Medical test and Sainik - RMS- RIMC Entrance

What is a flat foot ?
The most obvious deformity with a flat foot occurs on the inner side of the foot and arch.  However this side of the foot does not exist in isolation and if the arch on the inner side flattens this may result in the following:

A flat medial arch

Flat feet is a condition in which the arch of the foot drops down. The condition is sometimes referred to as fallen arches. Flat feet may not be a problem in itself, but it can lead to pain and other ailments throughout the body. Although there is no real cure for flat feet, there are a few treatments available.

Insoles are very common in the treatment of flat feet. There are a number of different insolesavailable, or they can be custom made. Insoles are designed to protect and support the arch of the foot. The supports can relieve the pain that affects many people with flat feet.

Flat feet may cause many types of pain to appear throughout the body, most commonly in the legs, hips and ankles. There are medicines that can relieve the pain, including anti-inflammatory drugs and steroids. These medicines cannot treat the underlying cause of flatfeet and are not a satisfactory long-term solution.

Many doctors recommend therapy to strengthen the damaged ligaments or tendons that may have caused the condition. Therapy treatments can include prolotherapy, which is designed tonaturally strengthen the damaged tendons over a period of time. The use of inflammatory healing stimulates the body into repairing itself. This type of therapy is thought to be apermanent solution to flat feet.

Knock knees

Knock knees is a condition in which the knees touch, but the ankles do not touch. The legs turn inward.

Causes

Infants start out with bowlegs because of their folded position while in their mother's womb. The legs begin to straighten once the child starts to walk (at about 12 to 18 months). By age 3, the child becomes knock-kneed. When the child stands, the knees touch but the ankles are apart.

By puberty, the legs straighten out and most children can stand with the knees and ankles touching (without forcing the position).

Knock knees can also develop as a result of a medical problem or disease, such as:

• Injury of the shinbone (only one leg will be knock-kneed)
• Osteomyelitis (bone infection)
• Overweight or obesity
• Rickets (a disease caused by a lack of vitamin D)

Exams and Tests

A doctor or nurse will examine your child. If there are signs that knock knees are not a part of normal development, tests will be done.

Treatment

Knock knees are usually not treated.

If the problem continues after age 7, the child may use a night brace. This brace is attached to a shoe.

Surgery may be considered for knock knees that are severe and continue beyond late childhood.

Outlook (Prognosis)

Children normally outgrow knock knees without treatment, unless it is caused by a disease.

If surgery is needed, the results are usually good.

Possible Complications

• Difficulty walking (very rare)
• Self-esteem changes related to cosmetic appearance of knock knees
• If left untreated, knock knees can lead to early arthritis of the knee

When to Contact a Medical Professional

Call your health care provider for an appointment if you think your child has knock knees.

Prevention

There is no known prevention for normal knock knees.

Alternative Names

Genu valgum

What are knock knees? 

Knock knees are deformities at the knee, in which knees of a standing person touches each others but not the ankles. In other words, in a normal standing position, a person with knock knees has gap between ankles  but not between knees.

Do I have knock knees problem? 

Most of the candidates are not aware about the procedure by which a medical officer check knock knees, so they just keep worrying by checking themselves in different ways. The correct way is to stand simply and keep very little gap(3 inches) between your ankles, check whether your knees are touching or no, even if it is touching a little, it is just normal. Real knock knees problem won't let your ankles touch each other. Check the below picture for more clarity on this.

