Thursday, 25 October 2018

Saturday, 30 June 2018

Happy doctors day - CMCS Health.



Medical Treatments in India with Best Doctors in Best Indian Hospitals.

Happy doctors day - CMCS Health.



Medical Treatments in India with Best Doctors in Best Indian Hospitals.

Tuesday, 22 May 2018

Clearing some misconceptions.

Medical Treatments in India with Best Doctors in Best Indian Hospitals.

Tuesday, 1 May 2018

Blood cancer treatments in India - 1 / Acute Myeloid Leukemia (AML) - CMCS Health.

Medical Treatments in India with Best Doctors in Best Indian Hospitals.


Leukemia or Leukemia can be classified as group of cancers that originate in Bone marrow and are characterized with abnormally high number of white blood cells . These while blood cells are not fully developed WBCs and are termed as blasts or leukemia cells. These abnormal WBC suppress the production of normal blood cells that ultimately culminate in anemia and other symptoms.

What are various Types of Leukemia :

Leukemia or Blood Cancers can be classified into sub-types depending on the time of disease progression and type of cell that has undergone the genetic mutation.
When the cells are multiplied rapidly and the onset of disease is fast it is termed as acute whereas when the onset of disease is slow and the symptoms are barely noticeable it is called chronic.
When the genetic mutation occurs in the myeloid cells the leukemia is termed as Myelogenous Leukemia whereas when the lymphocytes undergo the genetic mutation the leukemia is called lymphocytic leukemia. Depending on these characteristics disease Leukemia can be classified in four major sub-types.

  • Acute Myelogenous Leukemia (AML)
  • Acute Lymphocytic Leukemia  (ALL)
  • Chronic Myelogenous Leukemia (CML)
  • Chronic Lymphocytic Leukemia (CLL )


In this series about various Blood Cancers ( Leukemias) and their treatment in India ,The first one is about Acute Myelogenous Leukemia ( AML).

Acute Myelogenous Leukemia (AML): 

AML is the mutation in immature blood cells on the myeloid lines. In AML Patients there is an over production of immature WBCs ( Blasts) ,which occupy the majority of Bone marrow and hinders the production of normal blood cells. As there is reduced production of normal blood cells ,AML patient will be prone to anemia , bruising and bleeding easily  and recurrent infections. The leukemic blast cells eventually overflow into blood stream and can get accumulated in other organs like liver,spleen,lymph nodes,central nervous system ( spinal chord and brain) and testicles.

Signs and Symptoms of AML:


What are Risk factors associated with AML :

Following factors are identified as higher risk for developing AML.

1.Smoking:

   Smoking is the only proven life style related factor for AML. Researchers attribute about 20% of AML cases to smoking tobacco.

2. Radiation: 

   High dose radiation exposure (As in case of a survivor of Atomic bomb blast or nuclear reactor accident) are at a higher risk of developing AML most often about 6 to 8 years of exposure. Radiation treatment for cancer also increases the risk of AML. The risk varies with the amount of radiation and the treated body part.
Continuous Low level radiation exposure like from X Ray machines and CT scan machines are also linked to risk of developing AML in foetus in formative years , that is the reason doctors practice to limit the exposure in children and pregnant women.

3.Chemical Exposure:

 Long term exposure to certain chemicals like Benzene is considered a risk factor for     AML. Benzene is a solvent used in the rubber industry, oil refineries,chemical plants, shoe manufacturing, and petroleum-related industries, and is also found in cigarette smoke, gasoline and motor vehicle exhaust, and some glues, cleaning products,detergents, art supplies, and paints.Unconfirmed researches also link heavy exposure to formaldehyde as a risk factor for AML.

4. Chemotherapy Drugs:

    People who have undergone chemotherapy with medicines like cyclophosphamide,procarbazine,
    chlorambucil,melphelan,busalphan,cisplatin,carboplatin,epirubicin and doxorubicin for treatment        of other cancers are also at a higher risk of acquiring AML later on.

5. Certain Blood Disorders:

    Certain blood disorders are also associated with increased risk of AML. Chronic                                  Myeloproliferative disorders put the sufferer at a higher risk for AML.
    Myelodysplastic syndrome (MDS) may develop into AML if not treated in time.

