Thanks on Birthday wishes by Dr. MKS

From Mk Sastry. 

Dear All 

My blood relatives, my family members and all my friends wellwishers and students . 

Indebted with gratitude for the wonderful wish you all have given me on 3rd of july , the day called as my birthday. 

Rather today i wish to say something. I belong to that profession where i saw people and there family members were suffering and were waiting for near and dear ones to die . I saw them suffering in extreme pain and so i descided , i shall never get married , nor shall have family nor kids, nor my house, I could only see there sufferings. And so i descided , i will never see outside world nor television . It has been almost 14 years or when i saw the last the last television program. Never went to any parties , nor celebrated any event. Because i believe people were suffering. When i went to world tour to many countries i saw people are badly suffering there and so it made me a teacher . Good or Bad i dont know. But than to upgrade them . 

If i wanted,  the knowledge i have i can sell it and make huge money and also from my international consultancy. But  than only rich will come to me , so i made everything free in online treatment , so that people don't suffer. Because of me. Everyday treating international patient for free makes me happy that every min of my life is used. Treating and teaching only left. Whatever time remains i give to research. 

Sometimes i feel why i did so but than i saw people suffering. And that may be so. 

Hospital , patient , hotel room , and schedule of my classes , with research that's all i have. 

I had very good friend but than he left me . A friend who loved me like his son , from Indonesia. He came has student but took care of me like his son.   After that  i never entered to friendship because i dont think i can deliver anything good to anyone. 

I only know people are suffering and i must help them. What others are thinking i don't know. 

I gave this life to the society and that's all i know. 

Service before self , may i die with the same. 

So i lived and thus i died. I did not want to see anything else. Because people are suffering. 

I assure till my death , i will continue to work for 365 days *22 hours  hours and never on leave. 

Mk sastry final  wish to  die in Operation theater room recovering the last patient with needle in his hand. So i lived and thus i died. 

The needle i loved the most. 

Thankyou so much . 

Mk sastry .

Motor neurons by Dr. MKS

Motor neurons are not merely the conduits of motor commands generated from higher levels of the hierarchy. They are themselves components of complex circuits that perform sophisticated information processing. Motor neurons have highly branched, elaborate dendritic trees, enabling them to integrate the inputs from large numbers of other neurons and to calculate proper outputs.

 

Two terms are used to describe the anatomical relationship between motor neurons and muscles: the motor neuron pool and the motor unit. 

1. Motor neurons are clustered in columnar, spinal nuclei called motor neuron pools (or motor nuclei). All of the motor neurons in a motor neuron pool innervate a single muscle, and all motor neurons that innervate a particular muscle are contained in the same motor neuron pool. Thus, there is a one-to-one relationship between a muscle and a motor neuron pool.
2. Each individual muscle fiber in a muscle is innervated by one, and only one, motor neuron (make sure you understand the difference between a muscle and a muscle fiber). A single motor neuron, however, can innervate many muscle fibers. The combination of an individual motor neuron and all of the muscle fibers that it innervates is called a motor unit. The number of fibers innervated by a motor unit is called its innervation ratio.

Common Abbreviations used by Doctors

Abbreviation	Description
Rx	Treatment
Hx	History
Dx	Diagnosis
q	Every
qd	Every day
qod	Every other day
qh	Every Hour
S	without
SS	On e half
C	With
SOS	If needed
AC	Before Meals
PC	After meals
BID	Twice a Day
TID	Thrice a Day
QID	Four times a day
OD	Once a Day
BT	Bed Time
hs	Bed Time
BBF	Before Breakfast
BD	Before Dinner
Tw	Twice a week
SQ	sub cutaneous
IM	Intramuscular . .
ID	Intradermal
IV	Intravenous
Q4H	(every 4 hours)
QOD	(every other day)
HS	(at bedtime)
PRN	(as needed)
PO or "per os" (by mouth)
AC (before meals)
PC	(after meals)
Mg	(milligrams)
Mcg/ug	(micrograms)
G or Gm	(grams)
1TSF ( Teaspoon)	5 ml
1 Tablespoonful	15ml
DDx	differential Diagnosis
Tx	Treatment
RTx	Radiotherapy
CTx	Chemotherapy
R/O	rule out
s.p	status post
PMH(x)	post medical history
Px	Prognosis
Ix	Indication
CIx	contraindication
Bx	biopsy
Cx	complication

Handling stroke cases - Notes from Revision class by Dr. MKS

English

Notes from Mk Sastry Lecture . 

