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Things to Know about Adenoidectomy

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adenoids

Adenoids are glands above the mouth’s roof and behind the nose. They are a part of the lymphatic system and protect the body from viruses and bacteria. The adenoids and tonsils trap the germs and protect the body from infections via oral and nasal routes. They began to shrink at 6-7 years of age and completely disappear by the teens. 

They are not directly visible. Adenoids are enlarged when infected; however, they restore to their standard size once the infection subsides. Although in some instances, they might remain enlarged even when the infection is gone. The surgical procedure performed to remove the adenoids is called an adenoidectomy. 

Symptoms of enlarged adenoids:

  • Stuffy nose
  • Sleeping difficulties
  • Hearing concerns
  • Snoring
  • Sore throat
  • Difficulty swallowing
  • Nasal obstruction (difficulty breathing through the nose)
  • Sleep apnea
  • Chronic recurrent ear infections
  • Sinus infections
  • Recurrent tonsillitis

Before the surgery:

  1. The nurse practitioner will inquire about the child’s health and inform you of the timing from when the child has to avoid food and liquids.
  2. Gum, cough drops, and candy are not allowed before the surgery. If the child has taken any of these, the surgery will be delayed for 2 hours after the gum is spat out. If the chewing gum is swallowed, surgery will get delayed for 6 hours from when consumed.

You must follow the guidelines above, or the surgery will get delayed.

The surgery day:

  • The child’s medical insurance and photo ID will be required before the surgery
  • A list of medications the child is on
  • Your child’s favorite toy
  • The child will be weighed, along with vitals measurement before the surgery
  • Before the procedure, you must have a conversation with the anesthesiologist and the surgeon regarding your inquiries and concerns
  • The nurse practitioner will explain to you all the routines, procedures, home care, and protocols to be followed
  • The surgery takes 20-30 minutes
  • The child stays in the recovery room until he awakens and breathes easily with no cough or swallowing concerns. Some can go home early after the surgery
  • The entire recovery period is 1-2 weeks
  • Rarely the adenoid tissue removed might grow back

Surgery: 

Adenoidectomy is a short procedure performed on an outpatient basis by an ENT surgeon. 

  • The first step is the administration of general anesthesia
  • A retractor widens the child’s mouth, following which the surgeon removes the adenoids. They might use an electrical device to stop the bleeding
  • The child is then placed in the recovery room until they awaken from anaesthesia
  • Mostly the children can return home on the day of surgery

Home care:

One week after the surgery, it is normal for the child to have:

  • Stuffy nose or snoring
  • Fever of 100-101 degrees F
  • Bad breath
  • Thick nasal discharge
  • The first two hours following the surgery, the child is given clear liquids, for example, 7-up/apple juice/popsicles. The child might have solid food if he handles the liquid well
  • The patient can be given pain killer Tylenol or Ibuprofen in case of sore throat/headache. The child can return to their daily activities as soon as they feel normal. They might go back to school in 2-3 days

When to call the doctor:

You must contact the doctor if-

  • If the nasal drainage lasts for 14 days
  • If you notice the signs of dehydration like dry mouth/sunken look around the eyes/ reduced urinary flow/no tears on crying
  • Signs of bleeding from the mouth or nose after the surgery
  • If the child’s temperature is greater than 101 degrees F

Follow-up:

General follow-up is advised after 4-6 weeks. The surgeon’s staff will connect with you in that period. If there are any concerns before that, you can call the physician as needed.

Risks: 

The doctor must clearly explain all the risks associated with the procedure before the surgery. They can include:

  • Excessive bleeding
  • Recurrent infections
  • Risks associated with anesthesia
  • Failure to resolve the underlying problems(ear infection/nasal drainage/breathing concerns)
  • Permanent vocal quality change

Conclusion: 

If the enlarged adenoids are causing trouble like breathing issues, difficulty swallowing, or recurrent ear infections, removing them surgically is the best option. The surgery is very safe and effective for most affected children. However, you must research thoroughly before deciding. For example, specific sources suggest that adenoid removal may increase the risk of certain infections. Adenoidectomy, as with other surgical options, has the risk of infections and other complications. Mostly the children recover without any health concerns. However, parents must discuss the risks and benefits of the procedure before opting for it.

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BUSINESS

Manish Taneja and Rahul Dash The Visionaries Behind Purplle’s Phenomenal Success in the Online Beauty Space

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Purplle Founders

The beauty industry in India has witnessed significant growth in recent years, and one company that has capitalized on this trend is Purplle. Founded in 2012 by Manish Taneja and Rahul Dash, Purplle has become a powerhouse in the online beauty space. With a presence in nearly every zip code in India, including remote regions like Leh Ladakh and the northeast, Purplle has achieved remarkable success. The company boasts annual revenues of Rs 1,200 crore and a valuation of $1.1 billion. Manish Taneja, an aspiring entrepreneur, pursued his education at IIT Delhi, where he studied electrical engineering. After graduating in 2007, he ventured into the world of financial services, working at prominent firms such as Avendus Capital and Fidelity Growth Partners India. During this time, he also attempted to launch a startup named Mindxcompany.com with a few co-founders. However, the venture faced challenges, and his co-founders couldn’t withstand the pressures of entrepreneurship.

