Dear Doctor, I’m a 60 year old male. I’ve had spondylolisthesis grade for past 13 years with bilateral pars fracture. I get mild pain/tingling in the right leg which is episodic, trigerred by some inadvertent action like bending. Occurs once in a year or two. Remains for 4 to 6 weeks and then resolves. I’m then completely normal. Is this a case requiring fusion surgery? Can I manage with care & exercises and avoid surgery? Thank you for your help.

Ans: Dear Navin,
What exactly is your issue here? How do you want me to guide you?
I can only assume that you are unhappy that your wife does not share much with you. Maybe because she finds it safe and comforting sharing with her side of the family?
Have a frank chat without complaining but hearing her as to what bothers you...that might help you understand her better.

All the best!

Ans: Dear Anonymous,
Let's put it all in one form...
1. You married a man who has a drinking problem
2. You feel sex is painful and believe that it is
3. You wonder if having sex can solve all your problems
4. You want to know if basic care and affection can override sex
Who is at fault must not be your question but rather ask what can be done here to rebuild the marriage?
Firstly, if you husband has a drinking issue, why has this not been treated? Instead the focus is on sex and no sex...
Sure, sex is a part of any marriage and it certainly can help couples bond together in a better way. But is it the only thing to save a marriage? NO!
But it's possible that sex may help your husband communicate better with you at an emotional level as well. You see, physical and emotional bonding go hand in hand. And wherever you got the idea that sex is painful needs to worked upon. Honestly, you are missing out on a beautiful element within marriage.
Kindly seek professional help for yourself on this, your husband for his drinking issue and it will help going for couples therapy. Do what needs to be done to put your marriage back together. Long journey, if you feel this can actually help and that you want that help...

All the best!

Ans: It is due to immune response targeting the insulin producing cells in the pancreas. As a result, insulin production goes down drastically or even stops. It can happen post a viral infection when the body starts producing antibodies that Target it's own tissues. There is no prevention as such as it isn't diet or lifestyle related.

Ans: Hello Lomina,

First and foremost, thank you for getting in touch with us. I am happy to hear that your brother is currently pursuing his Bachelor of Pharmacy (B.Pharm) and will graduate next year. To answer your question first, I would like to tell you that based on his interests and professional objectives, there are many career paths that your brother can pursue once he completes his degree. I would recommend that you consider the following:

Your brother can consider working as a pharmacist in retail pharmacies, hospitals, or community pharmacies. Remember that this is the most typical employment route for graduates of B.Pharm. Pharmacists provide medications, advise patients on how to take them safely, and other health-related services. If your brother possesses strong writing abilities, working as a medical writer, crafting content for regulatory bodies, pharmaceutical companies, or healthcare organizations, is one of the other jobs that he could choose from. Documents including clinical trial reports, regulatory filings, and instructional materials are created by medical writers. Your brother may choose to work as a hospital administrator, wherein he would be responsible for controlling pharmaceutical services in healthcare facilities, in turn, guaranteeing effective medication administration, and monitoring drug delivery networks. Another career path for your brother includes taking up a job as a clinical research associate (CRA) or working in other research-related roles in research institutions or pharmaceutical companies. Remember that in order to make sure new medications are safe and effective for use, this entails conducting trials to test them. He can also choose to work in drug safety and pharmacovigilance, checking if the medications sold are safe, looking into unfavorable incidents, and making sure safety rules are followed. Your brother can also take up a job in regulatory affairs, making sure that pharmaceutical items adhere to rules and norms established by regulatory bodies. This entails creating and submitting regulatory paperwork, verifying regulatory compliance, and coordinating with regulatory authorities. Your brother can also choose to work in quality control or quality assurance positions in pharmaceutical companies, making sure that products adhere to regulations and standards of quality. In addition to the above, I would like to let you know that your brother can also pursue further education, viz., a Master's degree (M.Pharm) or a Ph.D. in pharmaceutical sciences or associated disciplines. Remember that pursuing higher studies can lead to possibilities for teaching, research, or advanced roles in areas viz., pharmaceutics, pharmacognosy, medicinal chemistry, or pharmacology.

When choosing which career path to opt for upon finishing his Bachelor of Pharmacy (B.Pharm) degree, I would suggest that your brother takes into account his abilities, interests, and professional objectives. Lastly, I would like to say that acquiring practical experience through internships or entry-level work may prove beneficial, as this will allow your brother to investigate other career paths and learn valuable skills in the sector.

For more information, you can visit our website.

Ans: Dear Mr.Shubham

Please focus on the value that you are delivering for the organisation and the skills that you are building for yourself, let salary be the outcome. This way your salary will automatically increase as organisation will see value in your work.

All the best.

Ans: its a very generic question, please be specific what are trying to ask. On another note have a healthy relationship with your partner, let them be the person they are, avoid changing them. Let them know what about them upsets you but dont nag or play blame game , laugh a lot, keep the child in you always. There will be disagreements galore, avoid screaming or crying when you deal with such situations....vent off the steam and get back to being normal vs holding on to it....live life honestly and truly live it as we live just once.

Ans: Hello

Please suggest her to complete her MD Psychiatry and then purse Psychology that will give her and edge over others.

All the best

Ans: Hello

Please ask her to learn accounting software like tally and take up work with accounting firms.

All the best.

Ans: Hello

One you can explore online tution in your area of profession which is teaching.

Secondly, with internet one can embrace any profession that one wants to, for that may I suggest you explore a bit as to what your area of interest would be.

Also, please note career change requires lot of efforts and it's not as easy as it sounds, so please be prepared for that journey.

I am sure with your determination you will find what you are seeking

All the best