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बऱ्याच जणांना गुडघेदुखीचा त्रास होत असतो. वयानुसार गुडघ्यांची झीज होणं हीदेखील सामान्य समस्या आहे. पण गुडघेदुखीचा त्रास वाढल्यानंतर उपचारांसाठी आता रोबोटिक सर्जरीसारखी अत्याधुनिक पद्धत उपलब्ध आहे. रोबोटिक सर्जरीमध्ये अधिक अचूकतेने गुडघा बदलण्याची प्रक्रिया करता येते आणि पारंपरिक पद्धतीच्या तुलनेत कमी वेदना, लवकर हालचाल आणि रिकव्हरीसाठी मदत होऊ शकते. या सर्जरीबद्दलची सगळी माहिती जाणून घ्या डॉक्टर कपिल कापडनिस यांच्याकडून.

Appointment booking contact: 7030488444.
Medinova Shatabdi Hospital, Mumbai Naka, Nashik.

Website:-drkapilkapadnis.com
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Transcript
00:00When we are in the house, we are in the toilet.
00:03We are very stressed in this situation.
00:07We know that our patient's mobility is a good thing.
00:11We have 100% of our concentration and technology.
00:15We are able to help them.
00:20We are emotionally and personally attached to our patients.
00:23We are attached to our home.
00:24we are attached to our own family, we are in our home and our family is in our house
00:31We are doing this in our house
00:36How much of the surgery is to be your surgeon?
00:39I have been doing this in our house, the delivery of surgery is 100%
00:44and we are doing this in our house
00:45so many more people are doing this in our house
00:45Do you have a bit more joint replacement?
00:47I have a bit more
00:49We have a lot of time when we are doing this, we have to do this
00:51and we have to do this in our house
00:54This is a very big thing.
00:57I have a question.
00:59So, what do you think about this science or science?
01:04100%.
01:05It's a tissue, it's osteoporosis.
01:08It's osteoporosis.
01:10It's also a part of it.
01:13For the female patients,
01:15and for the male patients,
01:17we don't care about it.
01:18And our patients love us.
01:21We don't care about it.
01:23We don't care about it.
01:26We don't care about it.
01:27We don't care about it.
01:29We don't care about it.
01:29It's a good day.
01:56We don't care about it.
02:00We don't care about it.
02:21We don't care about it.
02:22That's the same thing.
02:26How do you manage the marathon?
02:29I don't care about it.
02:50We don't care about it.
02:50We don't care about it.
02:54You know, I think the people feel like I'm living there.
02:59I don't care about it.
03:00I know, I'm very excited that you have a lot of time.
03:03I'm feeling very good.
03:14and our team, which was immune, was good enough.
03:22To manage this, we have very small mental health,
03:26so we have to participate in the same patient's selection.
03:32We have the same patient's selection and the other medical problems,
03:37that's why we had the same patient's out-of.
03:39People are not wearing a dress or a person.
03:42Some people are not wearing a dress.
03:45But we arrange transportation.
03:47They are not wearing a dress.
03:51But some people are not wearing shoes.
03:55But they are not wearing a dress.
03:57They are rich and have a good amount of money.
04:01But they are not wearing a dress.
04:04I don't have a dress.
04:07And the next day, we did it and we did it and I felt like Ayesha was able to feel
04:14it.
04:15Khoro Khrani, this is a challenge, this is an event run.
04:19But if you do this, how do you get your attention?
04:25Right.
04:27We have a reflex in our human brain.
04:30We have a brush every day.
04:33We have a reflex in our hands.
04:34That's right, you are very right.
04:36But when we go in operation theater, it is like a meditation.
04:40The patient is like that.
04:41Ayesha doesn't have any resources.
04:43And we will deliver 100%.
04:45We have a robot system.
04:48It is a machine.
04:50It is an AI-generated machine.
04:52In every surgery, there are errors and components.
04:56They are accepted.
04:57Every surgery, we have to maintain alignment and alignment.
05:02It is an AI-generated machine.
05:04So, technology and dedication.
05:06We have to do the results.
05:10We have to do the results every day.
05:36especially in our branch and orthopedic
05:39but our patient's mobility
05:42will be able to get 100%
05:45concentration and technology
05:47and we will be able to do it
05:51So, if you have a patient with joint replacement surgery
05:55then he will do it
05:58obviously he will do it
06:00but he will do it
06:02and he will do it
06:05It is a joke
06:06There are many joint replacement surgeons
06:08and they are doing really well
06:10and we will do it
06:13We will do it
06:15We will do it
06:15Are you using the right technology?