Manish subsequently moved to Mumbai and continued working with Fidelity. In the evenings, he and his friend Rahul Dash engaged in discussions about their entrepreneurial aspirations. They were both determined to venture into the internet space, given the rapid growth of the internet in 2010-11. The inspiration for their entrepreneurial journey came from Manish’s hostel mates at IIT Delhi, including Binny Bansal and Pankaj Chadha, who had already achieved success in the internet sector. Manish recognized the enormous growth potential of the internet industry, with companies experiencing month-on-month growth rates that were unparalleled in other industries. This realization fueled his desire not to miss out on this transformative opportunity.

Manish and Rahul identified two internet categories with less competition: furniture and beauty. While they initially considered furniture, they ultimately chose to enter the beauty space due to its large market size and significant unmet consumer needs.

The Birth of Purplle:

Before diving headfirst into entrepreneurship, Manish and Rahul conducted extensive research. They visited various types of stores, including single-brand outlets, general stores, and multi-brand retailers, to gain insights into consumer behavior and market dynamics. With their research and data in hand, the duo launched Purplle, an online beauty platform that aimed to meet the diverse needs of consumers in India. Their journey began when they were both 27 years old, and they conducted meticulous surveys and primary due diligence before taking the plunge. Manish Taneja believes that competition primarily exists in the minds of founders and management teams, rather than in the minds of consumers. Consumers prioritize receiving the right products and services over the platform they use. To differentiate Purplle in the market, Manish and his team focused on understanding and serving the middle-class consumers of India.

Having grown up in tier two cities, the founders had an in-depth understanding of these consumers’ needs and preferences. Instead of merely selling existing products, Purplle ventured into creating its own brands and products, leveraging data-driven insights. This approach to differentiation has been instrumental in the company’s success. As Purplle continues its upward trajectory with a valuation of $1.1 billion and a robust presence in the Indian beauty market, the company has its sights set on further empowering its merchant base. Purplle aims to expand its lending capabilities beyond the existing limit of five lakhs.

Additionally, the company plans to assist merchants in acquiring new customers, particularly in the face of fierce competition from ecommerce giants. While Purplle acknowledges that new products will continually emerge, its commitment to innovation remains steadfast. Manish Taneja clarified that Purplle will pursue an IPO when it is genuinely ready. The core business must be profitable and sustainable before considering going public. While favorable market conditions can reward impressive growth even at a loss, the focus remains on building a sustainable business capable of weathering market fluctuations.

In conclusion, Manish Taneja and Rahul Dash have steered Purplle to remarkable success in the online beauty space. Their entrepreneurial journey is a testament to their vision, dedication, and ability to navigate challenges in a competitive market.

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Entrepreneurs

Ananth Narayanan Leading the Charge to Take Indian Brands Global with Mensa Brands

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Ananth Narayanan Founder Mensa Brands

In a country as vast as India, home to 1.35 billion people, there’s a noticeable gap in the fashion, beauty, and home brand landscape. Fewer than 30 brands have surpassed the $100 million valuation mark in these sectors, leaving a substantial untapped opportunity. It’s this gap that inspired Ananth Narayanan to establish Mensa Brands, a mission-driven endeavour to construct a global technology-driven portfolio of brands originating from India.

The Mensa Vision:

Mensa Brands was born from a recognition of several critical factors. First, there exists a significant void in branded fashion, beauty, and home products within the Indian market, where more than 80% of offerings remain unbranded. As India’s GDP continues to rise, the demand for meaningful and purposeful brands among consumers also grows. Secondly, the landscape of distribution and brand building has transformed dramatically. Platforms like Flipkart, Myntra, and Amazon have established a robust infrastructure that enables brands to reach over 26,000 pin codes in India within three days, all at a cost-effective price point.

The third factor Ananth identifies is that while India has long been known for its manufacturing capabilities, the country hasn’t successfully developed global brands. Ananth sees a unique opportunity to change this narrative over the next decade. He believes that by harnessing the critical mass and scale, Indian brands can transcend borders and become household names worldwide. Taking a brand global is no simple task, but Ananth contends that once growth-hacking tactics, such as those used by Amazon, are mastered, they can be applied anywhere in the world. Reviews and ratings garnered in India carry over to international markets, providing a solid foundation for global expansion.

