Ettore Vulcano, MD, Foot and Ankle Orthopedic Surgeon at Mount Sinai West, discusses a new minimally invasive bunion surgery that has patients walking immediately after surgery, and getting back to an active lifestyle much quicker than with the traditional surgery.

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Your baby's sex is set at conception. At around 7 weeks, your baby's internal sex organs – such as ovaries and testes – begin to form in the abdomen. Male and female sex organs and genitalia look the same at this stage because they're derived from the same structures. At around 9 weeks, boys and girls begin to develop differently. In girls, a tiny bud emerges between the tissue of the legs. This bud will become the clitoris. The membrane that forms a groove below the bud separates to become the labia minora and the vaginal opening. By 22 weeks, the ovaries are completely formed and move from the abdomen to the pelvis. They already contain a lifetime supply of 6 million eggs. In boys, the bud develops into the penis and starts to elongate at around 12 weeks. The outer membrane grows into the scrotal sac that will later house the testicles. By 22 weeks, the testes have formed in the abdomen. They already contain immature sperm. Soon they'll begin their descent to the scrotum, but it's a long journey. They'll reach their destination late in pregnancy, or for some boys, after birth. If you're eager to find out whether you're having a girl or a boy, you'll have to wait until you're at least 17 weeks pregnant. That's when the genitals have developed enough to be seen on an ultrasound.

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Olympus has extended the value of its award-winning combined surgical energy device, THUNDERBEAT, to open surgical procedures. Watch Dr. Francois Blaudeau master use of THUNDERBEAT Open Extended Jaw (OEJ) in a total abdominal hysterectomy.
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This operation can be performed as an open or laparoscopic (keyhole procedure). During the operation the sigmoid colon is removed. This involves taking away the blood vessels and lymph nodes to that part of the bowel. The surgeon then re-makes the join (anastomosis) between the remaining left side of the colon and the top of the rectum. The surgeon may use either sutures or special staples to make this join.

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The examination of the groin, hernial orifices and male external genitalia are clinical examinations which undergraduate medical students are commonly less confident about performing competently, due to the lack of clinical exposure.

The heart is the body's engine room, responsible for pumping life-sustaining blood via a 60,000-mile-long (97,000-kilometer-long) network of vessels. The organ works ceaselessly, beating 100,000 times a day, 40 million times a year—in total clocking up three billion heartbeats over an average lifetime. It keeps the body freshly supplied with oxygen and nutrients, while clearing away harmful waste matter.

Welcome to the next episode of Fertility Focus Podcast!

If you’ve been trying to conceive and still not seeing results, it’s time to look beyond female fertility alone. Did you know that 50% of infertility cases are due to male factors?
This episode from Fertility Focus dives deep into male infertility, how semen analysis works, what your reports really mean, and what to do if the numbers don’t look right.

We bust myths, decode complex terms, and offer science-backed clarity on improving chances of conception.

What we covered:
✅What is semen analysis, and why is it important?
→ It checks sperm count, movement, and shape, all critical for natural conception.
✅When should a man get a semen test done?
→ After 12 months of trying to conceive, or after 6 months if the female is over 35.
✅Can semen quality be judged by its colour or thickness?
→ No, only lab analysis can determine true sperm health.
✅What are the prerequisites before giving a semen sample?
→ 2 to 5 days of abstinence and sample collection at a proper lab, not at home.
✅Can sperm count be too low even if the volume looks normal?
→ Yes, concentration matters more than total volume.
✅What is the difference between total sperm count and concentration?
→ Count is the total number of sperm in the ejaculate; concentration is per ml.
✅Why does one man have 2 million count and another has 100 million, despite similar lifestyles?
→ Hormonal levels, genetic factors, or testicular issues may be at play.
✅Can a very low sperm count be increased with treatment?
→ Sometimes yes, especially if it’s due to hormone imbalance or infection.
✅What lifestyle habits reduce sperm count and motility?
→ Obesity, smoking, stress, lack of exercise, poor diet, and steroids.
✅What is sperm motility, and why is it important?
→ Motility is how well sperm can swim to reach the egg. Without it, fertilisation is unlikely.
✅What are progressive vs. non-progressive motility types?
→ Progressive means forward movement; this is needed to fertilize the egg.
✅What causes poor sperm motility (Asthenozoospermia)?
→ Often infections, poor lifestyle, or damage to mitochondria in sperm.
✅Can poor motility be improved?
→ In many cases, yes—through infection treatment, lifestyle change, and antioxidants.
✅What is sperm morphology, and how much does it matter?
→ It's about sperm shape. While poor shape doesn’t always stop pregnancy, extreme defects like globozoospermia do.
✅Can someone have 0% normal sperm morphology and still conceive?
→ Yes, studies show conception is possible if count and motility are good.
✅Why do semen reports vary from time to time?
→ Illness, stress, sample error, and abstinence period can all affect reports.
✅What if sperm count and motility are fine but pregnancy still isn’t happening?
→ Advanced tests like DFI (DNA Fragmentation Index) or ROS (oxidative stress) may be needed.
✅What is DFI and who should get it done?
→ DNA Fragmentation Index helps identify sperm DNA damage; best for smokers, failed IUI/IVF cases, or unexplained infertility.
✅What is hemizona assay and why is it done?
→ It checks sperm’s ability to bind with the egg’s outer layer—helpful in unexplained infertility.
✅What causes blood in semen or sudden colour changes?
→ Usually infection or trauma, and rarely can indicate cancer. Always consult a urologist.
✅What to do if no semen comes out during ejaculation?
→ It could be retrograde ejaculation. A urine test may help recover sperm.