06:19Are you able to update the knowledge?
06:21Are you able to produce the same results?
06:25and you will be able to make sure that the surgeon will come
06:27You have to operate the patient with the patient
06:31and the results
06:33The results are not compromised
06:34As I told you
06:35We have access to our weight-bearing joint
06:37It will be a little bit
06:39and you will know it
06:40So, the surgeon will be trustworthy, reliable
06:43and technology
06:44and knowledge updated
06:46and the patient will be able to do it
06:52It will also be able to do it
06:53We will do it
06:53Yes, the surgeon
06:54and the surgeon will be able to do it
06:55We will have to do it
06:56With the patient's name
07:02and how many patients are
07:03So, how are you doing it?
07:11Okay
07:11In early age, we need to have early patients.
07:14The patients have a degenerate.
07:17They have 15 patients that have joint replacement.
07:21But patients have their life expectancy.
07:24You can get your life expectancy.
07:27And if you are lucky enough,
07:29the patients have a heart tissue.
07:32They have a joint,
07:34and they deliver their results.
07:36and deliver them.
07:37And if you have such a patient, you have such a patient, but you have such a patient that
07:43the case is a bit critical.
07:44And that is why you have such a patient?
07:46Yes.
07:47There are a lot of patients.
07:48But there are a lot of patients recently.
07:51He was from Mumbai.
07:53He didn't have a lot of patients.
07:57And he was bedded and almost.
07:59And he had a lot of patients.
08:02He had a lot of patients.
08:06But somehow, he was not able to walk.
08:08And my first time, we had to work with him.
08:13We had to work up with x-rays.
08:15Then we decided that we will go ahead with the surgery.
08:19And we had to do the biopsy.
08:21We had to do the diagnosis.
08:23And we had to do the diagnosis.
08:25So we had to operate.
08:26We had to do the hip replacement.
08:28The hip replacement, he started walking.
08:31Of course, with the help of walking aid.
08:33And if there was 3 or 4 years, without walking aid,
08:36could we just take the walker?
08:37Then we had to walk.
08:40That's why we had to have to do it.
08:41And we have to do this.
08:43We had to get to do it.
08:45So we had to get to do it.
08:49We had to take the discharge.
08:50We had to get the discharge.
08:51That was what we had to do today.
08:54And yes, the other thing, it's not very confusing to be able to get the first step of being a
08:58surgeon
09:00Before surgery, we need to work up, before surgery, we need to get the CT scan, MRS
09:04We need to get on-table surprises and we need to do yoga, that's why
09:09Okay, and so many patients have so many patients, so you have to get attention to your patients
09:13Yes, yes
09:14So you have to get attention to your patients, so how do you manage that?
09:20We work at the emotional level, we get attached to our patients
09:25We get personally attached to our patients, we are emotionally attached to our patients
09:30Our patients, our patients, our homes, our homes, our homes, our homes, and our homes
09:36We keep our patients in that situation, we are able to do it
09:38And secondly, we have our team, our dedicated team, our homes, we have all the work
09:44And we don't have to do it, we have to do it
09:49100% to every patient.
09:51Okay, now you are not available for your attention.
09:54You are not only a surgeon.
09:58You are a good team.
09:59The rest of you can handle it.
10:02So, how important is it?
10:03A very important point.
10:04Without a team, you cannot run this show.
10:07You can do it without a team.
10:09We have a very big team.
10:10We have junior doctors, surgeons.
10:13We have a physiotherapist team.
10:16We have floor managers.
10:17We have a wonderful team.
10:18There are specialists.
10:27We have to wait our time.
10:30We have to wait our staff.
10:31We have to wait our time.
10:32So, I have a great team.
10:33I am blessed to have such a good team.
10:36You have the best thing you have to handle all the patients.
10:40You know many of these treatments that I have done earlier.
10:43And what happens?
10:44So, we are perfect in joint replacement now.
10:48Because for this surgery, for this surgery, for this surgery, we get it.
10:53And then we deliver it.
10:54If the patient wants to ask, we can answer it.
10:57We have a team.
10:59We have a master's.
11:01So, Dr. Veliz Navad, sir.
11:04When you came to help with the robot system,
11:06do you have any help in the surgery?
