tag:blogger.com,1999:blog-16851503691197559012024-02-19T07:53:20.037-08:00UROLOGISTAll and everything about Dr Gulia as a UROLOGIST drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-1685150369119755901.post-55037749379182736082015-06-06T22:35:00.000-07:002015-06-06T22:35:25.755-07:00B R A N D of Urethroplasty.<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span style="color: #588fc7; font-family: "Arial","sans-serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">B . R . A . N . D .
of Urethroplasty<o:p></o:p></span></b></div>
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<a href="https://www.blogger.com/null" name="benefits"></a><b><span style="color: #588fc7; font-family: "Arial","sans-serif"; font-size: 14.5pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">B</span></b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">enefits of </span><b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 10pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Urethroplasty</span></b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><o:p></o:p></span></div>
<b><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Urethroplasty </span></b><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">relieves pain and discomfort
during voiding, decrease in urine flow rate, frequent urination due to
urethral stricture. </span><b><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Urethroplasty</span></b><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> can also reduce your risk
of getting orchitis, prostatitis or recurrent urinary tract infection.
Recurrence of urethral stricture is rare after </span><b><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Urethroplasty</span></b><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">.<o:p></o:p></span><br />
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<a href="https://www.blogger.com/null" name="risks"></a><b><span style="color: #588fc7; font-family: "Arial","sans-serif"; font-size: 14.5pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">R</span></b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">isks of </span><b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 10pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Urethroplasty</span></b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><o:p></o:p></span></div>
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<li class="MsoNormal" style="color: black; line-height: normal; margin: 0cm 0cm 10pt; mso-list: l3 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Recurrence
of urethral stricture<o:p></o:p></span></li>
<li class="MsoNormal" style="color: black; line-height: normal; margin: 0cm 0cm 10pt; mso-list: l3 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Infection
- Wound infection or urinary tract infection<o:p></o:p></span></li>
<li class="MsoNormal" style="color: black; line-height: normal; margin: 0cm 0cm 10pt; mso-list: l3 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Fistula<o:p></o:p></span></li>
<li class="MsoNormal" style="color: black; line-height: normal; margin: 0cm 0cm 10pt; mso-list: l3 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Allergic
reaction to anesthesia<o:p></o:p></span></li>
</ul>
<b><span style="color: #588fc7; font-family: "Arial","sans-serif"; font-size: 14.5pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">A</span></b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">lternatives to</span><b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 10pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> Urethroplasty</span></b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><o:p></o:p></span><br />
<br />
<ul type="disc">
<li class="MsoNormal" style="color: black; line-height: normal; margin: 0cm 0cm 10pt; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><strong>Urethral
Dilatation</strong> - The goal of urethral dilatation is to stretch the scar tissue
of the stricture without producing any additional scarring. This method
may be effective in some very small strictures.<o:p></o:p></span></li>
<li class="MsoNormal" style="color: black; line-height: normal; margin: 0cm 0cm 10pt; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><strong>Urethral
