. Nerve damage from diabetes can cause you to lose feeling in your feet. You may not feel a cut, a blister or a sore. Foot injuries such as these can cause ulcers and infections. Serious cases may even lead to amputation. Damage to the blood vessels can also mean that your feet do not get enough blood and oxygen. It is harder for your foot to heal, if you do get a sore or infection.

You can help avoid foot problems. First, control your blood sugar levels. Good foot hygiene is also crucial:

Check your feet every day
Wash your feet every day
Keep the skin soft and smooth
Smooth corns and calluses gently
If you can see, reach, and feel your feet, trim your toenails regularly. If you cannot, ask a foot doctor (podiatrist) to trim them for you.
Wear shoes and socks at all times
Protect your feet from hot and cold
Keep the blood flowing to your feet

Preventive Cardiology focuses on early detection, prevention and rehabilitation of heart disease. Our services are divided into two categories: Primary and secondary prevention.

Cardiovascular stress testing.
Holter monitoring.
Ambulatory blood pressure monitoring.
Cardiac rehabilitation.

Cardiovascular stress testing: Stress tests are used to determine the amount of stress that your heart can manage before developing either an abnormal heart beat or evidence that not enough blood is flowing to the heart. It’s a common test when cardiologists are looking for signs of heart disease.

Holter monitoring: A Holter monitor is a continuous recording of your EKG — or heart beat — for 24 hours. Since it can be worn during your regular daily activities, it can help your doctor diagnose what is causing symptoms of dizziness, abnormal heart beats or black-outs.

Ambulatory blood pressure monitoring: Using a special blood pressure measuring device that remains on for a 24-hour period, ambulatory blood pressure monitoring allows us to get a more accurate picture of your blood pressure as you move around, living your normal daily life.

Cardiac rehabilitation:

Primary prevention is aimed at preventing, or detecting, cardiovascular disease before an event — such as a heart attack or stroke — occurs.

Secondary prevention services work with you after you have experienced an event, such as a heart attack, heart surgery, angina or stent placement, to help you regain your health and reduce your risk of additional heart-related health problems. The preventive cardiology team works closely with our primary care physician and/or heart specialist to ensure you are receiving comprehensive care.

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CLASSIC LIST

DIABETES PREVENTION

ORTHOPAEDICS SERVICES

DR. A.DINASSING (Chief Consultant in Orthopaedics)

KEY HOLE SURGERY

ENT HEAD AND NECK SURGERY

VARICOSE VEIN

Treating varicose veins

Compression stockings

Further treatment

Endothermal ablation

Radiofrequency ablation

Endovenous laser treatment

Ultrasound-guided foam sclerotherapy

PROSTRATE SURGERY

HYPERTENSION

GASTROENTEROLOGY

DIABETIC FOOT

You can help avoid foot problems. First, control your blood sugar levels. Good foot hygiene is also crucial

CARDIOLOGY

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