July 1, 2020 Rev.Class 

What needs to be known in handling stroke cases, the checks needed are: 

1. We must know the name of the muscles to be treated, know the location, function and insertion and origins, 

2. Check MMT, can learn from you tube m. Vastus Medialis m. Lateral Vastus m. Inter medial vastus m. Rectus Femoris All of this is called Quadriceps muscle, see muscle anatomy map! 

3. If there is spastic in the gluteus / difficulty moving the butt muscles, the way of thinking kits has to go back again. Femoral nerve travel, these nerves supply the lower limbs. find out the quadriceps pathway. Look for the flow of quadriceps muscles and the femoral nerve path (n. Femoralis), After that, it can treat the patient, even injecting fluids into the area. 

4. Eye Check: Dilated Pupils, 

 5. Heart check: S1 S2 is there a heart murmur 

6. Cervical APLateral

 and Dorso  Lumbar AP lateral  X-ray 

7. Chest X-ray 

8. ECG

 9. MRI Brain, for Haemoragic Stroke case, 

10. MRA brain, if there is a suspicion of brain aneurysm, seeing a blockage in the blood vessels of the brain, atherosclerosis, etc. * If the patient's condition is stable, no need for MRI but CT scan

 11. Lab Check: Complete Blood (CBC), LED (ESR), Blood lipids. (total cholesterol, HDL, LDL, IDL, triglycerides) GDS (When Blood Sugar) Urinalisa (Urine Routine) No. 6-11, this is called a supporting examination which helps us to establish the patient's diagnosis to take further action

 17. After all of the above, don't forget to ask about the patient's co-morbid history. >>>> For example: hypertension, asthma, diabetes, etc. 

18. After all the above is done, then we can examine and treat the patient. 

Case 1. Joy’s patient Male, 85 years old with Haemoragic Stroke, Co-morbid: 

1. Chronic hypertension,

 2. Chronic kidney failure, 

3. COPD, any other  Chronic  Disease Patients cannot be treated because the supporting data is incomplete, no x-rays, / CT scan or MRI. This is one example where we can not do treatment, because it violates medicolegal.

 Case 2. Female, 60 years old, with Cervico spondylitis multiple pivd . With frozen shoulder  Therapy has been carried out as we saw this afternoon, recovered

90%. 

Hip and Thigh Anatomy & Issues by Dr. MK Sastry and Dr. Rahul

Epidemiology

The branch of medicine which deals with the incidence, distribution, and possible control of diseases and other factors relating to health.

Chronic Eczema - International trial conducted by MK Sastry

From Mk Sastry and team 

International trial was performed for chronic  Eczema as co morbid with Post cva paralysis patient using Dry needle and Broadman Area and Acu point 

Its common to see cva patient specially spastic or flaccid paralysis on bed and because of bedridden stage skin diseases likely to flareup such as eczema 

 

Control Trial was carried on 6 countries with my student to select control study have a sample size of 60 patient with co morbidity of Eczema in spastic paralysis patient . 

Sample selection and basis . 60 patient were identified in 6 countries to treat eczema using Acupuncture based on TCM principles. And few broadman area for skull surface based stimulation , 

Reaserch study was carried on only post cva patient with co morbidity of eczema during post stroke period. 

Based on various expert opinion and litreature review few Acupoints were selected . Accomodating depression and diet control and advise rhythmic breathing exercise. 

Treatment Period  . 

Twenty days treatment was descided for patient as per established protocol. 

And thereafter it was withdrawn 

Results 45 patients turned to recover about 70 to 80 % recover , 10 patient with 50 to 60 % recovery , 5 patient withdraw the treatment.

Conclusions of recovery was made by team of 4 international Dermatologist of pannel were from  different countries and nither patient nor treating Physician who are medical doctors who participated in trial  knew the skin experts. 

Further montly observation was made for 6 months , patient sustain recovery ..

No other conservative treatment was provided during the period for eczema 

Conclusion. This sample was very small to conclude , but yet it gives another pathway to understand , to create self recovery in the patient , where the present drug list cannot be applied due to various medical conditions. 

This study also gives us understanding that traditional methods can be medically applied for treatment of skin diseases like  eczema . And large trial should be carried. 

Detail study forwarded to scopus index  journals.

Sastry sir revision class- Notes - 1/June/2020

Credits

Bea 68, Harvinder Kaur