Pic:connecticutchildrens.org

Treatment and Exercise for Knock Knees 

Knock knees problems basically starts from childhood and gets cured by its own as we start growing, but some of us do not get the proper development of bones which leads to knock-knees. This problem won't let us to walk or run freely, which makes it a reason to be unfit for Indian armed forces. Candidates with little knock knees can start exercising and yoga to cure this problem, few of the exercise and treatments for knock knees are:

o    Take vitamin D and calcium supplements, vitamin C supplements.

o    Virasana, or hero pose, is effective in treating flat feet and knock knees.

o    Keep a block between thighs and try to move your legs as close as you can, hold it for 3 mins, keep repeating.

o    In a standing position, bring the legs 4 feet apart and stretch the arms out to the side. Turn the right toes to the right and deeply bend the right knee. Activate the arches and keep the right knee touching the wall. Hold for 30 seconds and repeat on the other side.

o    For more on knock-knees treatment do refer: livestrong.com

Do not misunderstand this problem, hope this articles clears most of your doubts  you are suggested to consult a physician for proper care and treatment, this post is just for basic information on knock knees. 

Airforce Medical checkup at AFCME

People clearing AFSB (Airforce Selection Board) are next send to AFCME i.e. Airforce Central Medical Establishment, New Delhi for a detailed medical checkup to certify that they are medically fit to discharge their duties in Indian Air Force. All different categories of candidate for IAF ie Flying Branch, Technical Entry and Ground Duty have the complete checkup at this venue. Apart from this this establishment is also the place where DGCA (Directorate General of Civil Aviation) send civilian pilots to have their medical fitness certificate issued or renewed. 

AFCME is situated in the beautiful and very neatly maintained Western AirCommand(WAC), Subroto Park which is located near to Dhaula Kuan. Except for Dental checkup , all other test, diagnostics and measurments are done in AFCME itself. For this its has several departments like Pathology(with the lab facilities), ENT, Radiology, Eyes, Ultrasound, Anthropology, Cardiac etc.

For the Airforce candidates the process is usually 4 day long. On our first day of arrival the business of the day started at 8:00 am with us filling a couple of forms and other necessary formalities. As usual these form filling take a lot of time and it was almost 11am by the time we were done. 
Now the funny thing was that we were specifically told to come empty stomach for the tests otherwise it will take a day more. So there we were all fasting on empty stomach. and it turns out that now a days at AFCME there are no blood test done on first day so no need of the fasting(which b.t.w. sort of triggered a sinus pain in my eye, that too during the medical. what an irony !!!).
After the formalities we were send for the dental checkup which is done at a separate premise. In the dental clinic there were quite a few patients waiting for the doctors, so it took us around 3 hour time for the dental checkup to be done. Dental is usually straight forward affair and unless you have a decaying stuff up your jaws , its a clear affair. Though it is advised that you get teeth scaling done and take care of the decays or caries. In our group two guys were send to see doctor to get their nicotine marks removed.Since it became quite late so this was the only thing that was done on the first day.
I found that in almost all department and all the doctors were hard pressed with the load of the candidates, the civilian pilots and the patients. Its really a tough job for them to keep on doing their job without any mistakes or omissions.

Our lodging was in the Officers Mess and it was so tiring and hot day after getting the meal at 3 pm that for next three hours we slept deeply in the cozy dorms.

The next day again we reported at 7:30 am empty stomach and then our Chest measurement and Height and Weight measurements were taken. There is a height-weight-age chart for the candidates and its is strongly advised to get your tummy measure up to the numbers, Though the authorities give a lot of relaxation on these count. After this we were send to the pathology lab for Blood and Urine Tests. Next on card was the Ultrasound test in which abdomen, liver etc were checked if these parts were normal and to check there are no abnormal things like kidney stones and abnormal size of internal organs. Next we had Radiology in which around 5-6 X-Rays were taken of chest, Spine, Skull etc. Some of the people who had a large angle in the bones of the elbow had elbow X-ray done to determine that angle.After this we quickly had a couple of test one after another like ECG, Anthropological measurement(sitting height, leg length, thigh length and ENT.
For Ear they check for ear wax after that they apply a varying pressure to the ear and the machine generate a plot, it seemed like this test checks how the ear drum behaves in changing pressure. Then the Audio-metric test was done in which there is a headphone through which a few very faint beeps of different frequencies are emitted first in the left ear then in the right, on hearing each beep you have to press the button.The rest of the test of nose is basically one in which the doctor inserts a thong in your nose to check for DNS.
The last thing of the day was a basic test of the eyes in which we were to read a chart about 6mtrs away, a book of color blindness. After this we wore a setup with possibly a polarized lens and a light source was shined which caused a vertical line and a dot to appear. 

