Techknowdoc's Surgical Adventures!

PP, SP and DP - The High-Society Acronyms of Street Food

2026-10-19T12:46:51.044+05:30

There is a very specific, agonizing type of physical restraint required when you are trying to look deeply spiritual while actively suppressing a massive snort of laughter. We recently found ourselves engaging in these extreme facial gymnastics at a rather solemn religious function for Navratri.

The event itself was beautiful, but let’s be honest, the real headliner of any Indian gathering is the catering. The food provider had set up an absolute masterpiece of a chaat counter. We’re talking the heavy hitters: ragda pattice, paani puri, sev puri, and dahi puri. A brilliant choice, because you can dress us up in our finest traditional wear, but the siren song of spicy mint water will always reign supreme.

Enter our host. She was floating through the venue, draped in purple elegance and radiating a very specific, entertaining brand of hoity-toity, high-society charm. She glided over to our group to ensure we were partaking in the feast.

"Oh, you simply must try the SP," she insisted, gesturing delicately toward the sev puri with a manicured hand. "And the DP is absolutely divine tonight. But whatever you do, do not skip the PP."

SP. DP. PP.

She had gentrified chaat. She had taken the glorious, chaotic, messy joy of street food and reduced it to corporate boardroom acronyms.

It took every ounce of medical composure and a few frantic, wide-eyed sidelong glances to keep our faces completely serene. We nodded politely, our expressions frozen in solemn, enlightened smiles, ensuring we didn't hurt her feelings while internally, we were absolutely howling. Ah yes, the holy trinity of the elite: SP, DP, and PP.

But before you rush out to get your own fix of "PP" (I still can't even think it without wincing), a quick word of caution from the CoreRestore team.

While chaat is undeniably the food of the gods, it can also be a fast track to gastrointestinal distress. Those delicious, tangy chutneys and perfectly spiced waters are prime real estate for the bacteria that cause gastroenteritis and diarrhea. Always ensure your street food—or its high-society catered equivalent—is prepared with strictly filtered water and proper hygiene.

Enjoy your SPs and DPs safely. But if the PP does end up betraying your stomach and leaving you thoroughly dehydrated, well... you know where to find us for an IV HT (hydration therapy - pun intended).

Hot Flashes, Boarding Passes and Bedroom Pauses: A Midlife Guide to Synchronizing Desire!

2026-10-10T18:24:12.279+05:30

It started, as most deeply personal midlife crisis bordering revelations among old friends do, somewhere between the third round of drinks, a shared dessert platter nobody claimed they ordered, and a chaotic group attempt to film an Instagram reel that made all of us look like we were auditioning for a local physiotherapy seminar.

We had gathered to welcome back a friend visiting India on a whirlwind trip from abroad. The mood was exuberant, the banter was vintage education-era, and then the conversation took a sharp, wonderfully unvarnished detour into midlife marital reality: long-distance marriages, travel schedules, and the baffling logistical circus of middle-aged intimacy.

As it turns out, several couples are living lives divided by time zones, airport terminals, and extended business trips. Whenever both partners finally land under the same ceiling fan for a precious seventy-two hours, there is an unwritten, heavy, unspoken, and utterly terrifying cloud of expectation in the air:

“The flight has landed, the luggage is unpacked, Cue the slow saxophone jazz.”

The Physics of the "Reunion Pressure Cooker"

Except real life rarely plays smooth jazz. More often, it plays the sound of a prestige pressure cooker whistling while someone yells about missing homework and the non-working internet.

Partner A walks through the door radiating jet lag energy with cabin pressure bloating, dehydration and a briefcase full of dirty laundry.

Meanwhile, Partner B has spent the last month playing solo commander of the domestic circus—mediating sibling turf wars, managing grocery chaos, and fielding plumbing crises, barely surviving on three hours of sleep.

Now, let’s sprinkle our age bracket into the mix: welcome to the hormonal rollercoaster known as perimenopause, menopause, and the male counterpart occasionally dubbed “andropause” (or more accurately, “Can we just watch Netflix in silence?”).

For her, estrogen levels are playing musical chairs. One minute she’s freezing, the next she feels like a human tandoor at 2 a.m., all while dealing with dryness, fractured sleep, and a brain that has zero bandwidth left to think about bedroom acrobatics.

For him, testosterone is quietly taking a leisurely sabbatical. Combine that with corporate exhaustion and the sheer performance anxiety of an unspoken ticking clock, and the ignition switch can get decidedly sticky. When desire has been idling in neutral for weeks, you don't just shift into fifth gear on demand.

Right outside the bedroom door? The kids. Who haven’t seen their travelling parent in weeks and have decided that 10:45 PM on a Tuesday is the optimal time to discuss school projects, career anxieties, why the Wi-Fi router is blinking red and why the cat is making strange noises!

The result? Two tired people staring at each other under the ceiling fan, silently thinking: Are we supposed to be doing this right now? Because honestly, I’d rather have a chocolate or some ice-cream and eight hours of silence.

How to Stop Forcing the Spark (and Actually Rekindle It)

1. Abolish the "First Night" Expectation

The cardinal rule of returning home: Night One is for room service, unpacking and restful sleep, not grand romance. Take the pressure off the table entirely. When the invisible obligation to be amorous and perform disappears, the underlying panic and anxiety instantly dissolves.

2. Address the Plumbing and the Chemistry

Desire may be emotional, but discomfort is physical. When estrogen dips, the biology down there changes, and absolutely nobody gets in the mood if the experience feels like walking across hot gravel. Stop treating friction like a character flaw.

Keep medical-grade lubricants and moisturizers on the nightstand—not hidden away like contraband. Address the plumbing without shame.
For men, acknowledging that stamina and erection quality change with age and stress is liberating.

3. Redefine "Intimacy" Beyond the Finish Line

Intimacy is just sometimes waking up twenty minutes earlier to have coffee in bed before the house wakes up. Sometimes it’s a long back rub without an agenda.

4. Outsource the Domestic Buffer

When the travelling partner returns, book a cab for the kids' activities, order dinner instead of cooking, or let the laundry sit in the basket for an extra day. Lower the domestic friction so the brain can shift out of survival mode and into affection.

Once you stop treating intimacy like an urgent item on a customs declaration form and give each other permission to be human, the warmth has a funny way of finding its own way back.

Look, at CoreRestore Infusions, we will be the first to tell you that we don’t have an IV drip that instantly cures marital scheduling conflicts or jet lag-induced apathy (though if someone invents one, we'll be first in line).

What we do have, however, are science-backed ways to tackle the underlying biological burnout. Between optimizing hormonal balance, dialing in metabolic energy, and exploring advanced options like Kisspeptin—a fascinating peptide generating serious buzz in medical circles for its direct role in signaling the brain’s arousal pathways, natural desire, and reproductive hormone regulation—you don't have to simply accept that your drive has retired.

Intimacy in a seasoned marriage isn’t about pretending you’re twenty-two again. It’s about taking the pressure off, sorting out the biology, and giving each other room to be delightfully human—baggage, wrinkles, laugh-lines, hot flashes, and all.

Let me know in the comments if you can relate to the situation :-)

One Pink Line Away from Catastrophe

2026-09-04T19:13:50.683+05:30

At forty-six, when your kid has been shaving and sports a mustache, uses your cologne, and is furiously drafting college essays, the only “positive” result you ever expect from a plastic wand is a mild, stay-in-bed-for-two-days round of Covid.

We were ten of us—five long-suffering couples—packed into a pretentious fancy restaurant for a birthday dinner. Now, usually, our gang is an occupational hazard for hospitality staff; we are loud, obnoxious, argue violently and will aggressively bicker for twenty minutes over whether the water tumbler is genuine crystal or fancy unbreakable plastic from Amazon.

Tonight, however, something was dangerously off. Madam Late-Late-Show slunk in near the end of the meal speaking in a whisper so eerie, polite, and subdued that we almost checked her for a pulse. Her husband, who we affectionately call ScaryBoo, drifted in behind her looking like a man awaiting sentencing from a judge who genuinely despised him. His grand excuse for arriving so late that we were almost ordering dessert? "Uh… I took a nap." Sure, buddy. A hostage-negotiation nap.

The dinner finished, the dessert was an overpriced disappointment, and we were standing around waiting for the cars. Now, because none of us believe in sensible bedtimes, we shamelessly invited ourselves over to one couple’s flat for midnight chai.

That’s when the grenade rolled into the compound entrance. The quiet one dragged the girls into a huddle and whispered, "Someone get me a rapid pregnancy test. I’m six weeks late." Our chivalrous host decided to play good and went to get her the kit from the nearby pharmacy (which was thankfully open 24 hours).

We all sat around drinking chai, egging the missed madam to go pee on the stick. She kept delaying it with excuses, suddenly deeply invested in interior decor, changing the subject to air fryers, and entirely in denial about how basic human biology works and wondering how this had come to pass.

"I can’t do it alone," she whimpered, staring at the tiny kit as if it were armed with a timer. "I physically cannot pee on this emotional-reckoning stick without support. Come with me." The women all volunteered to be there with her like a tactical strike team deployed to witness biological roulette. Mustering up this newfound courage, she finally went to do the deed accompanied by one of the girls.

