known case of DM FOOT before and after Leech Therapy.

Good evening Curofians, Unflinching popularity of horror stories suggests people of all ages love to be frightened. There are “haunted houses” in just about every haunted city with phantoms and ghouls thronging all around. However, for all the popularity of scary stories, nobody likes real-life horror stories. Patients who have experienced FAILED BACK SURGERY SYNDROME know what the real pain and suffering is and they know this horror story is anything but fun. A REAL SCENARIO : "On a dull morning in November 2012, similar scenario unfolded elsewhere. On the unspecified floor of the hospital, where he was admitted, he was anxiously waiting for the radiologists opinion to know as to why he has this intractable low back ache with pressure effects. Hours later he received his report. Radiological opinion read in bold "LUMBAR DISK DISEASE, SPONDYLOLISTHESIS OF L5-S1". A day was chosen and he was operated. Laminectomy with Macro discectomy, followed by TLIF [Transforaminal lumbar inter body fusion] was undertaken. TLIF is performed using titanium capstone, which is implanted in the place of replaced natural disc. He went home after the surgery and developed left lower limb paralysis shortly. He was enraged at the outset that the surgery had increased his suffering even more. Shortly, in December, a second revision surgery was planned. His spine was operated upon. They found the capstone titanium peak implant lying in the spinal canal. While the prosthesis was being retrieved, he had developed a dural tear followed by CSF leak with consequent hypotension. He also developed hypovolemic shock and resultant failure. He was nearly declared dead twice, but by God's grace, he survived the operation to live another day.Both the surgeries were literally a failure. Titanium Capstone which was supposed to be in between his L5 and S1 vertebra is now lying in his almirah. He still suffers from constant, intractable backache 24x7, partly crippled, struggling with varied difficulties. Typing his answers all the way with great difficulty all these nine months. This is the story behind his 16000+ points. Sadly this is the story of our beloved DR.KRISHNA MOHAN sir. Although he suffers from failed back surgery syndrome, he has never showed a single sign of his suffering. He has constantly encouraged, taught, learnt from doctors of all pathies. He doesn't deserve to be hurt, for he was emotionally disturbed all these days for the reason he was being addressed as "Dr.KM" repeatedly and was just displaying his knowledge earned through years of practice. The reason for his silence was not to generate any benefit of the issue. We all deserve dignity and respect although we might be correct or wrong. I have perceived him actively since the day he was silent and convinced him to come back once again on curofy and start teaching and learning with his ever loving students and teachers alike. Kindly give him a warm welcome my revered and respected medical fraternity. Many apologies curofy and curofians for the inconveniences caused. [Excerpt as said by Dr.Krishna Mohan sir himself] Thank you sirs and madams.

9 yr girl child no h/ o of itching pls diagnos and suggest Rx

A male patient of age 40years working as sales man presenting with the above complaint with severe itching..Kindly give the diagnosis.

a 26 yr male pt having non healing wound c puss formation history of road traffic accident 6 days ago, no h/o DM,I give him amox clave 625 bd c regular dressing, plese suggest rx

this pt having skin lessions from by birth with itching , Dx warts .? Rx ayu management?