Foreigner visits Bangalore India - $18 Medical Tourism Visit
in the last episode of Timmy talks we visited geostar where we had an in-depth discussion with Dr angati on what stem cells are and the services that they offer here at geostar in Bangalore today I actually am going to have some consultations one for my hair and one for my hips and see what geostar can do for me come along this should be interesting and my first meeting for my thinning hair is with Dr Siraf from the Reju age skin Hair beauty clinic and also Dr somashekhar from the government of India thank you very much thank you nice to meet you cosmologist, I'm a dermatologist cosmologist and triologist. what's a triologist. It’s a hair specialist oh really all right well this the guy I want to talk to excellent I'm glad I could make that connect for you thank you so much so please go ahead for okay awesome thank you so with any good consultation there is an examination and this was a very interesting tool that actually looked at the follicles of my hair to see if there was any intrinsic problem going on with my scalp and that was so cool they took so many photos of my scalp and you could see all the little hair follicles and all the little damage there on my little hair it's like how did that happen but wow that's magnified like thousands of times it's crazy so it is very essential to know first what is the diagnosis why did you lose the ha see there are 12,000 K and next came a series of questions regarding my diet and what I've done to date to prevent my hair loss and I explained to them that I've been taking propa and minoxidil and using light therapy and using hair loss shampoo and the whole gamut I think I've tried everything over the years to um stop hair loss and I wanted to see what else they could do for me okay so what is your thoughts on my hair loss you have more hair loss on frontal and the temporal regions so since it is there for a long time and you told me that you are taking propia from a very long time of almost you said about 20 years I request you not to continue in propia because you taking it from so what tell me because I I've not heard that before so tell me what are the um the downside of being on propa for a long time sir what happen here is as we know very well AIA is US pratic problems prostate problems okay and whenever we givea we give usually for short period Asia also have adverse side effects so we don't want any side effects Could Happen yeah to the patient yeah and also even if you are taking say for example uh a few months also we mandator should do the complete investigations like CBC an ESR an lft A kfd and so doing doing complete blood work when you're on propa is important very true in fact any of the medicines if you use more than 3 months it is m to make complete blood test to see whether all the organs of the body are in hard and I like this approach that they're taking here at geostar they want to make sure that you have covered all of your bases that you do blood work to find out if there's some intrinsic problem going on some systemic problem going on before just slapping some medication you know to the issue and I I think that that's a very different approach than we have in America um in India here they want to look at the whole person the whole being to make sure that you've covered everything before you go you know to the next level of treatment can you share any in any um degenerative issue inside your body that May contribute or cause hair loss because I've that course of course many of the problems uh of the connective tissue disorders and autoimmune disorders uh hair loss is an integral part of these diseases and that is the reason I'm insisting that a blood investigation is mandatory to find out what is happening sure because the main cause or the main diagnosis is different the hair loss is only a symptom so if you just read the symptom is not enough got it Mak sense you treat because in case the symptom of hair loss is only indicative of some major problem inside the body so if you are neglecting the symptom and if you are not diagnos in the main problem then down the Lan you may enter into a bigger issue a bigger problem so it is better to solve the problem at the early and protect the patient Mak sense very good so doctor is a very strong proponent of prescribing vitamins and minerals to all of his patients who are having hair hair loss and using that as the first line of treatment and then adding things like Propecia or minoxidil to that treatment plan as needed in my practice of 40 years as a dermatologist and typologist and cosmetologist and I am also a fellow of the American Academy of Dermatology I strongly recommend to give multiv vitamins the patients who are having the hair loss hairing problems yeah is for example we would like to go how much is the hair is been lost many of our patients in India they come for ha loss number one multiple bchy hair L that is we yeah and the thinning of the hair and in India we do get graying of the hair premature graying of the hair sir so our approach is first we try to give the best of the serums available in the world to apply to the skull and we give the best of the shampoos to be used together with the and in addition to this we would like to give them as I said the multivitamins with the minerals if they are not happy we do have other procedures as you rightly point out light therapy and we have the laser therapies also right in India right they