The air left the room. A teenager at home, a retirement fund in sight, and suddenly… diapers? A stroller in the SUV? A new bedroom requirement. School admissions, PTA meetings, teacher's day dances again?!?! Kindergarten interviews and Father-and-Son lemon-and-spoon races at fifty?!

The boys wasted zero time and went directly for ScaryBoo’s jugular.

ScaryBoo had entirely abandoned his dignity and was furiously stress-eating Raspberry Cheesecake directly off the cutting board. He didn't even use a plate; he just kept shoveling creamy dairy into his face to plug the impending dread.

"ScaryBoo, my boy," someone offered, clapping him hard on the shoulder. "Ever heard of a little outpatient luxury called a vasectomy? Snip-snip? Ten minutes of light banter with me the surgeon ice peas on the couch and a life time of peace of mind?"

"Or literally any any protective technology invented since the Harappan civilization?" another chimed in. "Look at him. He’s mentally calculating engineering tuition for the year 2045. That cream cheese won’t save your pension, boss."

ScaryBoo just chewed faster, eyes totally vacant, sweat gently glistening on his bald scalp. "Shut up," he wheezed through a mouthful of buttery biscuit crust. "It’s peri-menopause. It has to be peri-menopause."

Ten agonizing, clock-ticking minutes dragged on.

Then, the sacred bathroom latch clicked.

Madam walked out with her wing-woman, beaming like she’d just had a twenty-crore tax raid dismissed on a technicality. She had dumped the stick into the garbage in excitement. Definitely and surely she declared - Negative.

The room erupted. The husband actually stopped chewing, exhaled a cloud of cheesecake crumbs, and sank back onto the sofa like a condemned man granted an eleventh-hour presidential pardon. The panic subsided, gossip flowed freely again, and the jokes shifted to perimenopausal impending hot flashes and shopping for menopause cooling pillows..

All was well. Peace was restored to the universe.

Until twenty minutes later, when she tilted her head, looked at the empty box, and whispered to the room: "Hey… is there such a thing as a false negative?"

ScaryBoo immediately slammed his cup onto the table, stood straight up, and announced: "Right. It’s midnight. We are leaving."

When was the last time a false alarm gave your entire friend group an accidental cardio workout?

Ovaries, Sleds, and Vera Wang: Choosing Between Ozempic and Mounjaro Without the Chaos

2026-09-02T18:41:10.370+05:30

Be honest. A few years ago, if you heard the words "Ozempic" or "Mounjaro," you’d assume they were ancient Mayan ruins or the names of Elon Musk’s newest illicit offspring. Today? They are Hollywood’s worst-kept secret, the hottest gossip at your school PTA meeting, and the reason your neighbor "Priyanka" suddenly looks like she’s training for the Hunger Games.

But not all "miracle jabs" are created equal. In the left corner, we have Ozempic (Semaglutide)—the OG, the Beyoncé of the GLP-1 receptor agonists. In the right corner, Mounjaro (Tirzepatide)—the overachieving younger sibling that hits you with a double-whammy (GLP-1 and GIP) and melts fat like butter in a microwave.

So, which one is right for you? Let’s break it down through the highly scientific, flawlessly peer-reviewed method of completely relatable (and slightly unhinged) human scenarios.

Scenario 1: The "I Have 6 Weeks" vs. The "My Body is a Metabolic Escape Room"

The Contender: The Last-Minute Loser - They need to drop a quick 6–8 kgs because they accidentally booked a beach vacation and currently possess the physique of a comfortable beanbag. The Fix: Ozempic. It’s great for a steady drop. The Funny Outcome: They successfully lose the 8 kilos and look phenomenal in their swimsuit. However, because their stomach now empties at the speed of a sloth running a marathon, they spend the entire trip looking at a salt and pepper rimmed picante with profound, nauseated sadness.

The Contender: The Metabolic Overhauler - This person has been carrying around extra "tons" for years, their insulin is playing ping-pong, and their metabolism is basically on a permanent smoke break. The Fix: Mounjaro. This is the heavy machinery. The dual-action formula is like calling in a SWAT team for insulin resistance. The Funny Outcome: After a year, they don’t just lose the weight—they have to reintroduce themselves to their own dog. They spend weekends ordering new clothes instead of eating because they literally forgot what a craving feels like.

Scenario 2: The Bridal Bootcamp vs. The PCOD Warrior

The Contender: The Desperate Bride - She bought her Vera Wang dress two sizes too small because she thrives on anxiety. She needs to look snatched for exactly six hours. The Fix: Ozempic. The Funny Outcome: She looks breathtaking walking down the aisle. Her collarbones could slice cheese. But at the reception, she takes one bite of the artisanal fondant cake, immediately gets the dreaded "sulfur burps," and has to excuse herself to the bridal suite to rethink her life choices.

The Contender: The PCOD Warrior - She’s not trying to look good for a photographer; she’s trying to convince her ovaries to stop acting like a chaotic street gang. She’s dealing with irregular cycles, insulin spikes, and uninvited chin hair. The Fix: Mounjaro. Its effect on lowering blood sugar and correcting hormonal chaos is practically witchcraft. The Funny Outcome: Not only does the weight fall off, but her cycle returns with the punctuality of a Japanese bullet train. She throws a welcome-back party for her period, and the chin hairs formally tender their resignation.

Scenario 3: The Starving Artist vs. The Masochistic Athlete

The Contender: The Method Theatre Actor - He just landed the role of a Victorian orphan who dies of consumption in Act III. He needs to look gaunt, tragic, and dramatically hollow-cheeked. The Fix: Ozempic. The Funny Outcome: He develops "Ozempic Face"—that slightly deflated, skeletal cheekbone look. It wins him the lead role. His mother is terrified, but his director calls him a genius. He celebrates by staring blankly at a single nutrichoice cracker.

The Contender: The HYROX Try-Hard - They paid a truck load of money to push a 150-kilo sled, throw balls at a wall, carry kettlebells until their hands bleed, and run 8 kilometers in an indoor stadium—because regular gyms just aren’t punishing enough. They need to shed the excess fat so they can carry their own body weight over a wall. The Fix: Mounjaro. It’s highly effective for total body recomposition. The Funny Outcome: They lose the dead weight and fly through the burpee broad jumps. However, because they are eating exactly 400 calories a day, halfway through the rowing machine they hallucinate a giant, talking shawarma chicken rod cheering them on.

Bonus Scenario: The "Reunion Revenge" vs. The "Empty Nester Revamp"

The Contender: The Vengeful Ex - Their 10-year high school reunion is in three months, and they need their ex (who is now balding) to weep openly with regret when they walk into the venue. The Fix: Ozempic. The Funny Outcome: Total victory. The ex cries. But the victor can’t drink the celebration champagne because alcohol on Ozempic makes them feel like they’re on a roller coaster operated by a sadist.

The Contender: The "I Want to Outrun My Kids" Mid life crisis parent - They’re tired of their knees sounding like bubble wrap every time they stand up. The Fix: Mounjaro. The Funny Outcome: They get so skinny and energetic that they start wearing activewear to family dinners and challenging their 14-year-old to planks. The family considers staging an intervention.

The Moral of the Story: Don't Go Rogue

Here’s the thing about these miracle injections: whether you want to drop a few kilos to spite your ex, or you genuinely need a metabolic reset to save your life, you cannot do this alone in your bathroom with a pen you bought from a guy named "Viper" on TikTok.

Nausea, muscle loss, digestive panic, and the dreaded "Ozempic face" are real. You need professionals.

Enter CoreRestore Infusions.

Think of CoreRestore Infusions as your metabolic fairy godmother, but with medical degrees. If you want the absolute best results with the least amount of side effects (because absolutely no one wants to throw up in a Vera Wang dress or hallucinate poultry at the gym), you need to come to the experts.

At CoreRestore Infusions, we provide medically supervised diabetic control and weight loss. We don't just hand you a needle and wish you luck; we hold your hand (literally, if you feel a little dizzy from skipping lunch) through the entire process. We manage your dosage, track your progress, offer microdosing, protect your muscle mass, and ensure you actually enjoy your new body instead of spending your life hovering near a restroom.

So, put down the sketchy internet vials. Whether you are Team Ozempic or Team Mounjaro, bring your goals, your unruly ovaries, or your upcoming high school reunion to CoreRestore. Let’s do weight loss the right way—safely, effectively, and with minimal sulfur burps.

Which one do you think would work best on you? Let me know in the comments.

Bridal Makeup, Blowouts, and an IV Drip

2026-08-31T18:00:19.700+05:30

If you have ever been involved in an Indian wedding, you know it is not merely a matrimonial event. It is an Olympic endurance sport involving choreography, six-course meals at midnight, heavy lehengas that weigh more than a newborn giraffe, and enough emotional drama to fuel a daily soap opera.

Naturally, preparation begins months in advance.

A few months ago, a wonderful mother-daughter duo walked into CoreRestore Infusions. The daughter was getting married in three months and had a clear, uncompromising mission: “Doctor, I want the glow. I want the collagen. I want the hair tonic. I need to walk into that mandap looking like high-definition moonlight.”

