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ENDO ENDO ENDO IN RECENT TIMES

OP KAPOOR

Ex. Hon. Physician, Jaslok Hospital and Bombay Hospital, Mumbai, Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.
Three "Endos" have impressed me in the last one to two years. These are :-

1. Endo "sonography" - In this investigation, the diagnosis of a mass in the abdomen is done by the help of both an endoscopist and a sonologist. The same procedure could be done by doing TEE to get a better diagnosis of a clot or myxoma in the atrium.

2. Endometrial Ablation - Till recently, Hysterectomy was the surgical line of treatment in cases of Menorrhagia. Now endometical ablation can be done through a "D and C" procedure only.

3. Endothelial Dysfunction - is the latest terminology for coronary atheromatous heart disease. It is the last word in this disease. Interventional Conferences have been held on ED (Do not mix the word with Erectile Dysfunction!!). If only we can find a way to reverse this process, nobody will die of coronary atheroma! Invasive Cardiologists will be confident of their late results of the stents! All the medical representatives have started telling me - "My BP pill not only lowers the BP but also reverses ED.!!" The truth is, it will take ages to find a drug which can achieve this! But till then, you cannot talk to any cardiologist without hearing the word "Endothelial Dysfunction"!!



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