do help and I have seen successfully it is the Second Step yeah right we go step by step they are Happ they're all right with the serum and the shampoo then only need to give them right and I like the approach that they're taking here that um you know treat the problem do some investigation first to see if there's any systemic issue then treat the problem by first giving vitamins and minerals and if that's not successful you can add some medications but also add serums and hair hair shampoo that grows your hair and you know things naturally um the doctor does offer and have some products that are naturally made and not all chemicals that force your hair to grow and I you know it kind of surprised me in general that they did not immediately jump to you know stem cell as a therapy but that is you know down the line um that is something that could be offered but they take this systematic approach to Healing looking at the very Basics and building upon that as the patient needs it and I appreciate that the doctor gave me some samples to try of both the hair serum and the shampoo and I'll have to get back to you on how effective it was but I really do appreciate that they took the time to meet with me and give me a consultation on my hair loss and give me some recommendations and suggestions and some things to try for my hair so it was a very successful consultation okay so the office is beautiful how long have you guys been here this is a third year third year that's very nice so here you have conference room we have a conference room and this is where patients come in and you might meet with them or we conduct our official meetings uh the doctor's meetings and staff meetings everything here okay and for patients we have specialized cabins where once as soon as the patient enter they does all their initial desk work that is of you know patient details every basic things that we do and we have 1 2 3 4 five cabinet we do personalized patient consult consultations okay very good and it's very you know just so people know very private in here and I didn't hear anybody in the Next Room so yeah it's very good and it's yeah now in terms of where um services are actually performed like the stem cell Services themselves okay so that was like the meet and greet area or yes exactly great so the building has four stories wow okay Welcome to our conference area we have huge wow wow wow this is huge wow we conduct all the C meetings and all other programs and everything here very nice wow it's huge I love this outdoor space wow so what we do is that we keep stalls yeah so that for any demo purpose or anything like that we have stall a nice space to do that yeah so you guys have conferences here do you yes we do talk about stem cell yes exactly that's great so in second floor we have five bedrooms okay when patients the procedure is done oh you Justa very good yeah that's nice so when someone when someone has stem cell therapy like for cancer or something then you monitor them for a day or so exactly yes we do to make sure that everything's still going fine and and if there's not you have the you have the capability of taking care of issues here or stabilizing them and then transferring them to a hospital no we we keep them here huh yeah okay very good that's excellent and here we we have a small physiotherapy sessions here okay nice that's great so it it really is a hospital so that's nice where is that conducted where they use the canula and take the fat out of someone oh it's here yeah we we do harest the stencil from here so this is our main part okay hello we have two staff n s and hi there nice to meet you that's awesome and this is a nice this is another nice floor wow that's great we have two bedrooms here okay and the main part is oh the lab is in here yeah lab you don't have permission because it's like a a secure so but but the actual lab portion is in here yes all the major research and everything cells culturing and all Happ corre oh very nice yeah very nice and this is our operating oh wow that's fascinating yeah wow so all the magical medical procedures are here that's great oh I love it that's awesome interconnected that's the chamber and the other side is the lab right and then I'm sure that the lab over there is all um um what's the word I'm looking for um secure with h hygienic you know sterile that's what I'm looking for yeah that's the word yeah both the lab and the operating T yeah sure that's awesome thank you so much for showing me that cuz people people want to know you know everything is really done here so that's great yeah that's great I loved it well it's a nice facility so today at geostar I am actually coming in as a patient if you remember last year when I went to Med Plus I had a dexa scan and the dexa scan checks your bone density throughout your body and they actually indicated that I have a little thinning of my hipbone so once in a while it bothers me and since I've been in here in India doing a lot of walking it's bothering me a bit so I thought this is perfect to come see and what a consultation would consist of and um go through the process with you so you get an idea of what happens at um a a at a facility like this and what their recommendations would be so come along it's going to be actually cool to add this to the video and again as with any good consultation some initial analysis is done my blood pressure my oxygen my temperature are all taken and everything was good so let's let's begin