Being the sweet, caring daughter she is, she immediately turned to her mother: “Mom, you need this too. Let’s fix your hair fall, and you definitely need that nerve drip for the burning in your feet—you have to dance at the Sangeet!”

We mapped out a master calendar with our tactical mission laid out in front of us. Weekly and bi-weekly appointments were locked in.

Over the weeks, the magic happened:

Glutathione & Collagen: Skin went from “stressed wedding planner” to radiant, lit-from-within goddess.
Tresstonic: Hair stopped shedding, turning silky, voluminous, and ready for an armada of bobby pins.
Nerve Recovery: Mom’s calf and foot burn eased up, her nerves calmed down, and her feet were officially ready for the dance floor.

Everything was smooth sailing. The countdown hit zero. Wedding day arrived.

And then, my phone rang.

The “Code Red” SOS Call

There is a specific tone of voice a Mother of the Bride has when disaster strikes. It’s a mix of pure panic, high decibels, and impending doom.

“Doctor!! She’s burning up with a fever! She can barely stand! The reception is in a few hours! The makeup artist is charging by the minute! WHAT DO WE DO?!”

The bride—our radiant, prepped-for-months bride—had succumbed to the classic pre-wedding exhaustion crash. 102°F fever, zero energy, and facing four hours of heavy-duty hair and makeup styling.

“Calm down,” I said with my best reassuring doctor voice. “We’ll set up an emergency IV infusion. She’ll bounce right back.”

“Great! One problem—she can’t stand, let alone travel to the clinic. Can you do it in her bridal suite while they blow-dry her hair and glue on fake eyelashes?”

Now, I’ve managed plenty of medical scenarios, but a multitasking bridal glamour-and-iv drip pit crew? That was a new one.

Naturally, never one to back down from a logistical adventure, I said: “Challenge accepted.”

Pit Stop: Bridal Suite Edition

Within a few hours, our nurse was deployed to the hotel.

Picture this: One stylist blow-drying hair on the left, a makeup artist carefully applying winged eyeliner on the right, wedding aunties hovering with safety pins, and our nurse calmly threading an IV line to administer the CoreRestore Recovery Hydration Drip alongside our rapid fever-relief protocol.

It looked less like a hotel room and more like a Formula 1 pit stop, except instead of changing tires, we were swapping exhaustion for electrolytes and antioxidants.

The Verdict

Fast forward to that evening.

I walked into the reception hall, and there she was on stage: looking absolutely resplendent, laughing, greeting hundreds of guests, skin glowing, hair flawless, and radiating pure, unstoppable energy.

A few minutes later, the father of the bride practically sprinted across the hall to grab my hand. “You saved the entire day! It worked like absolute magic. A few hours ago she was completely out like a light bulb, and now look at her!”

Even the groom came over, completely fascinated: “Wait, you can literally turn someone from a zombie to a party animal in three hours with an IV? Is this real life?”

Yes. Yes, it is.

The wedding went off without a hitch, the floor stayed packed, and the photos looked incredible.

Over to you: Have you ever faced a high-stakes emergency right before a major life event where you needed a miracle quick-fix? Tell us in the comments!

(And if your big day is coming up—maybe don’t wait for the 102°F fever to call us! 😉)

The 50th Birthday Bile Balloon.

2026-08-19T11:30:22.825+05:30

The "Gift" of a Full-Body Check-Up

Most people buy a sports car, book a trip to Bali, or throw a massive party for their 50th birthday. My patient at the gym? She decided to gift herself a lovely, glamorous full-body medical check-up.

Little did she know what the universe had gift-wrapped for her. She hits the hospital, and because she’s officially crossed the magical half-century mark, the hospital says, "Congratulations! You get a complimentary MRI with your poking and prodding!" "Umm, actually you have to pay for it but it's part of the 50+ check up so you should do it!"

"But I don't need an MRI," she argued, blissfully unaware of the stowaway in her abdomen. "It's part of the check-up anyway, you might as well do it," her curious mind reasoned, employing that classic, undeniable logic of never leaving any stone unturned.

Fine. Into the loud, magnetic donut she goes.

The Blind Sonogram

All the routine blood tests come back fine and dandy. The ultrasound (USG) - Perfectly normal. The tech practically gave her a gold star. The MRI takes about 24 hours to process, so she heads home and completely forgets about it. Obviously, if the ultrasound was clear, she is the picture of health, right?

Then, the hospital calls.

Turns out, there is a cyst in her liver. And it is bloody big. We’re talking 10 centimeters. That’s the size of a grapefruit!

Wait, how on earth did the sonography miss a 10 cm water balloon? Did the technician sneeze? Were they checking their Instagram? The hospital, equally baffled and probably sweating, calls her back to reconfirm with a repeat sonography.

And lo and behold—now they see it. Sitting right on top of her liver on the left side, proudly taking up real estate, is a massive sac filled with dirty green bile.

Cue the Panic

"Call doc! I need help! Help me understand what this alien is!"

She calls me, totally freaked out, and I have to talk her off the ledge. I explain that it’s just a cyst—most likely benign, definitely not going to turn into a sci-fi monster, and highly unlikely to be cancer. But I had to admit, the size was genuinely impressive, especially considering the first sonogram totally ghosted it. My advice? Go get a specialist's opinion before this thing starts charging rent.

The Tale of Two Doctors

Enter Doctor 1. "This is an interesting case," he says, rubbing his chin. (Pro tip: "Interesting" is the absolute last word you want to hear from a surgeon). "The MRI and USG disparity is strange. It's probably benign and nothing to lose sleep over, but the size? Yeah, that warrants removal."

Her reaction: Excuse me, WHAT?! I need surgery?!

Let's get a second opinion. Enter Doctor 2. He’s out of town, so she meets with his residents and gets him on a video call. He takes one look at the scans. "You will need surgery. No question. Just the sheer size of it is too much to keep inside of you."

The Eviction Notice

"I've got a 10 cm cyst growing inside me!" she tells me, understandably horrified by the squatter in her liver.

Cut to decision-making time. Unsurprisingly, she wants the thing evicted immediately. It’s better to take it out now rather than sit on it, watch it, and wonder if it’s going to start asking for its own zip code. I wholly concurred.

The eviction date was set. Both doctors seemed perfectly fine, but she went with Doctor 1 because he felt a bit more approachable (and hopefully wouldn't call it "interesting" while holding a scalpel). She went in for a low-risk laparoscopic surgery. Five tiny nicks in the abdomen later, and the giant green blob was officially unhoused.

All's Well That Ends Well She's now on the road to recovery and doing fantastic. But even now, she still can't fathom how the first sonogram completely missed a massive balloon of bile, or how a freak routine MRI—enforced purely because of her age and her husband's love for a package deal—managed to uncover a silent, symptom-free squatter.

Happy 50th, indeed. Next year, she's probably just asking for a cake.

WARNING. REAL IMAGE BELOW

Of course the fluid is out and the cyst is now collapsed

Problem of the Pink Piggies - Code pink in the clinic!

2026-08-17T17:56:54.724+05:30

“Doc, you’ve got to help me sort this out. This is not normal. I am telling you, there is something seriously wrong with me.”

When a patient starts a sentence like this, my mind instantly races through a rolodex of medical emergencies. But then, she dropped the bomb.

“My toes are pink!!”

She was spiraling, and the differential diagnoses she was firing off were nothing short of creative.

“Is it a reaction to something we put in the IV? Is it because I suddenly lost weight? Was it something I ate? Wait… is it early-onset menopause?!”

(Because, as we all know, at a certain point in a woman’s life, every single bodily anomaly—from a flat tire to a stubbed toe—can and will be blamed on menopause).

The Clinical Examination

To be fair to her, I looked down, and the toes in question were, in fact, slightly pinker than usual. They looked like they had just come back from a sunny vacation in Florida.

But as a doctor, I need more than just a fun color palette to work with. I'd heard of pink eye but pink toes? I went through the checklist. Pain? Nope. Burning? None. Tingling, numbness, irritation, or radiating heat? Negative. Signs of a nail bed infection, infestation, or fungal party happening between the webs of the toes? Absolutely nothing.

It was just… pink.

I tried to deploy the most powerful, yet wildly underappreciated medical tool at my disposal: Reassurance. I calmly suggested we give it a few days to see if the hue settled on its own. I checked and rechecked for contact allergies or reactions anywhere else on her body. Nada.

The Escalation

We let it be. But reassurance has a shelf life, and a few days later, we met again. The complaint had officially evolved from medical concern to an accusation of professional negligence.

“My toes are still pink, and you are not doing anything about it. You are my doctor! You are supposed to be able to fix this!”

Well, there really was nothing to fix. Other than looking like they belonged on a flamingo, her toes were in peak physical condition. Since reassurance was clearly a dud, I did the next best thing in the medical playbook: I bought some time.

I offered a compromise. I told her to give it exactly one more week. If the Code Pink situation didn't resolve itself, she could come down to the clinic for an immunity-boosting IV so her body could fight off whatever mysterious, toe-tinting pathogen she had contracted.

The Breakthrough

Cut to three days later. My phone buzzes. It’s a WhatsApp message from my patient, and the tone is decidedly more sheepish than our last encounter.

The great medical mystery had been solved.

“Hey Doc… get a hold of this. The pink toes were really just… pink.”