An example Ananth offers is Karagiri, a saree brand that has expanded into the US market, where about 20% of sales originate from the Indian diaspora. While the audience targeting may differ, the fundamentals of growth hacking through platforms like Google and Facebook remain consistent. Logistics challenges are mitigated by established carriers like DHL and FedEx. Ananth shares valuable insights for budding direct-to-consumer (D2C) entrepreneurs. First and foremost, he emphasizes the paramount importance of customer satisfaction and positive reviews. No amount of optimization in areas like Amazon spending or SEO can compensate for poor ratings and reviews. Building genuine customer love for your brand is a cornerstone of success.

Secondly, he advises diversifying across multiple channels rather than relying solely on a single platform. Expanding beyond one channel enables healthier growth and provides entrepreneurs with more control over their outcomes. Lastly, Ananth underscores the significance of balancing D2C and offline presence. Offline retail can make a brand feel tangible and real to consumers, while D2C offers continuous consumer engagement. Striking the right balance between these approaches during the initial 18-24 months of scaling is crucial for sustainable growth.

In conclusion, Ananth Narayanan, with Mensa Brands, is at the forefront of a mission to transform Indian brands into global powerhouses. His vision, driven by a deep understanding of market dynamics and a passion for purposeful brands, promises to reshape the landscape of the fashion, beauty, and home sectors in India and beyond.

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LIFESTYLE

Aaradhya Khanna Spearheading Gem Selections into the Future of Gemstones and Astrology

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Aaradhya Khanna

Gemstones, long associated with healing and spiritual properties, have captivated cultures worldwide. In astrology, each planet aligns with a different gemstone, and many people believe in the energy and therapeutic benefits of these precious stones. Recognizing the immense potential of India’s gem and gemstone market, Pankaj Khanna founded Gem Selections in 1987. The legacy now continues with his son, Aaradhya Khanna, at the helm. Pankaj Khanna, the founder and managing director of Gem Selections, initially ventured into the world of gemstones as a sole proprietor. He purchased raw gemstones from mines through intermediaries, overseeing their transformation into exquisite, polished gems. These gemstones found their way into the collections of jewellers across the Indian subcontinent.

In 1997, Pankaj Khanna and his wife, Anu Khanna, expanded their operations by opening a wholesale and retail outlet for gemstones in Janakpuri, New Delhi. However, their journey was not just about commerce but also a deep belief in the healing properties of gemstones, stemming from Pankaj’s background as an acclaimed astrologer.

Direct Imports and Diverse Offerings:

One pivotal shift occurred in 1997 when Pankaj Khanna decided to import gemstones directly. Aaradhya Khanna, his son, explains that they shifted from procuring rough gemstones from Jaipur and Sri Lanka to importing stones directly from various countries. In 1999, they established a manufacturing unit in Khambat, Gujarat, for the export of finished gemstones. Gemstones exhibit three key properties: clarity, lustre, and colour, which determine their value. The industry is known for its lack of organization and price volatility. Aaradhya underscores the potential for India to extract gemstones like ruby more extensively but points to unfavourable policies and schemes as obstacles.

Diversified Offerings and Global Reach:

Today, Gem Selections is a multifaceted business, dealing in retail, wholesale, and export of gemstones, diamonds, jewellery, handicrafts, rudraksha (a seed traditionally used as a prayer bead), yantras (geometric symbols used in meditation), bullion, and related products. Their gemstone imports encompass yellow sapphires from Sri Lanka, blue sapphires from Africa, emeralds from Brazil, and many others, with prices ranging from Rs 7,000 to several crores.

The company’s impact extends across 324 dealers worldwide, achieving a remarkable turnover of Rs 107 crore without external funding. Their commitment to quality is evident in the certification of all gemstones and gemstone jewelry by government laboratories.

Gem Selections supplies over 400 astrologers and jewellers worldwide, offering “White Label Products” that buyers can market under their own brand names. Their presence extends to well-known brands like Times Internet Limited-Astrospeak, Rediff, Indiainfo, and Homeshop18. In 2018, Gem Selections introduced the Gem Selections app, Gem Selections Astro Dose, and Gem Selections LIVE, enhancing their customer engagement. They also ventured into the bullion business and collaborated with banks and non-banking financial companies (NBFCs) to offer gemstones on credit, filling a gap in the market.

Managing high-value products remotely and ensuring quality in gem pricing have been significant challenges. Aaradhya points out that maintaining an inventory of Rs 65 crore poses its own set of challenges, as it doesn’t factor into the annual turnover. Looking ahead, Gem Selections plans to expand its online presence, targeting over 10 million monthly visitors across all digital properties by the end of 2021. They also have ambitious retail expansion plans, aiming to establish 25 stores throughout India by 2025. The company is set to open stores in Le Meridian, New Delhi, in October and another in Ramada, Udaipur, in December.

Aaradhya Khanna’s journey continues his father’s legacy of bringing the healing and spiritual power of gemstones to a global audience while evolving the business into new horizons, blending tradition with technology for a brighter future.

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