Infertility isn’t just a female issue. Every couple trying to conceive should consider a complete semen evaluation by a trained expert. Don’t rely on guesswork or myths. Get real answers from real tests. If your report is confusing or concerning, we’re here to help.

Watch the full episode to get clarity!
Book your consultation with our fertility experts today and move forward confidently on your parenthood journey.

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About Dr. Rhythm Gupta and Excel IV

Founded by Dr. Rhythm Gupta, a highly qualified IVF expert in Delhi, Excel IVF offers treatments of an exceptional team of specialists, sonographers, nurses, counselors, etc. who have high-end experience and exceptionally professional in their respective fields.

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This video is really sad. You can literally watch this man dying. He was shot in the chest and rushed to the emergency room. His heart has stopped beating or has arrested. As a last resort, surgeons did an extreme procedure called an open thoracotomy which is that crazy tool you see there that basically splits the ribs open and allows easy open access to the heart. They did this so they could give him a cardiac massage. A cardiac massage is when surgeons are manually trying to pump the heart after it has stopped working on its own (cardiac arrest). Unfortunately he lost so much blood from his gun shot wound and he was pronounced dead. There are cases of patients surviving after having this kind of invasive resuscitation but it is rare.

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Childbirth (also called labour, birth, partus or parturition) is the culmination of a human pregnancy or gestation period with birth of one or more newborn infants from a woman’s uterus. The process of normal human childbirth is categorized in three stages of labour: the shortening and dilation of the cervix, descent and birth of the infant, and birth of the placenta. In some cases, childbirth is achieved through caesarean section, the removal of the neonate through a surgical incision in the abdomen, rather than through vaginal birth

The da Vinci® Surgical System provides surgeons with an alternative to both traditional open surgery and conventional laparoscopy, putting a surgeon's hands at the controls of a state-of-the-art robotic platform. Our surgeons can perform even the most complex and delicate procedures through very small incisions with unmatched precision.

Shaken baby syndrome symptoms and signs include: Extreme irritability Difficulty staying awake Breathing problems Poor eating Tremors Vomiting Pale or bluish skin Seizures Paralysis Coma Other injuries that may not be initially noticeable include bleeding in the brain and eye, damage to the spinal cord and neck and fractures of the ribs, skull and bones. Evidence of prior child abuse also is common.

In patients age ;::25, HPV DNA testing is the preferred next step in management if the initial cytology shows ASC-US. In this method, samples are collected for both cytology and reflex HPV DNA. If cytology results are positive, HPV DNA testing is performed. If cytology results are negative, the sample for HPV DNA is discarded. HPV DNA testing along with Pap smear at 3 years is recommended if initial cytology shows ASC-US but HPV DNA testing is negative

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This video: Patent ductus arteriosus (PDA) is a persistent opening between two major blood vessels leading from the heart. The opening, called the ductus arteriosus, is a normal part of a baby's circulatory system before birth that usually closes shortly after birth. If it remains open, however, it's called a patent ductus arteriosus. A small patent ductus arteriosus often doesn't cause problems and might never need treatment. However, a large patent ductus arteriosus left untreated can allow poorly oxygenated blood to flow in the wrong direction, weakening the heart muscle and causing heart failure and other complications. Treatment options for a patent ductus arteriosus include monitoring, medications and closure by cardiac catheterization or surgery.

This video shows vaginal breech birth which is recommended to be delivered by C.Section in modern obstetrics