As it turns out, the culprit wasn't a rare tropical disease, an IV reaction, or the dreaded menopause. It was a brand-new set of pink bedsheets that were aggressively bleeding dye onto her feet every night while she slept.

You would think this would end with a simple apology for the frantic consultations. But no. To top it all off, she graciously offered me this nugget of sage wisdom:

“I am such a good patient, honestly. I keep you on your toes and open your eyes to broader horizons beyond traditional medicine.”

Ah, yes. The educational value of cheap linen dye. Forever indebted to you, my friend. Forever indebted.

Hubris, Heat, and a Humbling Dose of NAD+

2026-08-01T11:26:12.940+05:30

Welcome back to another episode of "Please Just Listen to Your Doctor," broadcasting live from the IV chairs at CoreRestore Infusions.

Today’s cautionary tale features a couple visiting us from overseas. They found us through word-of-mouth and were eager to sample our IV offerings.

Let's set the stage:
The wife was sensible, grounded, and delightful.
The husband? A towering picture of youth and strength who looked like he probably bench-presses small vehicles for fun.

They wanted the holy grail of IV therapy: NAD+.

The "Spicy Drip" Warning Label

Whenever a patient asks for NAD+, I get excited, but I also have to deliver My Speech™. I walked them through the amazing benefits, but I also made it crystal clear that NAD+ is a bit of a diva.

If you pump it in too fast, your body throws a spectacular tantrum. I explicitly warned them about the risks of a rapid infusion:

Intense, sudden body heat
A racing heart
Flushing (turning into a human tomato)
Mild disorientation and chest tightness

Because of this, NAD+ requires constant supervision and a nice, slow, leisurely drip rate.

The wife nodded, perfectly happy to chill out and take hers over a sensible two hours.

The husband? He literally scoffed. He puffed out his chest, boldly proclaimed that he is "strong" and nothing would happen to him, and insisted we wrap his session up in one hour flat.

We got them hooked up. For the first ten minutes, I played it safe and ran his drip at a snail's pace.

Nothing happened. He was totally fine.

The wife was happy to let us gradually increase her rate. The husband, however, took this initial ten minutes of peace as scientific proof of his invincible biology. He looked at me and insisted we go "full throttle."

Against my better judgment, but knowing a bruised ego was the only cure for this level of hubris, I bumped up the rate.

The Three-Minute Meltdown

It took exactly three to four minutes for his tough-guy facade to completely dissolve.

Ta-da! Suddenly, his face flushed a brilliant, glowing shade of crimson. A layer of panic-sweat broke out across his forehead. He gripped the armrests like he was on a rollercoaster, experiencing that classic mild chest tightness I had warned him about.

When he finally spoke, his booming, confident voice had vanished. It was replaced by a fragile, squeaky little whisper. Very sheepishly, he looked at me and begged me to please turn the dial down. About sixty seconds later, he asked me to just stop it completely so he could remember how to breathe.

I kid you not—his wife looked over from her perfectly comfortable, slow-dripping chair and absolutely lost it. She was cackling at him. It was poetic justice in its purest form.

After a brief time-out to let his heart rate (and his pride) recover, we started him back up on the slow setting. They finished their treatments together over the next hour and a half, and he solemnly promised that the next time he sits in my clinic, he will actually listen to the expert.

The Moral of the Story: NAD+ is an absolute powerhouse of a drip. It offers incredible health benefits, including anti-inflammatory effects, pain mediation, cellular repair and regeneration, and anti-aging properties.
But you have to respect the drip! It must be administered carefully and monitored constantly. If you want the safest possible infusions—overseen by qualified healthcare professionals who will absolutely say "I told you so" when you ignore their advice—come see us at CoreRestore Infusions.

Ecstasy, Agony, and an IV Drip

2026-07-29T18:57:20.462+05:30

First things first: we are back to writing about bizarre clinical encounters because it’s time to return to my roots. Oddly enough, these crazy cases always seem to find me around August—which is highly appropriate, considering I started this very blog in an August past.

Anyway, let’s set the scene.

Enter: a couple presenting with a truly peculiar cocktail of complaints. Their symptom list read like a medical mystery:

Mild confusion & dizziness
Spiraling anxiety
Total lack of sleep
General listlessness
A dash of hypotension

The severity of these symptoms was bouncing back and forth between the two of them like a ping-pong ball. After a little gentle prodding, the confession finally spilled out.

The culprit? MDMA.

And not just a one-off. Oh no, they went for the hat-trick: three consecutive days at a music festival.

The Law of Diminishing Returns

If you know anything about how these things work, you can guess how the weekend went:

Day 1 went exactly as advertised: a true trip where every sense was heightened, and the vibes were immaculate.
Day 2 arrived with high expectations, but delivered a noticeably watered-down effect.
Day 3 was a total dud. The magic was officially gone, replaced by a lingering feeling of absolutely nothing happening.

Then came the ultimate mood-killer: a long-haul flight back to the motherland.

That’s when the serotonin debt came calling, and everything crashed down at once. Panic unpacked its bags and settled in, sleep completely evaporated, worry lines deepened, and their nervous systems started flashing red warning lights. After toughing it out for two agonizing days—praying it would just magically fade—they finally walked through the doors of CoreRestore Infusions searching for salvation.

The Fix & The Plot Twist

We hooked them up with one of our signature hangover flushes—a bespoke cocktail of vitamins, minerals, and chelating agents designed to hit the reset button.

Initially, the husband seemed to be weathering the storm much better than his better half. Both tolerated the IV drip beautifully and went home feeling relieved, crossing their fingers that the worst was behind them.

Plot twist!

By the next morning, the wife had bounced back completely. The husband, however, decided that post-MDMA-comedown-recovery was the perfect time to aggressively exert himself playing a sport. Spoiler alert: it was not. He felt significantly worse, earning himself a ticket back to our clinic for Round Two.

While he was hooked up to his second drip, his wife chilled out beside him, looking 100% back to normal. Fortunately, by the time his IV bag was empty, he was finally out of the woods. They managed to catch their flight back home just in time for a massive, unmissable event. All's well that ends well!

The Moral of the Story: MDMA can't make everyone happy—especially if you try to stretch it over a three-day weekend. Stay away from recreational drugs if you can help it. (But if you do crash, you know who to call).

Retatrutide - A New Option for Metabolic Health

2026-02-21T12:12:00.000+05:30

Retatrutide at CoreRestore

A New Option for Metabolic Health

What is Retatrutide?

A new therapy being studied for weight management and metabolic health.
Works on three hormone pathways (GLP‑1, GIP, and glucagon) to help control appetite, energy use, and blood sugar.
Early studies show promising results for patients with obesity and related conditions.

Why We Offer It

At CoreRestore, we bring safe, science‑backed innovations to patients who are open to trying new therapies. Retatrutide is offered under strict medical supervision to ensure safety and effectiveness.

How It’s Given

Once‑a‑week injection under the skin (subcutaneous), similar to using an insulin syringe.
The dose is tailored to each patient’s weight‑loss goals and side‑effect profile.
Gradual dose increase to reduce side effects.
Regular monitoring of weight, blood sugar, and overall wellbeing.

Safety First

Careful patient screening before starting.
Informed consent and clear education about benefits and risks.
Follow‑up visits to track progress and adjust therapy if needed.

What You May Experience

Potential Benefits

Reduced appetite and improved satiety.
Support for weight loss.
Better blood sugar control.

Possible Side Effects

Nausea, diarrhea, or constipation.
Rare risks like pancreatitis or gallbladder issues (discussed upfront).
Therapy paused or adjusted if side effects occur.

Our Promise

Your safety and empowerment come first. Retatrutide is offered only to patients who understand its investigational nature and are comfortable with close monitoring. At CoreRestore, innovation is always paired with responsibility.

Contact us on:

Mobile: +91 8291347712
Landline: 02246023135
Instagram: @CoreRestoreinfusions
Email: corerestoreinfusions@gmail.com

2025-07-02T14:32:00.003+05:30

🧬 From Aches and Pains to Proactive Power: Is Your Future Health Written in Your Genes?

🚗 The Check-Engine Approach to Health—Now Outdated

Remember two decades ago? When health advice sounded like a broken record?

“Get your annual check-up!”
“Preventive care is key!”

They weren’t wrong. Back then, detecting health issues early—like catching a rogue mole or blood pressure on the rise—was revolutionary. But if we’re being honest, it felt a lot like getting your car checked after the “check engine” light flicked on. Useful? Yes. But proactive? Not quite.

⚙️ 2025: The Year We Upgrade Our Health Game

Fast forward to now, and we’re rewriting the rulebook.

We're not just reacting to illness—we're outsmarting it. What if your body came with a built-in instruction manual? With advances in genetic testing and predictive health, it basically does. And trust us—it’s way more useful than any car manual you’ve ever owned.

Imagine knowing in advance where your health might go off-road. Not waiting for symptoms, but steering clear of them entirely.

🔮 Science Fiction? More Like Science Fact.

Think of genetic testing as your personal health crystal ball—but instead of vague predictions, you get:

Personalized insights based on your DNA
Early detection of risk factors
Tailored lifestyle strategies
Preemptive therapeutic interventions

We’re trading “detect and treat” for “predict and prevent.”