with some of the hip things that you mentioned okay so what we will do during this consultation is I'm going to ask you a series of questions and then I'll have a feel of your hip and maybe the rest of the joints and other parts of the muscular skeletal system and whatever reports you've got will go through them and then we can have a chat about what we need to do and what we've got in terms of treatment options is that okay with you absolutely fantastic okay so I'll just grab a and I think probably from my late 30s um I had once in a while discomfort like if I really overuse my legs yeah um if I run or jump or do things felt it way back then but progressively as I've gotten older it's just aching more and more there's times that I even am just laying in bed and it's like I can you know it's like I can feel that there's an issue I have to put pillows between my legs when I sleep so it keeps my hips straight if I don't then I have a problem with my hip right right okay and as years have gone by have you found that the intensity of the pain or the frequency of the pain are both increasing not the intensity but the frequency frequency um for example coming here to India and just doing a lot of traveling carrying my heavy bags just doing things that I'm not used to doing I feel it these past couple days in my hip not right and any specific movements that you found kind of provoke that pain no um um maybe maybe stairs like stair Master at the gym if I like do it a little too long then the next day I can feel like okay it really hurt my head okay and when you get these bouts of pain typically how long do they last couple of days couple of days and they tend to ease off on their own or do you have to take medicines or apply some gels or ointments I try not to take medicines as much as I can um sometimes I do uh um like a Tylenol or something like that um generally they tend to go away on their own if I take a hot bath or hot shower um try and um relieve the muscles there it eases off another thing which I think is very interesting is from a dietary perspective um I know I have uh an allergy to milk right and when I do eat milk or cheese and I've been having milk with all my coffees and ches here um that act that actually activates my hip from hurting so from a dietary perspective I do know that if I start eating milk it bothers my hip I think that's kind of weird but interesting true and the pain that you experience is it just localized around the hip area or does it shoot down your leg at all no just the hip um and actually maybe parts of my back you'll see in that Dex I report I have a little scoliosis in my back so um it's just when this is aggravated and thrown off it throws my back off as well right right the next few minutes of my consultation really consisted of going in depth about any past medical conditions um asking the normal questions about medications and all that I won't bore you with that but needless to say the doctor did a very thorough job trying to understand where my Baseline is for my health and he can go from there so I think that's all the basic information that I need from your side okay so we'll get you to do a few Maneuvers and then I'll get you onto the couch and we'll our field of your joints sounds good and then we'll go through the reports and I'll I'll be able to tell you what we need to do right very good okay and can I get you to walk a few steps just at your normal Pace okay we're trying to see if you've got a normal kind of a gate pattern or what we call as an antalgic gate in some patients when they're in a lot of pain especially from the hip or the knee or the ankle or from the back they tend to have that yeah I can see I can see where if someone's in a lot of pain they're doing something funy correct okay that's good excellent and if I can get you to turn and face the wall please and then I need to look at how your alignment is in what we call as the sagittal plane and again it looks fairly acceptable okay now the fun bit starts okay great so I need to look at specifically certain muscles around your hip these are called as the abductors and they help us to do this they're equally important in terms of a balance and how the pelvis weighs when we walk okay so what I'm going to do is I'm going to come and give you my hand and first I want you to stand on your good leg so if you mirror what I'm doing yeah that's good so bend that ways fantastic okay now can you swap sides for me please fantastic okay right and if I can get you to sit at the edge of this couch okay so your knees seem to be fairly well behaved so far yeah okay can I get you to straighten the knee bend down straighten it out again and bend down okay so your kneecaps track quite well within the knee okay straighten it out bend it down straighten it out bend it down okay is that movement triggering any discomfort or pain in your hip um a little bit a little bit yeah a little bit you know all of my pain is like at the well maybe it's referred I don't know but it seems to be right at the edge of the hip here got it got it okay and if I can get you to my back okay so what I will get you to do now is please keep your knee straight and lift it up and hold it there for me beautiful okay and let's do the same on this one can you hold it there for me good any pain or discomfort when you do that just there isn't it okay so I'm just going to try and feel on the side of your hip here so we'll start up on the lateral or the outer part