6.Genetic Disorders:

People born with certain genetic disorders are at a higher risk of developing AML. Genetic                disorders like Fanconi Anemia,Bloom Syndrome,Kostmann syndrome,Neurofibromatosis Type 1,Diamond-Blackfan Anemia, Le Fraumeni Syndrome increases the risk of AML.

7.Age and Gender:

Although AML can occur at any age but men above 50 are at a higher risk of AML. AML is more common in men than women.


HOW AML is diagnosed ?

Once you approach a doctor for your sickness and symptoms usually after an abnormal CBC (Complete Blood count ),doctor will take your family history , do a physical examination paying special attention to your eyes,mouth,skin,lymph nodes,liver ,spleen and will look for areas of bleeding and bruising or any possible infection. Your risk of Having a Leukemia will also be assessed by the doctor. If your doctor suspects your sickness to be leukemia,he will order a CBC and peripheral blood smear.
Depending on these test reports your doctor may refer you to a Hematologist ( An specialists of blood diseases).
At CMCS Health ,we are associated with well qualified and experienced Hematologists for best treatment of our global guests.
A hematologist will have to diagnose your disease ,staging of disease and suitable treatment options if you are suffering from AML.
The Following tests and scans will be recommended by your Hematologist for confirmation of diagnosis,staging and deciding about treatment course.

Bone Marrow Tests: 

The samples for the two tests are usually taken from the back of pelvic ( hip) bone, which are carried out simultaneously.These two tests are :

  • Bone Marrow Biopsy
  • Bone marrow aspiration
The other tests and screenings are:
  • CSF ( Cerebro-spinal fluid) samples are collected through a Lumber puncture or spinal tap if your doctor suspects that the disease may have spread to brain and spinal chord.It is also done for administering the chemotherapy drugs either to prevent the leukemic cell invasion of CSF or treat the spread of disease to brain and spinal chord.
  • Routine microscopic examination 
  • Cytochemistry
  • Flow cytometry
  • Florescent in situ hybridization ( FISH)
  • Polymerase chain reaction ( PCR )
There may be other imaging tests recommended by your treating doctor ,not for diagnosing AML but for staging and gauging the spread of disease. These tests may include chest X rays,CT scan ,CT guided needle biopsy,PET/CT, MRI and Ultrasound.

Treatment Of AML:

Treatment of AML is mainly chemotherapy , sometimes chemo is given along with a targeted therapy drug, Bone Marrow transplant or Stem cell transplant are also used for patients who are in higher risk of relapse of disease.In special circumstances Radiation therapy and surgery is also combined with Chemotherapy.
Although AML usually affects ageing adults but it may also affects people pf any age and children too. For treatment of pediatric AML at CMCS Health we are associated with best Pediatrics BMT specialists and hemato Oncologists.

For Any Queries regarding medical treatment of Leukemia or Blood Cancers in India with Best Indian Specialist Hematologists at well equipped Indian Hospitals please contact at:

contact@cmcshealth.com


or WhatsApp at :

+91 9971986258






Monday, 2 April 2018

Orthopaedic Surgeries: Bone, Hip and knee joint replacement surgery.

Orthopedic Surgeries: Bone, Hip and knee joint replacement surgery.


The branch of medical field that deals with diseases related to musculo-skeletal or bony frame of body is orthopaedics. The abnormal medical conditions related to bone, joints, muscles, tendons, ligaments and nerves are treated by Orthopaedic Surgeons.
Orthopaedic Surgeries in India:The major orthopedic surgeries performed by our expert and well trained orthopaedic surgeons are listed below:

  1. Arthroscopic Surgery: arthroscopic surgery is the surgery performed by trained and experienced orthopaedic surgeons by using an arthroscope. Arthroscopic surgeries are minimally invasive surgery and are generally used to examine and treat many medical conditions of joints,including torn cartilage or meniscus torn surface (articular) cartilage, ACL reconstruction, and trimming of damaged cartilage.The advantage of arthroscopic surgery over conventional open surgery is reduction in post surgery recovery time and better success rate because of less damage to connective tissues.
  1. Knee joint replacement surgery: Knee joint replacement surgery is performed when the conservative treatment fail to give desired results in patients of osteoarthritis, rheumatoid arthritis or psoriatic arthritis.
Knee joint replacement surgery may involve a partial or total knee joint replacement. The diseased or damaged surface and cartilage of knee joint is replaced with metal and plastic implant to restore mobility to knee joint. Knee joint replacement surgery is performed generally for debilitating pain arising because of meniscus tears ,cartilage deformity or degeneration, ligament tears , a sudden bone trauma in young patients and elderly patient suffering from advanced arthritis . Minimally invasive surgeries are performed now for shorter hospital stay and quicker recovery time. Our doctors give the choice of implants to our global guests depending on the age and requirement of patients. Best quality imported implants are used for excellent results.
Post knee joint surgery care and management:  The treating orthopaedic surgeon makes a complete follow up and rehabilitation plan for the patient post knee joint replacement surgery. Certain care is advised for knee joint replacement patients that are a periodic elevation of legs for preventing deep vein thrombosis, lower leg exercises for proper blood circulation, supporting stockings and in certain cases blood thinning medication for a period. Other precautions include prevention of fractures and infections, physiotherapy regimen for attaining complete motion of the joint. Patient has to walk initially with help of walkers or crutches to avoid full body weight on the new joint. Complete recovery from a knee joint surgery and full movement of joint may take up to three months.
  1. Hip Joint replacement surgery:
Hip joint replacement surgery is a surgery performed to replace the faulty and diseased hip joint with a prosthetic implant. Hip joint replacement may be partial or complete.Hip joint replacement surgery is performed for arthritis affected hip joints. A hip Joint replacement is considered by orthopaedic surgeon, when all conservative treatments fail to give pain relief to patient. Hip joint replacement surgery can be performed both by traditional way and by minimally invasive technique.
Post Hip joint replacement care and management: Certain precautions have to be taken from six to 12 months after hip replacement surgery, pivoting or twisting on the involved leg needs to avoided. Patient should also not cross the involved leg past the midline of the body nor turn the involved leg inward and avoid bending at the hip past 90 degrees. This includes both bending forward at the waist and squatting. After the hip joint has healed, certain sports or heavy activity should be avoided. Patient should keep in mind that the replacement joint is designed for usual day-to-day activity.
  1. Other Orthopaedic surgeries: The other routine surgeries like repair of fracture of femoral neck surgery, repair of trochanteric fracture , repair of rotator cuff tendon, repair of radius/Ulna. Repair of femoral shaft fracture, repair of fracture of Tibia /fibula, surgery for Repair of bones that have not joined properly ,surgery for correction of shortening of limbs, Surgeries for congenital bone defects and surgery for trauma and sports injuries are performed by expert orthopedic surgeons of India.
At CMCS Health we are associated with Best Orthopedics and Joint replacement surgeons in India who are well trained and well experienced to perform the procedure by using Computer assisted Surgery for better results. The minimally invasive technique ensures smaller incision, less loss of blood, quicker healing and less hospital stay required.



Rehabilitation plays an important role for early movement post surgery; we are associated with Best Indian Hospitals and Orthopaedic surgeons with well experienced Physiotherapist for our global guests.

The Name you can trust for specialized medical treatment of your near and dear ones.


Sunday, 3 December 2017

Complications of Diabetes- Diabetic Nephropathy.

Medical Treatments in India with Best Doctors in Best Indian Hospitals.

Complications of Diabetes- Diabetic Nephropathy.

Awareness is the THE LIGHT that keeps away the darkness of many sufferings.

At CMCS Health we have devoted ourselves for ensuring good health and best specialized medical treatment for all.We do believe that prevention is better than cure.In continuation of our efforts of 
ensuring good health we try to create awareness and arrange and
 coordinate best and cost effective specialized medical treatment for the sufferer in India with best Indian specialist doctors and best and well equipped and well managed hospitals.
Diabetes is not just one disease,it gives rise to many health problems. We are starting this awareness series about complications of diabetes associated health problems.
We have discussed earlier diabetes induced retinopathy.
In this blog we are highlighting another Diabetes Induced complication that is diabetic nephropathy.
The word Nephropathy indicates Kidney disease. Diabetic nephropathy means onset of kidney disease because of diabetes.
If untreated diabetic nephropathy can lead to irriversible kidney damage and ultimately kidney failure.