🧠 You, But Optimized

This isn’t about fear—it’s about freedom. Knowing your genetic risk doesn’t trap you; it empowers you. We can now adjust your nutrition, lifestyle, and medical care before an issue even begins.

No more one-size-fits-all advice. This is medicine fitted just for you

🧪 Powered by Science. Driven by Passion.

At CoreRestore Infusions, under the guidance of Dr. Dheeraj Mulchandani, we’re on a mission:
To help you take control of your health story before it even begins.

Whether it’s:

Mapping your genetic risks
Crafting custom nutrient therapies
Starting IV infusions tailored to your biology

We’re here to help you thrive—not just survive.

🌟 Your Future is Waiting

So why wait for the “surprise party” no one actually wants?
Step into the future of wellness with CoreRestore Infusions. Let’s make your health story not just good, but genetically brilliant.

📅 Book your consultation today with Dr. Dheeraj Mulchandani

Endoscopy after 40

2024-07-29T12:29:00.000+05:30

Understanding the Silent Threat

Our bodies are complex machines. Sometimes, parts of this machine can develop problems without showing any early warning signs. This is especially true for your digestive system.

One such silent problem is cancer of the gut. While it might sound scary, the good news is that we can often find it early which makes it much easier to treat. This is where a screening endoscopy comes in.

The Indian Context

In India, unfortunately, many people are diagnosed with gut-related cancers at advanced stages. This often makes treatment difficult and reduces the chances of a full recovery. To change this, it's crucial to adopt preventive measures.

The Importance of Screening

A screening endoscopy is a simple procedure where a thin, flexible tube with a camera is gently inserted into your digestive tract. This allows us to examine the lining of your food pipe, stomach, and intestines for any abnormalities.

Early Detection: We can often spot tiny, precancerous changes or even early-stage cancers that cause no symptoms. This gives us a chance to treat them before they become a bigger problem.
Prevention: Removing precancerous growths can prevent cancer from developing altogether.
Peace of Mind: Knowing your digestive system is healthy can significantly reduce worry and anxiety.
Incidental findings: We can pick up non-cancerous ailments which could be causing you problems and treat them effectively

When to Consider a Screening Endoscopy

While general recommendations suggest starting screening at 40, it’s essential to discuss your personal risk factors with your doctor. If you have a family history of gut-related cancers or other risk factors, you might need to start earlier.

Remember, prevention is always better than cure. A simple endoscopy can save your life. Don’t delay this important step in taking care of your health.

The reason for writing this at this time:

I came across a rare case of the Melkersson-Rosenthal Syndrome.

That’s patient incidentally came for his endoscopy to check for Crohn’s disease.

The symptoms of Melkersson-Rosenthal Syndrome (MRS) present as a triad of:

1. persistent or recurrent upper lip oedema (oedema is a build-up of body fluid),

2. relapsing facial paralysis and

3. a fissure tongue.

MRS is commonly associated with the more well known Crohn’s disease, a form of inflammatory bowel disease, diagnosed with a colonoscopy on routine investigations.

If you or your loved ones are diagnosed with Crohn’s, make sure to keep a look out for the triad of symptoms and ask your doctor about if any present themselves.

A little extra caution goes a long way!

Preventing Cancer from HPV - For Girls and Boys both!

2024-06-21T15:16:00.001+05:30

Short answer - Yes!

Most cervical cancers are associated with human papillomavirus (HPV). It can spread through sex and from some types of skin-to skin-contact. Gardasil 9 is an HPV vaccine approved by the GOI and can be used for both girls and boys. This vaccine can prevent most cases of cervical cancer if the vaccine is given before girls or women are exposed to the virus. This vaccine can also prevent vaginal and vulvar cancer. In addition, the vaccine can prevent genital warts, anal cancers, and mouth, throat, head and neck cancers in women and men.

When exactly should the HPV vaccine be offered?

The recommendation is for HPV vaccine to be given to girls and boys between ages 11 and 12. It can be given as early as age 9. It's ideal for girls and boys to receive the vaccine before they have sexual contact and are exposed to HPV. The response to the vaccine is better at younger ages than it is at older ages.

The CDC recommends that all 11- and 12-year-olds receive two doses of HPV vaccine at least six months apart. Younger adolescents ages 9 and 10 and teens ages 13 and 14 also can receive vaccination on the two-dose schedule. Research has shown that the two-dose schedule is effective for children under 15.

Teens and young adults who begin the vaccine series later, at ages 15 through 26, should receive three doses of the vaccine.

Does the HPV vaccine offer benefits if you're already sexually active?

Yes. Even if you already have one strain of HPV, you could still benefit from the vaccine because it can protect you from other strains that you don't yet have. However, none of the vaccines can treat an existing HPV infection. The vaccines protect you only from specific strains of HPV you haven't been exposed to already.

Does the HPV vaccine carry any health risks or side effects?

The HPV vaccine has been found to be safe in many studies.

Overall, the effects are usually mild. The most common side effects of HPV vaccines include soreness, swelling or redness at the injection site.

What is the dosage for Gardasil Vaccine (HPV)?

Gardasil 0.5 ml is injected intramuscularly as three separate doses. The first dose is administered at the patient's convenience, the second dose two months after the first dose, and the third dose six months after the first dose.

Why is HPV vaccination recommended?

One out of 4 women who die of cervical cancer is from India.
Every seven minutes one woman dies of cervical cancer in India.
Cervical cancer kills roughly 67,477 Indian women annually.
Human Papilloma Virus (HPV) has been detected in 99.7% of all cases of Cervical Cancer worldwide.
This is the highest level of the associated pathogen known to be a major cause for a human form of Cancer.
HPV types 16 and 18 are responsible for 82% of cervical cancers in India.

Does it apply only to girls or do boys have to take it as well?

There is increasing evidence that boys are infected with HPV as well. MSD has launched the gender neutral Gardasil 9 in India. The rationale behind this is that the vaccine would prevent Genital warts, oral cancers, penile cancers, anal cancers and precancerous lesions, especially in homosexual identities.
(https://www.livemint.com/companies/news/msd-india-launches-9-valent-human-papillomavirus-vaccine-gardasil9-11632914111895.html)

India has also launched its own vaccine under the name Cervivac made by the Serum Institute which brings down the cost considerably

Do get in touch with me for any further information you may need. I'll be happy to help!

Meanwhile, here are some more newspaper articles for the movement currently on in India.

https://www.hindustantimes.com/india/is-hpv-vaccine-safe-for-my-daughter-yes/story-4gBa5z5rDtxREhNJ6lzzQP.html

https://www.news18.com/news/buzz/dear-indian-women-did-you-know-that-there-is-a-vaccine-for-cervical-cancer-3390860.html

IAP (Indian Association of Pediatricians) - https://acvip.org/parents/columns/cervical-cancer.php

Time to think

2024-03-23T15:54:00.001+05:30

I was standing at a red signal the other day and happened to look around at a few cars alongside me as well as some two wheelers. Almost all of them whipped out their cell phone the moment they came to a halt.

It suddenly struck me that all of these people must have something really important to do on their phones. So much so, that even a 80 sec signal stop compelled them to bring it out and start scrolling through stuff.

While I was thinking this, I also realised that the only reason I could think of this is that I was at the signal and not actively doing anything. This made sense. My brain could afford to think only because I had nothing to think about (!?!)

This post was literally born in those 80 seconds. I thought of all our lives, how we end up as slaves to the ecosystem around us. How many of us have done the same I wondered? Searching for answers in my closed cranial ecosystem, I began to recall all the times when I had people around me who stared into their phones, not because of some work, but simply because there was nothing to do but wait!

Consider this a social experiment and if you could humour me with some honesty, I'd like to ask the following of you:

Remember how we used to stand at our windows or balconies (those that haven't been taken in) and stare out and think of the day?

Our commute use to be time to reflect on the day and plan our work for the remainder of the day or the next day, was it not?

Would you ever just sit at the window of the bus and look out and imagine what was going on in the lives of the passers-by?

Had you ever woken up in the morning and given yourself 10 mins to just lay there and think?

Remember walking on your own with your 'thoughts' and not with your 'phone'?

Ever sat alone in a cafe or tapri sipping on chai/coffee just to think?

Almost all these scenarios have been replaced with the cell screen taking the part of the thinker!

Is it even surprising that the generation today can't think of keeping their minds idle for even a minute lest the horror of thought enter! They are onto the phone screen in an instant.

What evil is this? How much content can we even consume? How is it not boring anymore?

At the end of the 70th second on the signal timer, I had an evil thought of my own - I should make a note of this on the phone so I don't forget it. Then I admonished myself and forced myself to commit it to memory. I returned to my work place and promptly forgot about it while working and getting on the internet for calls and work!

Then a radical thought hit me about two paragraphs before this. Perhaps, its time we had a period in school for 20 minutes where the kids are just told to do nothing. No input to the brain, only output allowed. No putting your head down and taking a nap. Just sit there and think!

Shudder the thought!

Working with 2023

2023-01-02T10:59:00.001+05:30

The year has gone it was really good,

We were fortunate to receive money and food

We worked hard and even had time to play

Now is the time for thanks to say!