of your thigh and if I keep coming up tell me if I'm hitting any pain spots so is that where you feel some of the pain there's a little bit right there yeah okay so you win there when I do that right there that's the spot yep okie dokie all righty okay so I'm going to go touch to the back and tell me if any pain in the back there right there that's also sore okay and up in the front part of the thigh that's okay good and if I were to just roll your leg in and out does that bother you at all um no not not much okay so we'll start with your good hip so if I can get you to bend the hip for me as much as it will bend that's good okay and straighten it out okay and bend this one as well for me good any pain it's the same there isn't it okay good and can you swing this leg out towards the Ed of the bed okay and then back here good and this one as well for me good any pain when you do that not really okay so I'm going to now do something called as passive movements so I'm going to test your hip so that's not really comfortable for you but this seems to be okay and if I were to do this what we call as the internal rotation of I feel it a little yeah you feel a little bit something there isn't it okay if we were to do the same on this one if I get this it's comfortable and the other hip is fine okay just going to swing your hip out so tell me if there's any pain there that's okay it's fine good and if I can get this out any pain there no okay I bend your hip out like so and if I were to press there any pain yeah you feel that okay good and if we to do this on this side any pain in your back or your hip that's all right good okay now if I can get you to pull your toes up and keep your toes there don't let me push them down fantastic keep it up fantastic okay and keep your foot up there good keep your foot up up up up good can you bend this knee for me please okay now keep it bent bent bent keep it bent okay don't let let me pull it straight very good okay let's do it on this side excellent okay and please straighten both your legs okay so I want you to just keep your leg there stop me from pushing it in and let me know if there's any pain when you do that a little bit a little bit okay fine let's do the same on this one so lot stop me from pulling it to the middle that's okay fine okay now if I can get you to sit up I'm going to press on your spine so let me know if I'm hting any painful areas in your back so that bit which is your thoracic spine all seems to be good as we go towards your Lumber spine no pain there it's a little tender right here but yeah not not pain pain and this area here do you get any discomfort lower down here no and that area on the other side seems to be okay maybe yeah low like low just down that area there okay right fine I I think um certainly there is a muscular skeletal cause for this kind of pain please come and muscular skeletal structures is quite a given okay but the rate at which this happens depends on how we manage our own body okay and some of the important structures around the hip are basically the muscles which are the abductors they seem to be working well but every time you have an injury it can upset the balance and it'll take a bit longer for the tissues to recover the next thing is to do with the hip joint itself the hip is a ball and socket joint so you've got to have a smooth surface moving with a very smooth surface otherwise it affects how the hip moves which basically means the amount of work that the muscles are on the hip has to do becomes a bit more and that can trigger pain so it might not be a muscle problem to begin with so if it is a cage problem within your hip and if the cartilage is not moving as smoothly or as efficiently as it did maybe 15 20 years ago that extra work on the muscle can Tire the muscle can fatigue the muscle so they will be like God give me a break I've had enough okay so you start to experience this kind of dull vague pains which you can't really put a handle on but certainly there is a pattern in what you've been describing to me in terms of certain movements or certain physical activity which triggers that pain so that means there is a mechanical element to this so whenever we have a patient come to us we always try and look at is there a particular biological cause or is there a particular mechanical cause and quite often there is a big overlap now one might trigger the other okay so a good example is patients with rheumatoid arthritis fundamentally it's like a biological problem you know it's like that autoimmune condition which is damaging and destroying all those kind of vital structures around the joints but then it becomes a mechanical problem because once the cartilage is damaged the joint is not moving efficiently so they then get all these secondary symptoms and they get joint deformity s yeah so in your particular case I think the way forward will be to get some structural information okay now when we talk about structural information I need to look at the bones and I need to look at the soft tissues and and if you ask me whether there is an element of referred pain possibly yes okay now when we talk about referred pain and when we're looking at a particular joint so let's say people have pain in the knee okay the knee may be perfect on examination but they still localize the pain to the knee itself so in those cases it's mandatory for us to look for The Joint above which is the hip and it's quite often that when we examine the hip