Stents</strong> - In this technique, a short tube is placed inside the urethra that
holds the strictured portion of the urethra open as it heals after
surgery, thus preventing the normal scar formation of healing from causing
the stricture to recur. The lining of the urethra eventually covers the
stent, and it remains in place permanently.<o:p></o:p></span></li>
<li class="MsoNormal" style="color: black; line-height: normal; margin: 0cm 0cm 10pt; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span style="color: windowtext;"><a href="http://www.medsolution.com/surgery_urogen-internurethro.asp"><span style="color: #3d78b4; font-family: "Arial","sans-serif"; font-size: 10pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><strong>Internal Urethrotomy</strong></span></a></span><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> - Internal Urethrotomy, also known as Direct
Vision Internal Urethrotomy (DVIU) is a surgical procedure used to treat
urethral strictures (narrowing) due to scarring. </span><span style="color: windowtext;"><a href="http://www.medsolution.com/surgery_urogen-internurethro.asp"><b><span style="color: #3d78b4; font-family: "Arial","sans-serif"; font-size: 10pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Internal Urethrotomy</span></b></a></span><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> can be categorized as Reconstructive Urology
procedure where the normal anatomy and function of the urethra is restored
by dilatation of the urethra. <o:p></o:p></span></li>
</ul>
<b><span style="color: #588fc7; font-family: "Arial","sans-serif"; font-size: 14.5pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">N</span></b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">ow or Never<o:p></o:p></span><br />
<br />
<ul type="disc">
<li class="MsoNormal" style="color: black; line-height: normal; margin: 0cm 0cm 10pt; mso-list: l1 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Besides
having to bear the pain and discomfort during urinating, urethral
stricture can cause urinary tract infection and sometimes in infection of
your testes, stone formation in bladder, retrograde pressure on the kidney
to cause kidney failure. Urine may stop completely creating an emergency
situation called acute urinary retention. </span><b><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Urethroplasty
</span></b><span style="font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">is a
safe procedure used worldwide with good success rate. <o:p></o:p></span></li>
</ul>
</div>
drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.com1tag:blogger.com,1999:blog-1685150369119755901.post-62335832989122444172012-11-13T01:29:00.000-08:002012-11-13T01:30:55.404-08:00Student makes documentary to create awareness about deadly diseases - Times Of India<p> </p> <p><a href="http://articles.timesofindia.indiatimes.com/2012-11-06/chandigarh/34947135_1_transmittable-diseases-tv-documentary-hiv">Student makes documentary to create awareness about deadly diseases - Times Of India</a></p> drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.com0tag:blogger.com,1999:blog-1685150369119755901.post-86539112159455574092011-10-07T02:51:00.000-07:002011-10-07T02:51:34.619-07:00“What a Urologist Goes Through on Starting Private Practice”<div dir="ltr" style="text-align: left;" trbidi="on">Being a urologist I am very well aware of the problems he has to face to establish himself<br />
Urology is a very technology intensive branch. If you have to stand out from the crowd and beat the competition you have to put the latest gadgetry. Only this can give you a head start in this fiercely competitive market. <br />
<br />
Let’s go step wise how a young urologist goes about -<br />
<br />
1. If he has the financial backing – good for him (majority don’t)<br />
2. Then he approaches big – corporate! Hospitals or glorified ‘lale ki dukan’. <br />
a. Some say get you part equipment. Some say we will give everything<br />
b. You become a bonded labourer with the level of bonds varying.<br />
c. These managers rule over docs, or the lala’s dictate terms to fill up beds. How long can you ward off the pressure of unethical practice to fill up beds. Up goes the no of cystoscopies, URS’s, etc but quality work is compromised. <br />