Remember well, as we go off into 2023,

Treat all your patients and charge them a fee

No one should be able to point a finger,

And tell you that your treatment let the illness linger!

No more favours and friend and relative benefits,

Selfish motives should currently be a hit,

Because no one is going to give a second thought to us

Medico legally they're all ready to throw us under a bus!

Do your job, do it well, speak less to the point and be curt,

Don't give extra advice, nor worry about them being hurt;

It will take them less than a second to turn to another

So, why oh why should we be cannon fodder!

Family first, fitness second, health will come, keep work for last

There is no need to get rich and famous fast

When it all ends, it won't matter how much or where

Its only family and friends that will be there!

Envy, Anger, Jealousy and more!

2022-12-31T13:21:00.003+05:30

Happy New Year 2023. Here's to bringing in the good, leaving behind the bad, dealing with the difficult, sorting out the issues and ironing out differences!

A lot of things have happened in the past year, most of them good, a few not so much. However, people who know me, know well enough that I don't do regret. Its been a satisfying year for me, personally and professionally. For that, I express my gratitude every day.

Someone asked me at work, what's in store for the next year, what is my resolution? I simply answered that I don't make them. At least for me, they just don't work. They were quite taking aback by the blunt response. I guess they expected more.

Expectations - The bane of our existence. As humans, we are fine tuned to expect something or the other from our peers, friends, relatives, pets etc. Its part of our existence. It is one of those things God put in us, to make sure we are unable to be eternally happy. I think this is a great thing. Imagine being happy all the time, how dull! So, we get a break from happiness and bliss and we have other emotions to deal with like anger, jealously, stress and envy.

Anger is the easiest to deal with because in my opinion it is the most short lived. We have far too much going on in life to keep anger as a constant companion. Some will struggle with this but most move on and somehow cope.

Jealously is a beautiful emotion because it is proof that love exists and you care enough about something or someone that you can evoke this emotion when threatened. If you have ever felt jealous about something or someone, hold on to that and remember that the more you feel it, probably, the more you love the person or thing invoking this response!

Stress is a whole other topic to write about so lets skip it for now.

Envy on the other hand is a special one. Envy robs potential moments of joy. Envy can eat you alive. It’s characterized in the scientific literature as a strongly unpleasant state of inferiority, hostility, and resentment, which is why it sometimes triggers its cousin emotion schadenfreude — taking delight in another’s downfall. While brief moments of schadenfreude can be relatively harmless, envy tends to endure, sometimes to the point of obsession.

I tried to figure out this envy, many times over, but usually fall short. Perhaps science is correct. Inferiority would make sense but how do you explain highly trained and professional athletes at the top of their game being envious of their counterparts. Hostile people would also not singly explain this as they can be openly hostile without really being envious, just being evil. How about people resenting others? Well, I could be envious without really resenting a person but that doesn't seem right.

Why, then, does envy poke its ugly head about? Shockingly, it appears in our closest relationships. Friends and family! I wonder if the answer is not in the person being envious but rather in the person being envied?

Maybe, just maybe, the envied party is just so sorted out that we can't stand it. How can they be so settled, happy, content, open, honest, truthful, uncomplicated, loved, appreciated, motivated etc etc (you could put all the successful synonyms and adjectives here)

Maybe we just can't digest the fact that someone might be loved more than us or just appreciated more, be better company, be more trustworthy and just be someone that people like hanging out with.

Perhaps, we want to be that person ourselves. It's the competitiveness that is embedded within us. We want to be the person that someone unloads on, that someone can share secrets with, that someone can call in the middle of the night when they really need help, that someone can trust with their family, that someone can call to chill or hang with without any judgement or ulterior motives, that someone can call their own and know it works both ways.

Perhaps, instead of being envious, we should try and be that person. Unfortunately, more often than not, we end up doing the complete opposite. We end up trying to put that person down, trying to destroy that persons relationship with others, trying to prove that the person is not worth the adulation that we think they are getting. We try and disprove all that the other person is not even trying to prove themselves! In doing this, we not only move farther away from reaching that place, but, we also lose our own honour and place in that world. We no longer would be considered close to being the person that would ever be envied.

Be simple, be kind, be appreciative, be yourself whether that is loud and brash or quiet and shy, be honest and sincere and don't sugar coat your words! Its the easiest way to move from being envious to being envied. I pray for your success this coming year and hope 2023 works so well for you that you don't have time for regret, jealously, stress or envy.

Take a deep breath!

2022-04-07T11:35:00.000+05:30

You know how, sometimes, you feel the whole world and its mother decides to bear down on your shoulders and you feel like there is this immense pressure put upon you squashing you down, squeezing the very essence of your being?

News flash, a lot of people feel like that a lot of the time. At the very least, most adults would have faced at least a day of intense stress in the past one month alone, and I'm being generous in this estimate. For most people, this is a daily event. For most people, they also deny it wholeheartedly. Unfortunately, this stress can manifest in many ways. The least expected illnesses and diseases can be brought about by a simple process of pressuring the mind into thinking all is not well.

Just a few examples to get you onto speed about what I mean. Things like a simple recurring headache, nausea, acid reflux, cramping in the stomach and gut, feeling of weakness in the muscles, spasms of the muscles, backaches, low back pain, tingling numbness, feeling of currents shooting along the nerve, dry mouth, dry eyes, foggy mind, etc etc. The list is literally endless. The cumulative effect of all this over time leads to us losing our loved ones all too soon. Might be a little too direct and uncoated with sugar but sadly, true!

At this point, half of you reading this are already wondering about the last time you felt any of this and are silently nodding along or smiling with the realisation that I am right. The other half are already beginning to debunk this and getting ready to quit reading thinking this is just another one of the gyaan sessions that most life coaches, mediation experts, good health practitioners and sundry give. I would ask you to read on.

Whether you believe the above or not, there is a way to deal with it. You don't even have to believe your conditions are caused by stress to deal with them. Just try to do what I am putting forward and see if it works. If it does, I don't care what you call it, just continue doing it. Stay happy in the belief that you are one of those that doesn't take stress or don't get bothered by stress! Just do the things I'm suggesting anyway.

The next time you feel one of the above, here are a list of things you do (there is a caveat at the end so read till the bottom)

Take a deep breath, hold it in, count to five and let it go as forcefully as you can. Do it only 5 times.
Wash your face with ice cold water (as cold as you can get), making sure it gets into your eyes and put a little at the back of your head just where the hairline ends!
Step away from whatever you were doing just before you decided to do this (get away from the stimulus)
Put on whatever music you like at a fairly large volume (preferably with headsets on). 2 songs only
Watch a 3 min slip of any stand up comedian that you think is funny. If you are not into stand up, watch a 3-5 min cartoon clip (older the better)
Get some chocolate, cheese, ice cream, sweet fruit or nutribar into you. A small piece only, we'll worry about the calories later.
Find a family member you love and give them a big squeezy hug. Make sure they're not expecting it. Watch their face immediately after doing this
Go to the window or get out into the fresh air. 120 seconds only. Come back in
Sit yourself down and breathe again. Only 5 times.
You are done!

Before you know it, you are ready to tackle the problem that got you into that frown before all this was done. You will suddenly see a path or a solution. In case you don't, at least it won't be bothering you as much and you can then work it out.

The caveat - to do all this and to make it work, I don't even want to you think about it. Yes, most people, including myself, would go into this starting with this crap isn't going to do it, its just not going to work. Humour me, though! Go through all the steps and only once you've done it all, come back to me and tell me that it didn't work. I'm waiting for your responses below!!

Textbook Published

2022-02-15T11:52:00.001+05:30

I am very happy to inform you that our long awaited textbook of day care medicine and surgery has been published and is currently in distribution pan India.

As of now, we aim to have this book in the libraries of all the medical colleges in India as a supportive text to help them understand and start their own day care surgery and medicine units. These copies will be sent to the colleges entirely free of cost.

What we need from you is support towards making this book a bestseller online. The book is live on Amazon and delivers within one day. Ebook for kindles to follow soon.

Do support us and order the book now!

https://www.amazon.in/Textbook-Day-Care-Medicine-Surgery/dp/1636404219/ref=sr_1_1?qid=1644832508&refinements=p_27%3ADr.+Dheeraj+V.+Mulchandani&s=books&sr=1-1

Dr. Dheeraj Mulchandani

All you need to know about Vaccination in Children

2022-01-20T13:41:00.002+05:30

Vaccination for children aged 15-18 years is underway and most of us might have already taken at least one dose of Covaxin (the only vaccine approved for this age group). The news coming out from the government is that they will soon extend this eligibility to the 12+ age group as well. It's only natural that all parents would want to gain maximum knowledge about the subject before taking the call to vaccinate their child. This is a simple write up that I hope would help you to reach a sensible decision.

1. The first question on everyone's mind is whether the vaccine is safe for their child.

The simple answer to this is, Yes! The extended answer is that all vaccines go through a rigirous safety analysis before it can be released for the general population. Covaxin has already proven safe even in adults and the company has submitted enough data for use in children aged 12+ that gives us no reason to believe that it is unsafe for our children.