11:10We have adult weight.
11:11Every adult weight.
11:12We have 7-7 kg.
11:15We have a cylinder of 15 kg.
11:17We have adult weight.
11:20We have 7 cylinders of weight.
11:22And we have a total weight.
11:25We have a lot of physics.
11:28We have axes.
11:29We have rotations.
11:30We have center of gravity.
11:32We have femur and TBH alignment.
11:36We have mechanical axes.
11:37We have to restore all axes.
11:38We have to restore access.
11:39We have to restore access.
11:41We have to restore minimum energy.
11:44When we have joint replacement wear.
11:46Then we have two needs.
11:48We have to restore access.
11:51And we have to restore access.
11:53And when we restore access,
11:55we can get the error,
11:56we can get them.
11:59And here, this is the robot.
12:00This is a real-time robotic system.
12:03This is a real-time robotic system.
12:03This is a real-time robotic system.
12:05Without any radiation,
12:07without any radiation,
12:07without any radiation,
12:09without any mapping,
12:11the robot doesn't accept the error.
12:14Every surgery will be 100%
12:17and every result will be 100%
12:20Okay, now
12:22the robotic surgery is easy.
12:25But
12:26if the doctor
12:27will be a little tough part of it.
12:30How important is the surgeon
12:32to be the surgeon?
12:34I think
12:35the driver is a driver.
12:41The driver is a driver.
12:44The driver is a driver.
12:45The driver is a driver.
12:47The driver is a driver.
12:47I am fortunate.
12:48When the first robot came in
12:51the first robot system,
12:53Dr. Narendra Vaidya Sarajama,
12:55the driver is a driver.
12:56Fortunately, I was part of the SERS team.
12:58In 2006, I got a robot
13:00and I got a robot.
13:02I got a master,
13:04I got a master,
13:05I got a master,
13:06I got a master,
13:06I got a master,
13:06I got a master,
13:08I got a master,
13:08I got a master.
13:11Yes, yes, I got a master.
13:13I got a master.
13:16How many years of the robot
13:40I think that there is a robotic system.
13:44There is a robotic system.
13:46There is a air-generated robot.
13:47We definitely have to think about it.
13:49But what we are waiting for is that the operation of the patients
13:52will have an effect.
13:54They will have a degenerate, a molecule,
13:57a medical management,
13:59but let's see how it goes.
14:01Now, when patients are curious,
14:05do you have a little bit of joint replacement?
14:08Yes, yes.
14:09Even joint replacement,
14:11even joint replacement,
14:15people are thinking about joint replacement.
14:17And that was very true.
14:18Science was not developed.
14:20Implant designing was not accurate.
14:22The operation is a common rule.
14:23The operation is a failure.
14:25It is a failure.
14:26The operation is a failure.
14:28It is a failure.
14:31But there is a new implant design,
14:35technology,
14:36it is a failure.
14:37It is a failure.
14:38People are happy and aware.
14:41They are ready for surgery.
14:43There are many options.
14:43I will have to do it.
14:44And how do you recover from this surgery?
14:48How do you recover from patient to patient?
14:51It varies from patient to patient.
14:53But by and large,
14:5490% of patients,
14:55we will go next day.
14:56We will do it every day.
14:59We will not do it.
15:01We will not do it.
15:01We will cut the quadricep muscles.
15:03We will not cut the quadricep muscles.
15:05We will not cut the PCL ligament.
15:07We will not cut the pneumo-dissection.
15:10We will cut the quadricep muscles.
15:14We will cut the quadricep muscles.
15:15We will cut the quadricep muscles.
15:18But there will not cut the quadricep muscles
15:18that make the quadricep muscles.
15:18There will be a lot of action.
15:22This is not the case.
15:23We will recover quickly
15:26after that.
15:27We will increase the quadricep muscles.
15:29We will stay in the third and fourth day.
15:30Is it necessary?
15:34It is necessary.
15:34We will not get enough to start without a walker.
15:37And most important is toilet training.
15:39Toilets go to the toilet.
15:42Of course, after surgery, it takes 2-2 minutes to do the surgery.
15:47That results are delayed.
15:49And now we have to take care of it.
15:51And the other thing is that,
15:53the patient is still in the hospital.
15:56The surgery is still in the hospital.
15:58That's a big dilemma.
16:01Degenerative disease.
16:02There is a lot of disease.
16:04But the other thing is that,
16:05people are not too bad.