The next day started with the detail checkup of eyes.Again this time the Medical Officer one by one made us read the Alphabet chart and the color blindness book.Next our eyes were dilated and something was checked by the doctor.
The results of ECG had come and in some cases there were doubts so two extra test 2D Color Doppler ECG and TMT or stress test was performed. In TMT I had to run for 15 minutes on a treadmill while the ECG machine was taking the reading continuously. The 2D Color Doppler ECG was similar to Ultrasound but only it was being done for Heart. Last but not the least we had surgical checkup in which different things like piles,hernia, flat foot , knocked knees etc are checked. Well this test requires you to divest of your clothes, it would seem funny , but actually this all feeling vanishes as soon as you are being checked.

So since we were a bit late our conference was scheduled for the next day. All the files of the candidates were compiled, completed and all the test results were included in the dossier.At last when all the files were completed , we were sent to the President of AFCME, who called us one by one and declared the results which was either you are medically fit to fly or whatever problem was found it was told.

In our group some of the problem which caused them to be declared TR(temporary unfit) were fracture in spine, anemia, too much angle in elbow, eyes sight problem. Since in every case of TR you are given an opportunity to appear before an Appeal Board. In this case you have to submit application for Appeal to Air HQ and then in a week or so you get the date to appear for the Appeal Board in Army R& R Hospital.

So once I was done with the Medical Board, now all is done for joining AFA.

Dental Check Up

A metal instrument called an explorer is used to check the surfaces of your teeth for cavities, or irregular margins around fillings you already have, etc. Then they might do a periodontal exam. This is when the pockets around your teeth are measured with a very thin, blunt end tool. This doesn't hurt, it just measures the area that is not attached to your tooth, the area that you clean when you are flossing. (Hopefully!) 

The cleaning part or "prophy" is when they remove any tartar or calculus on your teeth with instruments called scalers. This generally takes up the majority of the appointment. Then the polishing! A gritty toothpaste is used with a special "electric toothbrush-like" device to remove any leftover stain or plaque. It leaves your teeth so nice and smooth! I like to floss my patients after this part to get out the gritty toothpaste that gets stuck in between their teeth. 

Normal Dental Points are 28, if all the teeth are in position ( ie 28 teeth should be present- 4  wisdom teeth comes only after 18 years)

If tooth/ teeth are missing get them fixed. They are called Dentures. There are different types. Ask the dentist

Fill the cavity

If required the dentist will put a Cap or Crown on it.

What is color blindness?

Color blindness means that you have trouble seeing red, green, or blue or a mix of these colors. It’s rare that a person sees no color at all.

Color blindness is also called a color vision problem.

A color vision problem can change your life. It makes it harder to learn and read, and you may not be able to have certain careers. But children and adults with color vision problems can learn to make up for their problems seeing color.

What causes color blindness?

Most color vision problems are inherited (genetic) and are present at birth.

People usually have three types of cone cells in the eye. Each type senses either red, green, or blue light. You see color when your cone cells sense different amounts of these three basic colors. Most cone cells are found in the macula, which is the central part of the retina.

See a picture of the eye  that shows the retina and the macula.

Inherited color blindness happens when you don't have one of these types of cone cells or they don't work right. You may not see one of these three basic colors, or you may see a different shade of that color or a different color. This type of color vision problem doesn't change over time.

A color vision problem isn't always inherited. In some cases, a person can have an acquired color vision problem. This can be caused by:

·         Aging.

·         Eye problems, such as glaucoma, macular degeneration, cataracts, or diabetic retinopathy.

·         Injury to the eye.

·         Side effects of some medicines.

What are the symptoms?