2. If the disease in children produces only mild symptoms, do we really need to vaccinate the children?

I guess this narative is more from the current wave of a milder mutation of the virus than plain facts. Sure, most children seem to have rather mild symptoms, however, there are enough and more children who have had a rather serious infection with a long drawn hospital stay along with some complications to boot. This only goes to show that this virus is mostly dependent on the immune response the body is able to mount at the time of infection. Children that have co-morbidities in terms of juvenile diabetes, immunocompromised states, obestiy, kidney disease or chronic diseases are at a higher risk for complicated disease and should receive the vaccine for their protection.

Multisystem Inflammatory Disease Syndrome (MISC) is a rare but life threatening complication of Covid-19 that may still occur in unvaccinated children as was seen in the initial days of the disease and the vaccine clearly prevents such an outcome.

Children are proven spreaders of the virus and this transmission can be cut down once they are vaccinated as the viral load and the live virus transmission chain will break. This is simple to understand because the virus is eliminated from the body at a quicker pace than would be in an unvaccinated individual. Since the children remain the only segment of population that are unvaccinated, it only makes sense that once they do receive the vaccine, the transmitability reduces and the pandemic would change into an endemic form and die out.

To reiterate, it is more important to vaccinate immunocompromised children rather than think about how the vaccine could cause something to go wrong because the child's immunity is low.

3. What precautions should be taken?

No vaccines should be taken if the child is ill, has a fever or any infection or is currently on any medication for a particular infection or allergy (short term).

If you do decide to take the vaccine, please remember to continue Covid appropriate behaviour like masking, not touching your hand to your nose or mouth and covering up when you cough or sneeze. Remember, the vaccine does not guarantee that you won't get infected, it only guarantees that the infection would be mild or even symptom free. Hand hygiene and social distancing is paramount in preventing the infection.

4. Are there any side effects to the vaccine?

The side effects with Covaxin continue to be similar to those observed with other vaccinations as well. Some arm soreness, a mild fever that lasts 24-48 hours, some bodyache and fatigue may be experienced. The symptoms can be easily controlled with paracetamol. Allergic reactions are quite rare and can be easily managed by your Doctor.

5. What the story on the expiry dates of vaccines?

There was a large discussion on the expired vials of Covaxin and their extension granted by the Government. The initial stringent approvals of a 6 month shelf life was given at the emergency use level but this can be extended after real time data is shared about the stability and shelf life of the vaccine. This extension was initially given for 3 months and then extended upto a full year. Rest assured, none of the vaccines injected during that period would have lost their efficacy. The new batches of vaccines are already out and by the time you decide to vaccinate your child, you would have a new expiry date on the vials anyway.

6. Does it really make a difference?

Right at the end, if there is still a doubt in your mind, look at the bigger picture. You are not vaccinating your child only for the child but for everyone the child comes into contact with, this could be the elders in the family, people not allowed to vaccinate, people who can't receive the vaccination due to their physical state or just those that were too scared to take it.

If we ever want this pandemic to end, we all need to play a collective part in establishing herd immunity so that the virus is forced to mutate to a weaker strain that will then fade away or remain as the common cold / flu virus is currently in existence.

For those looking at vaccinations, feel free to contact me for your requirements or even if you need to discuss this further or have any questions that you need answered.

Can a vaccine prevent Cancer?

2021-11-17T10:39:00.004+05:30

Short answer - Yes!

When exactly should the HPV vaccine be offered?

Teens and young adults who begin the vaccine series later, at ages 15 through 26, should receive three doses of the vaccine.

Does the HPV vaccine offer benefits if you're already sexually active?

Does the HPV vaccine carry any health risks or side effects?

The HPV vaccine has been found to be safe in many studies.

Overall, the effects are usually mild. The most common side effects of HPV vaccines include soreness, swelling or redness at the injection site.

What is the dosage for Gardasil Vaccine (HPV)?

Why is HPV vaccination recommended?

One out of 4 women who die of cervical cancer is from India.
Every seven minutes one woman dies of cervical cancer in India.
Cervical cancer kills roughly 67,477 Indian women annually.
Human Papilloma Virus (HPV) has been detected in 99.7% of all cases of Cervical Cancer worldwide.
This is the highest level of the associated pathogen known to be a major cause for a human form of Cancer.
HPV types 16 and 18 are responsible for 82% of cervical cancers in India.

Does it apply only to girls or do boys have to take it as well?

India has also launched its own vaccine under the name Cervivac made by the Serum Institute which brings down the cost considerably

Do get in touch with me for any further information you may need. I'll be happy to help!

Meanwhile, here are some more newspaper articles for the movement currently on in India.

https://www.hindustantimes.com/india/is-hpv-vaccine-safe-for-my-daughter-yes/story-4gBa5z5rDtxREhNJ6lzzQP.html

https://www.news18.com/news/buzz/dear-indian-women-did-you-know-that-there-is-a-vaccine-for-cervical-cancer-3390860.html

IAP (Indian Association of Pediatricians) - https://acvip.org/parents/columns/cervical-cancer.php

Corporate India, Let's Get Vaccinated!

2021-05-28T15:39:00.003+05:30

Tired of playing the fastest fingers first game? Can't see anything but red on the calendar? Are you the on of the unfortunate 18+ people who just can't seem to get a shot? Waiting for fly out of the country but haven't even got your first dose yet?

Well, it's here! Finally, after weeks of paper pushing, rubbing backs and oiling the machinery that runs this city, we've got systems in place to start corporate vaccinations for now. Individual vaccinations will still take a while but if you have the numbers, we can now source the vaccines! Kicking of corporate vaccinations from next week, we are in the process of obtaining a substantial amount of vaccines to serve blue collar India.

We're starting off with Covaxin as it's readily available and can start innoculations as early as next week. For now we would need a minimum number of people confirmed to even start the process so if you do work in an organisation that would like to get their employees vaccinated in the comfort of your own office/workspace and you have the numbers, we can get it done asap!

Do get in touch with me via Whatsapp and let's talk.

Is this Balance?

2021-05-21T11:59:00.002+05:30

You would need to completely open up your minds to reading this one. If you feel you can’t, please stop right here, scroll to the bottom, hit like and share and move on. However, if you feel like you have some time (in this lockdown, what else do we have) or if you feel like you are capable of thinking beyond the ordinary, read on.

I am a man of science who thinks everything must have some logic and reason and don’t give too much into miracles and fate. I do believe in a higher power, but I’m not the kind to spend hours and lifetimes appeasing statues that are called God! I believe in faith but perhaps not so much in religion. I do believe, however, in the fact that we perhaps know much less than we give ourselves credit for. There are a lot of unexplored and undiscovered truths out there that continue to be labelled fiction just because we haven’t seen or experienced it yet. There are certainly things that happen that we don’t understand that are far too easily categorised into alien activity, miracles, tricks, magic, imagination, ghosts, paranormal activity and what have you.

Heavy enough for you yet! It gets better, I promise.

Let’s start off this passage with the assumption that we’re all living in an experiment that has gone horribly wrong (or perhaps out of control). This would have to start way back from before Darwin peed in his diapers! Dinosaurs – there’s a good place to start. Is it? Let’s push way back. Polar ice caps? The big bang? This is how limited we are in our knowledge. We just think we know but do we really? Wait, I’m going off track. Back to the beginning of the experiment.

Assume that we started off as single cell organisms (that’s what science would have us believe). Evolution happened and we grew a pair (pun intended). Multi-cellular beings with hyphae, antennae, digits, a spine, neurons firing in all directions, a brain to control it all and the power to kill. Oohhh, maybe we stole that one from the BFG. Animals, fish, birds, quadrupeds, bipeds, apes, humans!

Survival!

Let’s knit that all together now otherwise this could be as long as a book. Assume that we were all meant to be in balance with half of the good things on one side and half of the bad on the other. Wait, who decided what is good and bad. Anyway, let’s just divvy it up and move forward. Food chains – there is a balance that we can understand. Biggest eats smaller eats smaller eats smallest who eats energy from plants! (Thank you 5^th standard children that we were forced to teach at home).

Let’s assume that the person conducting this experiment gets bored every few years and wants a reset. This person then decides to shake up the game board and see who survive so we can play more. Perhaps this could explain the constant wipe-outs every few hundred years. Wait, how would they get new players? That’s why they made us stupid. They gave us libido so we provide them with a constant supply of stupid. The need to procreate is the single biggest fault line in this game! When you have nothing to do, create! So, that’s what the powers that be must have done as well (we are all created in HIS image remember).

Did I lose track again? This is so fascinating! Right, we wipe out half the Earth and reset. The ice age, the dinosaurs, the tigers, the fish, the turtles, the pangolins and us humans. We feel that we have no right to die early, but we are stupid remember. We’re just pawns in this game (we even gave ourselves the name, pawns...who does that?)

So, if we assume that we are merely here to maintain a balance and if we really, really open our minds to it, would we still be surprised? Every few decades, since humans thought we took over the Earth, we have been systematically culled and wiped off and yet we insist on creating more and more of ourselves to deplete already depleting resources. They try to wipe us out with disease and we insist on finding cures or vaccines. If that doesn’t work, they give us greed to start wars. That almost worked until the last one but perhaps third time lucky? Then, we get new diseases and we make new treatments and vaccines only delaying the inevitable. Then come the natural disasters. We get earthquakes, typhoons, hurricanes, cyclones with weird names, volcanoes erupting, fires all over the place, landslides, floods and many more. We just keep coming up with ways to survive!