16:07They are not too bad.
16:08I have operated around 95 years old.
16:13But in the Kutumban,
16:14there is no need to be done.
16:18There is no need to be done.
16:20There is no need to be done.
16:21There is no need to be done.
16:23But before doing surgery,
16:25we have to do a protocol.
16:26We have to do a surgery.
16:27We have to do a surgery.
16:28We have to do a surgery.
16:29We have to do two patients.
16:31We have to do a surgery.
16:34We have to do none.
16:35If we have to do surgery,
16:38I can do it.
16:41As I say,
16:42So how do patients have treated?
16:43Does patients have treated me as well?
16:46And suddenly, your answer is 18 to 18 to 18.
16:49We're truly speaking, every patient is a story.
16:51Every person has a story.
16:53Every patient has a story.
16:54There are great stories.
16:56On my daily sleep, we'll be at a time in Nasserik Ji.
16:58For us, it's been a bit of a break.
17:01My name is Abha Mantu.
17:02There is a senior nurse.
17:04He's a physician.
17:04I try to do something.
17:08But also, I respect people.
17:10And there's a lot of good work.
17:12I don't think it's only the same.
17:15He was in such a severe pain that felt pain and pain, while all his pain were hurt.
17:21I need more pain.
17:22Then I went to my breath and I started to endure surgery.
17:26When I was on our own surgery, it was an hour and I was surprised as it was.
17:29We only had a challenge since that.
17:30It was hard and it was a challenge.
17:32It was a huge responsibility to solve the problem with my shoulder.
17:35It would make a break.
17:37Then my confidence got into my parents.
17:40You must do it.
17:41You must do it.
17:42He asked for the doctor to go to Mumbai, Pune, and the doctor.
17:46He asked for his attention and he asked for support.
17:49But he asked for surgery.
17:52He asked for his help.
17:55When he was still here, he was still there.
17:59He was a very happy person.
18:01He was able to do that.
18:03He was able to get his job.
18:06He was able to do it.
18:12He was in a situation where he had a job.
18:14One was in Mumbai, Punea job, and the other was in Bangalore.
18:18And he was in severe pain.
18:20And he was in the hospital, and he was in the hospital.
18:22Only in the old days, we had to stay in the hospital.
18:26He didn't have to stay, he was in the hospital.
18:30He was in a lot of pain, and he was in the hospital.
18:35But he was in the hospital.
18:37And he worked with all the doctors.
18:38We have a tractor and a tractor.
18:42We are all doing things and we are all doing things.
18:44We are all going to be easy to do.
18:46When we get our life and get our life,
18:50we are all going to be happy.
18:52We are all going to be happy.
18:58I want to have blessings you like.
19:00Yes, I want to give you a good blessing.
19:01It is a great gift for patients.
19:04For the female patients, the eye and the male patients are the same.
19:08I am not a doctor.
19:10And my patients love me and love me.
19:12In this place, I don't want to know that.
19:14No, no.
19:16A blessing is a big gift.
19:17Yes, yes.
19:18If you have a joint replacement,
19:20how does the implant apply to the implant?
19:23What does the implant apply to the implant?
19:25How does the implant apply to the implant?
19:27Yes.
19:28It is a great question.
19:29In the beginning of this year,
19:30we had to provide the first question.
19:31Our implant was alive.
19:33Yes.
19:33It is a good question.
19:35We won't have any other questions.
19:38We will say that we will have the final surgery.
19:41Every year.
19:43And the first thing we have to do is we have to do the implant.
19:44And the implant has been created for the company.
19:46The new company has been created for this company.
19:49But, the actual implant is created for the patient.
19:54The reason we have to do the implant is a big difference.
19:56and the coronal pinnacle joint is on-sensory and hip replacement
20:00and 30 years plus the joint is on-sensory.
20:04Sigma joint is in 30-35 years.
20:07The joint is on-sensory joint, and people are on the same way.
20:11The other thing, the operation fails,
20:14the procedure will be done with the procedure and the procedure.
20:17The procedure will be done with the other procedure.
20:19The procedure will be done with the implant.
20:22The other thing, the patient is the most important.
20:25We've had hard-hurt diseases.
20:27When we have our implants,
20:29we have to make them human human beings.
20:30We have to check them.
20:32We have to make them human beings.
20:35We have to make them human beings.
20:37What is the issue?
20:38The problem is that,
20:39the situation is very common.