d. You enter the rat race. Academics gone with the wind. Urologists of institutes rule over PP urologists & look down upon them as greedy money spinning machines.<br />
e. You also ‘…do as Romans do.’ Become a roaming urologist. Who does not like the lure of extra money? <br />
f. Little rift starts with your management/lalas terming it as ‘clash of interest’. They start looking for alternatives. This time they have better bargaining power as they have an already established dept of urology – thanks to your hard work. Another ‘bakra’ falls prey to their tall promises.<br />
g. You, maintaining your self-respect gradually increase your roaming and set off to start another dept. of urology but with a better bargaining power. Initially they will agree to most of your points but gradually the whole cycle repeats.<br />
<br />
3. Some having tasted blood initially or later (after having burnt their fingers) – resort to extensive roaming practice, thus -<br />
a. You are exposing yourself to unnecessary risks of travelling hazards, with your wife having sleepless nights.You have only 24 hrs, and a majority of it is spent on travelling. <br />
b. You are at the mercy of the calling docs. Case not fully worked up, patient counseling not done, as a result chances of litigation increase and you are pushed to the forefront, the calling doctor conveniently washing his hands off.<br />
c. Again you have established that good urology work is being done at X place. Another young urologist approaches him and the owner has a choice at a cheaper rate.<br />
<br />
4. Frustrated with all this you start your own OPD somewhere. So starting from scratch again to build your own enterprise. You have got older, god forbid, any health problems, the bank balance built up for your own house goes into your own setup. And you have lost out on 3-4 yrs of the incubation period that any setup requires.<br />
<br />
SO What is the best option? CONFUSED!!! It was same here till I had clarity of thought.<br />
<br />
The best option is have your own permanent consulting address, however small. Gradually add OPD procedures, then day care, then indoor. Initially you will have time so can choose the roaming places wisely according to your terms and conditions.<br />
<br />
Now all this is also not so easy. You require funds and your own place. This is where you can learn from our life. I had undergone all what I have enumerated. <br />
<br />
Then one fine day I floated the idea of group practice. Started talks with 5 young urologists. At the end of 4 months only 3 were left who has equality in majority of spheres. Took a place on rent & started ‘Kidney Centre’. Never had to look back since then, now 5 yrs. We have futher subspecialized in various aspects of urology. Thus we are masters of one or two not jack of all like majority of urologists who practice alone. Infact you can’t afford to restrict yourself to few areas in urology at the beginning of your practice if you are alone.<br />
<br />
So now comes the golden offer :-<br />
<br />
We have come out with a unique business model wherein the local urologists have been given partial ownership of these centres. We plan to open a chain of ‘Kidney Centres’ across India with the local urologists’ initials prefixing it. This also helps in portrayal of his ownership.<br />
<br />
The local urologist can invest up to 30 per cent in the centre. Rest 70 per cent stays with the management. This gives the empanelled doctors a sense of ownership.<br />
<br />
Why 30:70? If you start your own 10 bedded hosp your net profit is around 30 % only<br />
You operate in any corporate setup, out of the total package you don’t get more than 30% or even less in some places.<br />
<br />
Our USP shall be ‘Specialized Advanced Urology Centres’.<br />
<br />
You will have all the advantages of being in a group practice. Further we can extend the offer of joining to fresh urologists who enter the city/town. Then you as a group can outsource various urology depts. in your city/town at your terms. There are endless advantages of group practice. You can also publisize ‘Day Care Specialized Surgery Centre’.<br />
<br />
<br />
Original thoughts as penned down by <br />