We think we will survive but if the balance has to be maintained, they will get us. We could beat a disease and walk out of the hospital only to be crashed into by an ambulance. Ironic! (the singer got it right) Try and defeat a pandemic by locking down and we get earthquakes breaking our homes and cyclones dropping trees on us. If we get enough vaccines, we will get reactions and side effects. If we survive this pandemic, religious wars will get enough of us. If we are to survive all of this, I wouldn’t be surprised to hear about WWIII or perhaps another drought or famine to wipe out a significant mass of people.

Anyway you look at it, it’s time we accept that our board game can only handle so many pieces and the rest are going to fall off. Make the most of your time here, stop hoarding things that will only get destroyed by natural disasters or remain unused once we leave the realm. Hug your loved ones often, kiss your children, smile at strangers, be kind to animals, empathize with those that are suffering and sympathize with those that just don’t get it!!

Podcasting with Pops In A Pod

2021-05-19T13:27:00.003+05:30

For those who missed this, here is the link to the podcast I recorded with the guys at Pops In A Pod, a new age parenting podcast run by two dads out of Mumbai, who talk about various things to do with parenting and kids!

I was invited to share my views on the current pandemic, the vaccination process and the vaccines available in India, the second wave, the impending third wave and what we need to do to keep our kids safe and sane.

Do listen in and share and feel free to share feedback in the comment section below.

@Popsinapod Episode 77

Positive after vaccination - How does it work?

2021-04-05T14:01:00.000+05:30

We all have been eagerly waiting to get the vaccine to end the mayhem created by the corona virus. We would all like to believe that vaccination is the only way to stop the disease from spreading. Is that completely true, though?

As per the experts, vaccination doesn't mean the end of the virus. Vaccination solely guards your body against the dangerous effects of the virus. The infection can occur at any time, vaccination just helps in warding off the serious issues that it might trigger. People who have been vaccinated also need to abide by all safety measures to prevent contracting the virus. These people can even transmit the virus to others.

What this means is that for a vaccination to declare that is works, all it has to do is to prevent you from getting a severe infection. It may not prevent you from actually getting the virus in the future, although there are ongoing studies to prove just that.

In the next few months, Pfizer and Moderna are expected to release data that should indicate how often vaccinated people become infected by the virus, even if they have no symptoms. The companies have been testing participants in their vaccine trials for antibodies to a protein called N that is part of the corona virus but not part of the vaccine. Finding those antibodies would mean that a vaccinated person has been infected by the virus.

So what exactly did they study when the made the vaccine?

The Pfizer and Moderna trials tracked only how many vaccinated people became sick with Covid-19. The study essentially took 2 groups and put them into a placebo group and a vaccine group and studied the risk of people getting sick with the corona virus without actually studying if the vaccine would prevent the infection in the first place.

Having said that, the vaccine will offer some protection from getting the virus. The way it works is this. The vaccine provokes the immune system of the receiver to make antibodies against the virus. Once the antibodies are formed, the immune system is primed to attack anything that remotely resembles the corona virus so that if you do get exposed and the virus does enter your system, it should be attacked by the antibodies.

How does this differ from immunity obtained after being infected?

In most respiratory infections, including the new corona virus, the nose is the main port of entry. The virus rapidly multiplies there, jolting the immune system to produce a type of antibodies that are specific to mucosa, the moist tissue lining the nose, mouth, lungs and stomach. If the same person is exposed to the virus a second time, those antibodies, as well as immune cells that remember the virus, rapidly shut down the virus in the nose itself before it gets a chance to take hold elsewhere in the body.

Vaccinated people may still harbour the virus in their nose and throat and these people who may not develop any symptoms could possibly be transmitting the virus without ever knowing it. It would only depend on whether the virus can replicate faster, or the immune system can control it faster.

What are breakthrough cases?

Breakthrough cases are those cases that test positive even after receiving the vaccine and can be either symptomatic or asymptomatic. This might occur in those people whose bodies cannot produce a robust reaction to a vaccine. Breakthrough infections are generally mild and do not require hospitalizations. Some people may have no symptoms at all and may be discovered only through testing. Absence of symptoms actually means that the vaccine is doing exactly what it is supposed to do: prevent people from getting sick, even if it does not fully block the virus from infecting them. If vaccinated people become silent spreaders of the virus, they may keep it circulating in their communities, putting unvaccinated people at risk.

Why are vaccinated people are testing positive for the virus?

- They are not following the precautionary measures such as wearing masks in public, sanitizing hands, maintaining social distancing and ignoring the other safety protocols as advised by the health ministry

- Not following the after vaccination rules as told by the doctors (eg alcohol consumption, taking immunosuppressive drugs)

- Not getting the second dose on time or not getting the second dose at all

- Barrier in immunity (may not mount a good enough immune response)

As of now, the only way to be absolutely sure of not getting the infection is to continue to follow strict hygiene measures in terms of hand washing and sanitizing, respiratory hygiene including wearing a mask at all times when outside your safe zone or in presence of strangers, covering your mouth and nose when your cough or sneeze, not rubbing your eyes, nose or mouth under any circumstances. These measures have to continue until a larger segment of the population is vaccinated and the transmission chain can be effectively broken.

Vaccinate or Not

2021-03-18T12:51:00.000+05:30

Summary of webinar on Current Vaccines and Newer Strains of Corona Virus

Salient points.

1.All appoorved vaccines including Pfizer, Moderna, Covishield and Covaxin have ~100% efficacy in preventing Death due to Covid. In addition to this they also have

-Very High efficacy against Severe Covid Infections

-High to moderate efficacy (60%-95%) against symptomatic Covid infections but

-poor efficacy only against asymptomatic covid infections

So people should not run after efficacy data while choosing a vaccine.

2. Because all vaccines prevent severe covid and death, vaccination of a large cohort of population is important if we want to save the humanity from the ill effects of the current pandemic.

Every one should get vaccinated and encourage others to get vaccinated.

3. Nasal vaccines might be able to prevent even asymptomatic covid because it generates local IgA antibodies cutting chain of transmission and bringing an end to this pandemic.

4. Vaccination of 10000 pregnant ladies has been done in USA without any additional side effects seen upto 3 months of follow up. Hence, pregnant ladies can also be safely vaccinated.

5. People with allergy to food, drugs, latex, venom previous non covid vaccine can safely take covid vaccine.

6.Only people with severe anaphylaxis to previous covid or non covid vaccines should avoid covid vaccine.

7. People who have had Covid in the past must opt for Covid Vaccination four to six weeks after recovery.

Data is emerging that they might need just one shot of the vaccine as Robust Neutralising Antibody titres and Strong T cell responses have been found in them even after single shot of vaccination.

8. People who have received Plasma therapy should wait at least four weeks before taking a vaccine. During these four weeks, the preformed antibodies transfused in external plasma will wane off and this will avoid the neutralization of virus (protein) produced by covid vaccine

9. People with severe disease who are admitted should wait at least 4 to 10 weeks after recovery before taking any vaccine.

10. People with Diabetes should go for vaccination after taking food/breakfast. This would ideally apply to all as there is a wait time involved.

11. People who are on Corticosteroids should decrease dose to less than 7.5 mg per day, if possible for six weeks, when taking the vaccine, because higher doses act as immunosuppressives and may decease immunity development.

12. Inhaled steroids need not be tapered when taking covid vaccine because systemic bioavailability of inhaled corticosteroid is low.

13. People with nasal allergy, Bronchial Asthma, skin allergy can all be safely vaccinated.

14. People on immunosuppressive agents like methotrexate should stop the drug two weeks before and two weeks after the vaccine

15. Rituximab given for Non- Hodgkin's Lymphoma, Rheumatoid arthritis should be avoided for at least 4 weeks {drug acts by attaching to B cells}.

16. Those being treated for Blood cancer and who have been given Bone Marrow Transplant should wait at least 3 months

17. Those being given Monoclonal antibodies can be given vaccine safely as it is not live vaccine.

18. Those without bone marrow transplant/Cell therapy should wait for vaccine till Absolute Neutrophils Count returns to normal.

19. Those who are planning to undergo surgery should to take vaccine at least 2 weeks in advance for protection.

20. For patients with Autoimmune diseases like SLE, Sjogrens Syndrome, no disease specific data exists but theoretically Covishield and m RNA vaccination is unlikely to increase auto immunity. Vaccination should be encouraged though extra caution be taken.

21. Older people should be encouraged to take vaccine as risk of covid mortality is high among them.

22. People with Dementia, paralysis etc neurological disorders should take vaccine as their covid appropriate behaviour is likely to be compromised.

22. Stable CKD, Cardiac failure, Liver failure can take the vaccine but their immune response may be poor.

23. Immunocompromised people should preferably be given Covishield vaccine as it has a non replicating viral vector coding for spike protein.

24. People talking Aspirin and Clopidogrel need not stop these drugs before vaccination.

25. People on anticoagulants can be given vaccine safely.

For any clarifications please feel free to contact me personally

Source:

https://www.umms.org/coronavirus/covid-vaccine/facts/strain