20:42It's very common,
20:45it doesn't matter,
20:47it's not a problem.
20:48But it can be very difficult to take away from the disease.
20:52What are you thinking about?
20:53I can understand this, and when I was born, I was suddenly angry and I was very angry,
21:03when I was a part of it, I wouldn't be angry about it.
21:05Even before I had a angry hungry, I would lose my day a lot.
21:11They would try to work very well, and it would make me happy,
21:15because I was there for a lot of social media.
21:16I would have done that and I always worked on it every day.
21:19In the past, we have to work with our patients.
21:22And they are the ones that need to be taken to hospital.
21:27But we have to take care of the patient.
21:29We don't do the work of the patient,
21:32we have to do the doctor's work.
21:35We have to work with the patient.
21:38We have to get the operation.
21:40We have to go to the hospital.
21:43In the past, it was very difficult for menopause because of their mood swings and vitamins are reduced.
21:54So, what do you think about this medicine?
21:58Yes, 100%.
22:00Menopause affects all the women's body of menopause.
22:05They are undergoing so many hormonal changes.
22:08We are also having a wegen of pain in our diseases.
22:12We also have osteoporosis and osteoporosis are in the gut.
22:20It is a weight-bearing joint because of these pain and all the pain.
22:24We actually have to change their lifestyle as well as it has.
22:32and that is the best of your patients.
22:42I am going to start with the surgery.
22:47I am going to stage the surgery.
22:50Grade 1, Grade 2, Grade 3, Grade 4.
22:52I am going to stage the surgery.
22:53Grade 1, Grade 2, Grade 3, Grade 4.
22:54Generally, Grade 1 and Grade 2,
22:56it is not surgery.
22:56It is not the surgery, even some patients with grade 3 are surgery.
23:00We treat patients, we don't treat X-rays.
23:03People are wrong with X-ray.
23:05But that is not the need for the surgery.
23:08But there is a lot of practice in the physical therapy, lifestyle modification,
23:13the heart and the bugger, the sperm, the medicines, the analysis, the collisions,
23:19and the prescribing medicines.
23:20That's how I just put that.
23:24Furniture and I'm not able to.
23:29You're just going to get to you.
23:29After I mucon and I was just like,
23:34I don't know where to get older.
23:36If I stop eating, I'm going to eat it.
23:39I don't know.
23:39If I go home to the hospital or I go to the hospital.
23:43If I go home, you're still going to work in the hospital.
23:46If you go into a low position
23:47If you increase your body weight, your body weight will be 10 times pressure.
23:53So, we have to do these things.
23:56The other thing is that people don't want to do WAMs.
24:01They don't want to do WAMs.
24:02They don't want to do WAMs.
24:03They don't want to do WAMs.
24:06They don't want to do WAMs.
24:13They start running, jogging, treadmilling.
24:16They start running.
24:17But it impacts sports.
24:19Our body's body's impact.
24:22And it's a lot of damage.
24:24So, we can do jogging directly.
24:27Muscle training, stretching, proper training.
24:30Then you start.
24:32Yes, I mean, I can do milk-a-sing.
24:37So, you have to do surgery.
24:39But, give the patient's work to do that.
24:41And do you know how important it is?
24:44There's a lot of pain, pain, pain, pain.
24:49And there's a lot of phobia.
24:50Surgery changes.
24:52And if the surgery changes in the life of Purnas,
24:56there's an operation.
24:58There's a lot of transition.
25:00So, there's a lot of awareness.
25:01So, there's a lot of awareness that we can do surgery.
25:03It's hard.
25:04And there's a lot of awareness that we can do.
25:05And in yoga, we can do surgery.
25:08So, we can do the awareness that we can do.
25:28But we can do our best.
25:29Seriously.
25:29So, you're not sure.
25:31It's hard to get a good feeling.
25:33It's hard to get through.
25:35It's hard to get through.
25:36It's hard to get through.
25:37It's only 60-plus patients.
25:38It's only 60-plus patients.
25:41But if you're the achievement of this,
25:43It's a milestone.
25:43If it's a milestone,
25:46It's a milestone.
25:48And in that way, if we have food and water, we will not have any matches.
25:55I am going to do a marathon every year and on larger and larger scale.
26:03And in this level, we will be able to do a great job in treatment.
26:11So, what do you have to do with that?
26:14What do you have to do with that?
26:14One thing, I am going to do a trip.