Dr Rajesh Gulia<br />
Senior Consultant Urologist<br />
KIDNEY CENTRE-34, SCO No - 332-334, Sec 34 - A<br />
Chandigarh- 160022. Tele : 0172-3013245, Fax :0172-3912246<br />
Cell :+91-9814466026<br />
E-mail : rajeshg@urologyindia.org<br />
Web : www.stricturecure.com , www.urologyindia.org<br />
Blog : www.drguliaurologist@blogspot.com<br />
<br />
</div>drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.com0tag:blogger.com,1999:blog-1685150369119755901.post-40280035736806981082009-12-29T09:27:00.000-08:002009-12-29T09:33:33.965-08:00StrictutreCure.com<meta equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 12"><meta name="Originator" content="Microsoft Word 12"><link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CGulia%5CLOCALS%7E1%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml"><link rel="themeData" href="file:///C:%5CDOCUME%7E1%5CGulia%5CLOCALS%7E1%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_themedata.thmx"><link rel="colorSchemeMapping" href="file:///C:%5CDOCUME%7E1%5CGulia%5CLOCALS%7E1%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_colorschememapping.xml"><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> <w:punctuationkerning/> 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l0:level8 {mso-level-tab-stop:4.0in; mso-level-number-position:left; text-indent:-.25in;} @list l0:level9 {mso-level-tab-stop:4.5in; mso-level-number-position:left; text-indent:-.25in;} ol {margin-bottom:0in;} ul {margin-bottom:0in;} --> </style><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";} </style> <![endif]--> <p class="MsoNormal">I have started a special website on Stricture Urethra – <a href="http://www.stricturecure.com/">www.stricturecure.com</a> . Almost all my patients X-rays (RGU’s & MCU’s) both pre-op, post-op, & follow up results have been uploaded. Once it is fully constructed it will be a unique one with the following attributes :</p> <p class="MsoNormal"><o:p> </o:p></p> <p class="MsoListParagraph" style="text-indent: -0.25in;"><!--[if !supportLists]--><span style=""><span style="">1.<span style="font-family: "Times New Roman"; font-style: normal; font-variant: normal; font-weight: normal; font-size: 7pt; line-height: normal; font-size-adjust: none; font-stretch: normal;"> </span></span></span><!--[endif]-->Patients will be able to see their own data, X-rays, & follow up Investigations etc after they log in with a unique ID.</p> <p class="MsoListParagraph" style="text-indent: -0.25in;"><!--[if !supportLists]--><span style=""><span style="">2.<span style="font-family: "Times New Roman"; font-style: normal; font-variant: normal; font-weight: normal; font-size: 7pt; line-height: normal; font-size-adjust: none; font-stretch: normal;"> </span></span></span><!--[endif]-->A person suffering from stricture urethra will be able to identify himself with all such patients who have the same type of stricture as himself & see their surgical outcome(anonymity being maintained).</p> <p class="MsoListParagraph" style="text-indent: -0.25in;"><!--[if !supportLists]--><span style=""><span style="">3.<span style="font-family: "Times New Roman"; font-style: normal; font-variant: normal; font-weight: normal; font-size: 7pt; line-height: normal; font-size-adjust: none; font-stretch: normal;"> </span></span></span><!--[endif]-->Any patient/doctor can post/upload the RGU & MCU Images and get expert opinion as to the type of management/surgery required.</p> <p class="MsoNormal"><o:p> </o:p></p> <p class="MsoNormal">With Warm regards,</p> <p class="MsoNormal"><o:p> </o:p></p> <p class="MsoNormal">Dr Rajesh Gulia</p> <p class="MsoNormal">Senior Consultant Urologist</p> <p class="MsoNormal">KIDNEY CENTRE-34, SCO No - 332-334, Sec 34 - A</p> <p class="MsoNormal">Chandigarh- 160022. Tele : 0172-3013245, Fax :0172-3912246</p> <p class="MsoNormal">Cell :+91-9814466026</p> <p class="MsoNormal">E-mail : <a href="mailto:rajeshg@urologyindia.org">rajeshg@urologyindia.org</a></p> <p class="MsoNormal">Web : <u><a href="http://www.stricturecure.com/">www.stricturecure.com</a></u> , <a href="http://www.urologyindia.org/">www.urologyindia.org</a></p> <p class="MsoNormal">Blog : <a