The symptoms of color vision problems vary:

·         You may be able to see some colors but not others. For instance, you may not be able to tell the difference between red and green but can see blue and yellow.

·         You may see many colors, so you may not know that you see color differently from others.

·         You may only be able to see a few shades of color, while most people can see thousands of colors.

·         In rare cases, you may see only black, white, and gray.

How is color blindness diagnosed?

Tests measure how well you recognize different colors.

·         In one type of test, you look at sets of colored dots and try to find a pattern in them, such as a letter or number. The patterns you see help your doctor know which colors you have trouble with.

·         In another type of test, you arrange colored chips in order according to how similar the colors are. People with color vision problems cannot arrange the colored chips correctly.

Because a color vision problem can have a big impact on a person's life, it is important to detect the problem as early as possible. In children, color vision problems can affect learning abilities and reading development. And color vision problems may limit career choices that require you to tell colors apart. Most experts recommend eye exams for children between ages 3 and 5. Vision screening is recommended for all children at least once before entering school, preferably between the ages of 3 and 4.

The colors of every rainbow always appear in the same order: red, orange, yellow, green, blue, indigo, and violet. The different colors in each part of the rainbow correspond to a different wavelength of light. Reddish colors are long in wavelength and bluish colors are shorter. And just as there are many notes on the piano, there are many wavelengths of light corresponding to different colors.

How Does the Eye Normally See Colors?

Think of your eye as a camera. The front of the eye contains a lens that focuses images on the inside of the back of the eye. This area, called the retina, is covered with special nerve cells that react to light.

These retinal nerve cells include the rods and cones. The rods and cones react to light because they contain pigments that change when light strikes them.

The cones are responsible for color vision. There are several kinds of pigments present in three types of cone cells. Some cones react to short-wavelength light, others react to medium wavelengths, and others react to higher wavelengths.

There is only one kind of pigment in the rods, and it reacts the same way to any wavelength of light. The rods do not have anything to do with color vision; however, they are very sensitive to light and allow us to see at night.

When the cones have all the various pigments, the eye sees all possible colors. It is something like the way a painter can mix just a few colors together and make paint of every possible color.

What Is Color Blindness?

If there is some problem with the pigments in the cones, the eye will not see colors in the usual way. This is called color deficiency or color blindness.

If just one pigment is missing, the eye might have trouble seeing certain colors. Red-green colorblindness -- where red and green might look the same -- is the most common form of colorblindness, followed by blue-yellow colorblindness.

In some eyes, none of the pigments are present in the cones, so the eye does not see color at all. This most severe form is known as achromatopsia.

You can go to an eye specialist and get the vision checked up.

Normally Colour blindness cannot be corrected.

What I down loaded from the Net I am just doing a cut and Paste. It may or may not help. A Ray of Hope for Color Blind people (Color Vision Deficiency). What is Color Blindness? OR What are the types of color Blindness is not the question here. Question is what is the remedy for this problem?  Till now there was no hope for this problem or no solutions available. But in Sanjeevan School for perfect eyesight this problem can be solved. There are many examples of people who followed this method and they have improved to the extent of normal color vision (Checked by Ishihara chart and Lantern test). You will come to know the difference in color vision on the first day itself after following this method. This program is very important for those who are looking at a career in the below mentioned field.  1) Aviation (Pilots, Airhostess, etc….) 2) Merchant Navy or Shipping. 3) Railway services as drivers. 4) Chemical Industries 5) Web Designing 6) Professional Courses – Medical, Engineering, etc…. Many rejected candidates from aviation and merchant navy have been accepted back after their color vision became normal on joining this course.

NOTE:

There are different types of colour blind, some of which are acceptable to a few non tech ground duties.

You may request the doctor incharge to recommend you for those branches  

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A free Ishihara Colorblindness Test is above. We encourage visitors of this page totake the test and to come visit us at Dr. Azman’s office if the results do indicate a deficiency.Contact us today to learn more about treating your colorblindness.

Please ref to this web site for details.

http://www.colormax.org/about.htm