Why branded drugs cost way more than their generic counterparts?

Whether a particular drug is branded or generic, it’s efficacy and safety profile should be the same. Often with the intention to reduce costs of medicines, less ethical means are taken to that end. If drug regulation is poor, unethical businessmen will stop at nothing to increase their profit margins. Our focus should not only be in reducing costs of drugs but more on ensuring that quality and reliable safe drugs reach the end consumers-the patients.

When will Artificial Intelligence replace Human Doctors?

AI robots will be complementary to human doctors and won’t be a zero-sum game for a long time to come. AIs will help us reduce our mistakes, decrease our workload, make us work more sane hours and in turn manage our work-life balance- but at least in the foreseeable future they aren’t going to replace us. Maybe it will lead to lot of us doing less mundane, repetitive jobs and with doctors doing much higher intellectual level work.

The rodent that dug into the eyelid! Basal Cell Carcinoma

BCC is one of the commonest eyelid malignancies in India. While in the west, BCC accounts for nearly 90% of the eyelid malignancies, in the Indian subcontinent, BCC cedes it’s top position to Sebaceous cell carcinoma in India. BCC is a non-melanocytic cancer of the skin arising from basal cells of the epidermis. It is mostly seen on sun exposed areas, particularly in the head and neck region. BCC is caused by skin damage caused by prolonged exposure to ultraviolet light thus explaining the preponderance of this cancer in Caucasian skin which does not have the protective effect of melanin.

The Dog and the Eyebrow! Eyebrow Reconstruction

The Eyebrow is a unique facial aesthetic unit and it’s importance to the face is apparent only when it is disfigured with loss of the hair bearing skin like in this case. Likewise, reconstruction of the eyebrow is challenging because the thickness and direction of the eyebrow hair which is unique and not easy to replicate with hair transplants from other hair bearing areas.

Opening the eyes! Blepharophimosis

Blepharophimosis syndrome is also knows as BPES (Blepharophimosis, Ptosis, Epicanthus Inversus Syndrome). It is an autosomal dominant condition usually inherited from parents but not always.

How to take care of your eyes?

Surprising to many- not much! Our eyes are designed to self-service itself. Just the act of blinking has several functions: ​​If your body is healthy, your eyes will be too. Everything that is required for a healthy lifestyle also applies to the eyes. A balanced antioxidant rich diet Regular exercise 7-8hrs of uninterrupted sleep Positive attitude.Continue reading “How to take care of your eyes?”

Contrarian View: Why a Covid-19 vaccine might not be the answer to end the pandemic!

Vaccines are tough business. From all the decades of collective knowledge in vaccine development we have, it is very rare that we will get a successful vaccine for any disease. Vaccine development takes years and for good reason.

Tumour Behind the eye! Intra-conal Orbital Cavernous Hemangioma

In an earlier era, these tumours would be removed via a craniotomy (brain surgery) by neurosurgeons or a disfiguring open surgery sometimes causing the loss of vision in the involved eye by other surgeons- that’s way too much morbidity for a benign tumour. But with the advent of modern day techniques and skilled oculoplastic surgeons performing orbitotomy today to remove such tumours, this surgery’s risks and complications is very low with the added advantage of a scarless as well as without even having to remove bone. This surgery is followed by a mostly uneventful recovery period.

OSSN- Cancer of the surface of the eye!

Ocular Surface Squamous Neoplasia (OSSN) is a spectrum of pre-cancerous and cancerous lesions of the conjunctival epithelium (transparent coat covering the surface of the eye). The good news is that, this type of cancer can be completely cured by surgery and/or chemotherapy eye drops if diagnosed before it becomes an invasive Squamous Cell Carcinoma.

Radiology Saves the Eye

While going home that evening, I reflected on how much technology had advanced that surgeons like me get to perform apparent everyday miracles like this while confidently knowing what it is that we are going after. Couldn’t help but remember Arthur C Clark’s third law:

“Any sufficiently advanced piece of technology is indistinguishable from magic.”