href="http://www%2Edrguliaurologist@blogspot.com/">www.drguliaurologist@blogspot.com</a></p> drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.com1tag:blogger.com,1999:blog-1685150369119755901.post-72882333987612670872009-07-30T01:20:00.000-07:002009-07-30T01:22:25.724-07:00Harvesting Buccal Mucosa<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfs7vM6YsFMrbUMJzaf3V9ZfTd5dxwrOK6RFdZq7RbutqN_2fO8w9Uw4xvddT3ItQn3qTyDv6M9p5b2woMJn50nX5xH3GWmwKfbYlzRtN3tehKU71Vwfj8ZNzGoFgRAe5nA5czgAAl3dYD/s1600-h/36.jpg"><img style="MARGIN: 0px 0px 10px 10px; WIDTH: 320px; FLOAT: right; HEIGHT: 240px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5364165464364644466" border="0" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfs7vM6YsFMrbUMJzaf3V9ZfTd5dxwrOK6RFdZq7RbutqN_2fO8w9Uw4xvddT3ItQn3qTyDv6M9p5b2woMJn50nX5xH3GWmwKfbYlzRtN3tehKU71Vwfj8ZNzGoFgRAe5nA5czgAAl3dYD/s320/36.jpg" /></a><br /><div></div>drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.com0tag:blogger.com,1999:blog-1685150369119755901.post-9185548406720257572009-07-30T01:06:00.000-07:002009-07-30T01:08:03.841-07:00With The Masters of URETHROPLASTY<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLKEMd5yUxKOqA4serKdpyo8iNOu3sAdK06nSgWWIZjJCIJ6sgiwgaDgOBPczhkEwjo7VixaIBja5PSqb9H-bqzHQggdt7t2V6A9HnKpu_Tb2Nd6vYP0LHTL9f5jHSvtxB7FYQN7N-Oygk/s1600-h/49.jpg"><img style="MARGIN: 0px 0px 10px 10px; WIDTH: 320px; FLOAT: right; HEIGHT: 240px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5364161750891164050" border="0" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLKEMd5yUxKOqA4serKdpyo8iNOu3sAdK06nSgWWIZjJCIJ6sgiwgaDgOBPczhkEwjo7VixaIBja5PSqb9H-bqzHQggdt7t2V6A9HnKpu_Tb2Nd6vYP0LHTL9f5jHSvtxB7FYQN7N-Oygk/s320/49.jpg" /></a><br /><div></div>drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.com1tag:blogger.com,1999:blog-1685150369119755901.post-60771789244914673752009-07-30T00:43:00.000-07:002009-07-30T00:58:46.260-07:00With Prof Barbagli - Aritzo, Italy<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRmlsJM2PzjaLXG09bxIOtR750hZOgUM1HtqpSpTAevadGt62axNHdtlny0fiugDUvhzuOGEK8CdUyRAkH_MEAGuVUCnSETzvLfyeQrGWST8U23xh5pn6cQtX_YYJNIt2Wd6PWWZVbESy1/s1600-h/4.jpg"><img style="MARGIN: 0px 0px 10px 10px; WIDTH: 320px; FLOAT: right; HEIGHT: 240px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5364159026210230898" border="0" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRmlsJM2PzjaLXG09bxIOtR750hZOgUM1HtqpSpTAevadGt62axNHdtlny0fiugDUvhzuOGEK8CdUyRAkH_MEAGuVUCnSETzvLfyeQrGWST8U23xh5pn6cQtX_YYJNIt2Wd6PWWZVbESy1/s320/4.jpg" /></a><br /><div></div>drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.com1tag:blogger.com,1999:blog-1685150369119755901.post-15339431987433550712009-07-29T00:17:00.000-07:002009-07-29T00:28:19.174-07:00MALE ANDROPAUSEWe had a Brain storming session on a New Concept now being recognised more often - Called MALE ANDROPAUSE<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhx9XKyKL_gLyDiyArKuxOVwTj61BXMBrLVot_xkBfuYtNHEf7qJ91H-yUN4gpJ_ouioVK7UvQ1p19RkmdcIy97FXjZy8CVkqlKndq7IQRhwGA_VvHihlGkvsITbOIBrGaMhbQm0oe6ZSsn/s1600-h/Dr.Gulia+1.JPG"><img style="MARGIN: 0px 0px 10px 10px; WIDTH: 320px; FLOAT: right; HEIGHT: 240px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5363779402742467714" border="0" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhx9XKyKL_gLyDiyArKuxOVwTj61BXMBrLVot_xkBfuYtNHEf7qJ91H-yUN4gpJ_ouioVK7UvQ1p19RkmdcIy97FXjZy8CVkqlKndq7IQRhwGA_VvHihlGkvsITbOIBrGaMhbQm0oe6ZSsn/s320/Dr.Gulia+1.JPG" /></a> .<br />Eminent Urologists from all over India participated in this day long symposia hels in Faridabad in Feb-09drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.com0tag:blogger.com,1999:blog-1685150369119755901.post-28661899906486953532009-07-28T23:08:00.000-07:002009-07-29T00:11:01.591-07:00Group Practice in medical profession – The need of the hour !<strong>Group Practice in medical profession – The need of the hour !