Pankaj Desai's Blogs

About the book: New and latest edition of this best-selling book titled Recurrent Spontaneous Miscarriages has just been published and has already been declared The Best Seller in obgyn. Extensively overhauled, profusely illustrated and interlaced with clinical case studies, this new edition covers all aspects of recurrent miscarriages up-to-date. This second edition has many nuances incorporated within. Aspects of Obstetric vasculopathies in reference to recurrent miscarriages have been specially handled. Special attention has been given to recent advances in immunology and ultrasonography in approach to a subject with recurrent miscarriages. Frequently asked questions regarding the use of heparin, progesterone, HCG and other supplements have been refreshed in the light of latest literature. Literature review has been stretched to include references upto December 2013. Evidence-based practice in recurrent miscarriages with practical tips to the management of these cases...

“Sir there is a rupture uterus. She is looking very pale. We are arranging for blood. The anesthetists have been called” – it was a typical call from one of the junior doctor on duty from the  labor  room in the middle of the night. Such calls instantly awaken and put the consultant-on-duty in alert mode.  As I accelerated my car on the nearly deserted roads in the middle of the night, I did a mental rehearsal of what all complications and challenges I was likely to face and what all should be done. No wonder rupture uterus is called “electric emergency in obstetrics”. It is a potentially catastrophic event during childbirth by which the integrity of the uterus is breached. It is a life-threatening event for mother and baby. Rupture uterus: Baby dead, mother endangered As I was racing up the stairs to the  labor  room operation theater, I passed a junior doctor. He was obviously breathless hurrying back from the blood-bank carrying two un...

Bleeding Emergency She was rushed down to the obstetric emergency rooms with advanced pregnancy, increased blood pressure and heavy bleeding. Almost immediately she delivered. Her baby was a stillborn.  It did not stop at that. Because of raised blood pressure and bleeding for a long time before she could reach the hospital, her kidneys failed.   This was indeed a bad condition to have. Thankfully her kidney failure appeared to be of the type where recovery was possible. But in the mean time she needed dialysis. As luck would have it, all the three dialysis units at the hospital were dysfunctional and so she had to be shifted to another government hospital in a still bigger city about a 100 miles away. Hospital Transfer Ambulance Obviously she was in no position to spend for her transport but the hospital had the facility to transfer her free in its ambulance. Though the main part of the dialysis at the government hospital was free, each cycle of dialysis wou...

Medical college hospitals have some very interesting routines. One of them is The Grand Round . Though its structure and name may vary from one hospital to another, in the obgyn department where I worked it was on the day on which we had our minor OT. On this day surgeries which did not need major anesthesia were performed. The chief of the unit would take the round with all other junior consultants and all postgraduate students. It was a spectacle – the chief walking cot by cot surrounded by his entourage of his subordinates and nursing staff. One fine morning in one such grand round, the chief stopped by a patient who had choriocarcinoma (a quick-growing form of cancer that occurs in a woman's uterus (womb). The abnormal cells start in the tissue that would normally become the placenta). Choriocarcinoma occurs in young subjects in their reproductive age. Thankfully it is very responsive to treatment. The subject in question was being administered chemotherapy (medic...

 OBSTETRIC VASCULOPATHIES  This book has already been proclaimed as a best-seller within three days of its publication. For buying this book click on:   http://www.jaypeebrothers.com/MyShop/MyShop.aspx?ID=9789350904510 About the author: Dr. Pankaj Desai is one of the best known academicians and teachers in Obstetrics and Gynecology in India. All his eight books have proved to be best-sellers, one of which was awarded the best book award in the subject. A prolific writer, he has contributed 38 chapters to different text books internationally and nationally. His outstanding academic contributions in the subject have been acknowledged and honored with 7 gold medals and 50 orations. An extremely popular teacher that he is, he has delivered 597 guest lectures in different parts of India and the world at the time of this book going for print. He has published 103 research papers till date, 9 of which have been awarded best research paper prizes. His we...

Fire station at Dandia Bazaar Opp. my home As a member of our national fraternity organization, I was once confronted by a very strange request. A typical tight upper-lip gentleman gynecologist from one of the four huge metro cities of India walked up to me and said: “Can’t you rephrase your postal address? Dandia Bazaar – what an address!” Well my postal address is indeed “Guru-Krupa”, Opp. Alankar Apartments; Dandia Bazaar…   I was amused. I asked him: “What is wrong with Dandia Bazaar?” Out came his bias “You live in a bazaar? Dandia BAZAAR – so middle-class!” I burst into an uproarious laughter.  The typical tight upper-lip snob Some years ago I was told by a gynecologist friend: Do you know – one of our federation office-bearer who is always so proud of having studied in UK for three years (forgetting he studied in India for twenty five years preceding) and wears bow-ties (probably even while sleeping) to look so upper-crust British told me – “How you ca...