26:16There are three people who have not come.
26:19Doctor, Vakil and Police.
26:21Or Blackshaven.
26:22But that's what we have to do.
26:25Yes.
26:25If you have a retirement age, you don't have to do jogging.
26:31There is training, stretching, training.
26:34There are impacts.
26:37You don't have to do a treadmill.
26:39Cycling is good for you.
26:41Swimming is good.
26:42You don't have to do cycling.
26:43You don't have to do a swim.
26:44You don't have to do a cycle.
26:47You don't have to do a swimming pool.
26:48You don't have to do a proper way.
26:51But then, yoga is good.
26:53Vitamin D, calcium, early morning walk.
26:56And we don't have to do a early training.
26:58Early science.
26:59That's why we can go to orthopedic surgeon.
27:02Today, India has been a medical field.
27:06New life of the doctor.
27:09We will have a doctor to go to the doctor.
27:11Then, patients have an appointment to go to the doctor.
27:14And they will go to the doctor from the early training.
27:16You don't need to go to the doctor.
27:18You have to have to do a lot of things.
27:20Yes.
27:20But, I will tell you one point.
27:22I'm in Germany.
27:23I'm working for a year.
27:26I'm a woman.
27:26I'm working for a medical field.
27:29We are so lucky that we have access so easily to the doctor workers.
27:33We have every state of the state and the state of the state of the state of the state.
27:39And for their dedication, the general practitioners, family physicians,
27:44the M.V.B.S., B.H.M.S., the M.V.S.
27:48In the state of the state, there is a very big service to the patients.
27:55In Germany, you cannot directly go to the doctor.
28:023-4 months of waiting list.
28:04That's why we don't have to go to the doctor.
28:06The first thing is that the doctor will take care of the doctor.
28:12Okay.
28:13And what is the surgery?
28:14It's very difficult to think about it.
28:17It's not a surgery.
28:19It's not a meds.
28:20So how do you think about it?
28:22How do you think about it?
28:24I don't want to think about it.
28:27What do you think about the light?
28:29That was such an innocent question.
28:32And what did you think about it?
28:34It was done.
28:35It was such a genuine doubt.
28:40But I don't think about it.
28:42Because the light has a backup, battery backup.
28:45So you have to do it.
28:46And you have to do it.
28:47And you have to do it.
28:50Then you have to do it.
28:51And you have to do it.
28:51It is combined surgery.
28:53It is a robotic, robotic assisted surgery.
28:56We need to do it.
28:57So we are able to perform the AI for precision.
29:00It is the number of doctors.
29:04And the doctors' knowledge.
29:05And the doctors' precision.
29:07So we do the surgery.
29:10Yes, because there is a lot of people who have joint robotic surgery and do the robot
29:15So there is a lot of machine and there is a lot of machine
29:20But that doesn't happen
29:23Yes, it depends on the robot that we have
29:25If we are 4th generation robot and even the CT scans, there is no error
29:30There is no error
29:32There is a lot of machine that is rarely done
29:37So at the same stage, I can do it
29:40This is the whole stage
29:41So we have to do it in a strong company
29:45And we have to do it in a strong implant
29:46I will start with a doctor
29:49If you have joint replacement marathon
29:52But there is no need
29:54So what do you think?
29:57I will say Vinny, Vidhi, Visi
29:59I came, I saw, I conquered
30:00But what do you think?
30:04When you are in the field
30:05Then you need to have ideas
30:06What are you dreams
30:08What are you dreams
30:09This is a basic lesson
30:11I was learning to do everything
30:13I was learning to do everything
30:15In the world
30:15And if you get any information
30:17That's what we are learning
30:18And I feel about the dreams
30:21I am a teacher
30:22Dr. Narindra Vidya
30:23He taught joint replacement
30:25And he taught the doctor
30:26He taught the doctor
30:27He taught the doctor
30:30I will continue to work with my work and I will continue to work with my work.
30:37I will continue to work with my work.
30:39Very nice.
30:41I hope that this blessing is just for you to be able to do this.
30:46If you are a normal patient, you will do your surgery with your normal patient.
30:49But if you are a normal patient, you will be able to do your normal patient.
30:52Do you have a tough surgery with your normal patient?
30:56Yes, definitely.
30:57Obviously, it's challenging for obesity and sandivate to affect the patient.
31:02That's why we do proper work-up and we can use basic drugs.