<br /></strong><br /><br />Master of One rather than Jack of all is need of the hour especially in today’s world of<br />super-sub-specialization. In the west the medical professionals are really providing quality medical care in the private sector because of this concept of group practice. There specialized centers are run by a group of specialists of the same speciality like a group of cardiologists starting a Cardiac Centre, a group of Urologists running a Urology Institute etc. Due to rapid technology advancements each branch of medicine has further sub specialized & no specialist can master all the subspecialties of his own branch also. If one has to offer quality medical care he has to get associated in a group practice where each consultant masters his area of subspecialty apart from treating patients of his broad specialty. This automatically translates into better patient care & the best medical treatment possible.<br /><br />The advantages of GROUP PRACTICE in terms of quality patient care are obvious.<br /><br />1. Each case is inadvertently discussed with the other consultants of the same speciality thus undergoing scrutiny & critical analyses by all the experts. The patient comes to consult one urologist but automatically gets a 2nd & 3rd opinion and the best management plan formulated.<br />2. Before a case is posted for surgery, the patient is again discussed & analyzed by all three experts, thus ensuring that nothing is overlooked. Medical science is the most imperfect science, thus multiple opinions are a must before subjecting to any surgery, which becomes irreversible.<br />3. Further each patient gets three pairs of expert operating urology hands when required, in difficult cases.<br /><br />The other important issue came up when medical profession came under the ambit of consumer act. <em>Here I would like to share the mismatch between Law & Medicine. The complex interaction between law & medicine fit as a perfect example of square plugs in round holes. One is a finite document with various interpretations while the other is an abstract science without borders. Every diagnosis is a leap into darkness & every therapy is a venture into unknown horizon. In group practice where there are mutiple opinions, options & various scrutiny levels, the chances of omission & any negligence are almost nill.<br /></em><br />Among doctors it is common grapewine that they cannot unite, exceptions not-withstanding. We have heard of Chartered accountant associates, Artitect associates, Lawers associates etc, but never ortho associates or gynae associates. This concept of group practice among doctors is the need of the hour both in terms of better patient care & also takes care of frivolous consumer cases. <strong>Master in one is always better than jack of all.</strong>drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.com0tag:blogger.com,1999:blog-1685150369119755901.post-72197357781461467572009-07-28T22:31:00.000-07:002009-07-30T02:49:46.299-07:00<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCvVoE2HwyMCmXOlGD959XOQDmRyqLuhkieiu25wdkA8zDKsDHH84COif380Kq0lzBxbYeuKSXAPR7oRDmjYTCYIYytdQw5bmTv8ZHxuUEIoU9gs0bchSnvLJ3y5WDav_1iKw2dysIH09S/s1600-h/KC1.jpg"><img style="MARGIN: 0px 0px 10px 10px; WIDTH: 247px; FLOAT: right; HEIGHT: 320px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5364188024563736258" border="0" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCvVoE2HwyMCmXOlGD959XOQDmRyqLuhkieiu25wdkA8zDKsDHH84COif380Kq0lzBxbYeuKSXAPR7oRDmjYTCYIYytdQw5bmTv8ZHxuUEIoU9gs0bchSnvLJ3y5WDav_1iKw2dysIH09S/s320/KC1.jpg" /></a><br /><p>Kidney Centre-34, a name to reckon with in the field of advanced Urology have after a long wait successfully launched their <strong>quaterly newsletter - "KC Times".</strong> The inaugural issue focussed on the most common lifestyle disorder that is 'Benign Prostate Hyperplasia'. The topics highlighted were 1. Know your prostate - Myths & Realities & 2.Sexual Function Status Before & after TURP in Indian Patients with BPH.</p><br /><p>The editorial comment by Dr Rajesh Gulia, a leading Urologist of the region,was on - <strong>'Group Practice In Medical Profession</strong>- The need of the Hour'. Future editorials shall be invited from other leading medical professionals of the region.</p><br /><p>The aim is to spread awareness about healthy aging with a focus on various qulity of life Urological disorders. With not too many medical jagrons, this periodical will be circulated among the general public & who's who of the tricity region.</p><br /><p></p><br /><p></p><br /><p></p>drguliaurologisthttp://www.blogger.com/profile/00077983108923385132noreply@blogger.com0