the hip is very stiff and they get lot of symptoms from there but they're not aware of it because the pain is getting localized there so in your particular case I think given the fact that on your dexa scan it mentions some um problem areas around the lumbo cyal spine there can be an element of refid pain but also your hip when we examine it has certain restrictions especially when we come to the abduction movement and when we look at the internal rotation movement you're not comfortable with that so it tells me that there may be a combination of sources of pain and if we were to try and address this problem in its entirety we have to look at both of them okay so where do we go from here as I said some structural information is what we need we need to look at an x-ray that'll give me some idea about what the bones are and how the alignment is around the pelvis and both the hip joints the good thing with the hip is God has given two so I can compare like for like right so I can compare and contrast what your right hip is looking like with your left hip the next thing is specifically if you have to look at the cartilage aspect of your hip joints then we need to look at something called as an MRI scan or a magnetic resonance imaging and these days they're so good it's as good as putting a camera inside your hip joint and looking at its entirety because of the resolution right okay so these two will give us some idea about what's going on in terms of the mechanics of the hip joint now for the spine I need to go through some of your previous investigations if you've already had those covered then we can just look at them and I need to look at certain things which we call as dis bulges or dis protrusions um the spine again is is like a column and if you have the bone and the disk with wear and tear you tend to get certain bulges right and they can tickle or irritate the nerve Roots which Supply the hip area and that can also cause this rougher pain so if that is entirely normal then we know for sure that the bulk of your pain is coming from the hip joint per se so whatever treatment protocol we design has to be addressing the hip okay so that will give us some structural information in terms of biology we can look at certain blood markers because whenever we have certain joint pain it can trigger some element of inflammation okay so we need to look at certain specific inflammatory mark and quite often we request something called as the C reactive protein the ESR and look at your blood counts and this will give us some idea about how things are and this is a very Baseline information whatever we do in terms of treatment protocols for you it'll always address the biology it'll always address the mechanics and quite often it'll be the combination of the two and we design that as a structured treatment protocol for you yeah very good and again like we had talked about the other day your approach to this is like looking at the whole person looking at all of the issues and components together so I I really appreciate that thank you yeah thank you so so I did bring in my report that was given to me in my other video from Med Plus about my dexa scan and the doctor reviewed it and had some thoughts on it but the the good news is this can be easily rectified most of it as the letter here says it's a combination of uh certain Lifestyle Changes certain dietary modifications and good exposure to sunlight and adequate water intake and because the totality of you in terms of biology is quite good so I would expect that you'll have a good response and if you see one of the recommendation that they mentioned in this letter from last year was that you need to have a repeat of your bmd yeah so if you've implemented all those changes in this year that has just gone by in 2023 then the expectation is when you have the scan as of it should come back as you know you having changed a lot of those um osteopenic areas and coming back towards normality okay if not we'll have to implement these changes as of now and going forward my expectation is that if you build in these changes small subtle changes into your daily routine then in a year's time things will be back to normality now if someone wants to get in contact with G uh your organization in or you in general how do they do that um so we've got a website and we'll get you the details of the website there's a contact email address and some phone numbers and we've also got a form on the website where people can put the details in so that my team can get in touch with them I will um include that in the um um information of the video and I'll also put it on the video below us right here so people can see um very good I want to thank you again for the whole interview taking time today and giving me a consultation and um going through this whole process I think people will find it fascinating as much as I have um but also I think it's going to help a lot of people which is really important thank you for your time thank you so amazingly my visits today cost me about $18 American which is just unbelievable you know the biggest thing about India as I've said before is access to medical care and if you're looking or thinking about coming to get some stem cells come visit this Indian office in Bangalore they will look at you as a whole person try and figure out any issues that you have and take it step by step I hope you enjoyed this video today as much as I did see you [Music] soon
2024-04-21 17:20