31:06For example, a vagina, a vagina, it's a vagina.
31:09It could be a vagina to be a vagina, it's a vagina, it's a vagina.
31:13If the ankle is bypassing the body, it's a liver pressure.
31:18Even sandivate, there are heart and tissues, and they're in early age.
31:22So, if we have the implant, we have the life of the implant and with the tibial rod.
31:28If we have the implant, we don't have osteoporosis.
31:32If we have the weight bypass, generally they don't go wrong.
31:36And this patient does that well.
31:37Definitely, Sandivad is there.
31:39So, there is a particular protocol.
31:41There are technical issues.
31:43There is FFD, past degree, rod.
31:48There is a joint with Sandivad.
31:50There is a joint with Sinovac.
31:52There are inflamed tissues.
31:54There is a tissue in the body.
31:56And, Sandivad's medical management and surgery are parallel.
32:01This is very good.
32:02So, we have to do this.
32:04There is no surgery.
32:06They can't do it routinely.
32:08They can miss it.
32:09So, you should be very precocious.
32:12Okay.
32:13So, do we have two robotic surgeries?
32:17Of course.
32:18We can do operation in one way too.
32:20We can do operation in one person.
32:2199% times in one person.
32:24The first time we have to do operation in one person.
32:29We can do surgery in one person.
32:31We can do surgery in one person.
32:31Then, we wait for 15-20 minutes.
32:34So, we need another anesthesiologist.
32:37To check the patient and read the patient.
32:39And then, we go ahead with the second.
32:42In 45 minutes to one hour, we can do surgery in another person.
32:46And if you have two drugs,
32:49it's very hard to get a pre-op evaluation.
32:52You have to get a lot of information,
32:54diabetes, control, BP, control,
32:58medication,
32:59and medicine.
33:01Pre-op evaluation is hard.
33:03We can see that we admit that
33:07it's very dumb.
33:08They don't give fitness.
33:11we can do an angiography or stress test
33:16we can do all the evaluation
33:17but we can't do it
33:19and 99% of the time we don't do it
33:22at least in the least anesthesia
33:25and in the least medicine
33:26we can't do it
33:30and what's happening today is the pain killer
33:36It's a pain killer.
33:37But how do side effects happen in future?
33:41I think it's very important.
33:43When I went to a kidney doctor,
33:47I would say that in the waiting room,
33:4950% of the kidney patients have a pain killer.
33:56People say,
33:57I will write medicine for a particular day,
34:025-7 days.
34:03I would say,
34:05I would say,
34:05I would say,
34:06I would say,
34:06I would say,
34:10What is your surgery for patients?
34:19What is your time?
34:22What is your result?
34:25What is your status?
34:27I am emotionally connected to patients.
34:30I am emotionally connected.
34:31I am regularly living on them.
34:33We are regularly following them.
34:35For 3-8 months.
34:36Everybody is doing well.
34:38But if you do not have any work,
34:40you will not have any work.
34:43If you do not have any work,
34:45you will get a pain,
34:46you will get a fracture.
34:47If you do not have any work.
34:48If you do not have any work,
34:49if you do not have any work.
34:53Every year,
34:54at least one follow-up,
34:55they are all doing well.
34:58If you do not have any work,
35:02you will have any work.
35:03What can you do?
35:04I do not know.
35:05You will have a work.
35:09If you do not have any work.
35:10go and see your doctor.
35:13Find out your daily life,
35:15what is your stress activity?
35:16Your stress activity is coming.
35:19That is how you do not have any work.
35:20And avoid that,
35:21the basic thing is,
35:22what is your stress?
35:24If you have a hip joint,
35:25your knee joint is open.
35:27For example,
35:28Indian style squatting is open.
35:30If you do not have a hip joint,
35:32you will lift your body.
35:34So, when you do not have a body,
35:35you will lift your body.
35:37This is a pressure,
35:39and you will get a lot of stress.
35:42You will get a lot of stress.
35:43It will be churning.
35:45If you avoid it
35:47after a particular age,
35:49you will get a lot of pain.
35:52You will get a lot of pain.
35:54Okay.
35:55Thanks a lot.
35:56I hope you will have an event
36:00for the next day.
36:01Yes, ma'am.
36:01You will give your blessings.
36:03Yes, ma'am.
36:03Do a great operation,
36:04do a great event,
36:05and sing.
36:06Okay.
36:06Thanks for coming.
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