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3rd December 2018: Timely diagnosis & a successful intervention by the Cardiac team at Narayana Multispeciality Hospital, Jaipur helped avert a life-threatening situation in a 79-year-old patient hailing from Gangapur city. The patient suffered from carotid artery stenosis - blockage in the arteries that supplies oxygenated blood to the brain. "When the patient came to the hospital, he was partially bedridden. In the last 2-3 months, he had suffered recurrent episodes of falling down/fainting & injuring himself, every time he attempted to walk a few meters. When we took the patient's history, we found out that the patient had suffered a right-sided paralysis attack three years ago from which he had now recovered. These symptoms made us suspect that the brain was not receiving enough blood which was confirmed via diagnostic tests" said Dr. Anshul Patodia, Consultant - Cardiology at Narayana Multispeciality Hospital, Jaipur. DSA (Angiography) Test results revealed 100% blockage in the left carotid artery & 95% blockage in the right carotid artery. The blood flow to the brain was severely compromised & any further blockage would lead to immediate death. This made prompt treatment necessary. This case was extremely risky as previously the brain was surviving on minimal blood, it received from the right artery only. Opening of the blocked artery would lead to sudden rush of blood to the brain. If not managed well, this could cause enormous spike in blood pressure potentially leading to severe brain swelling, bleeding or even death. Also, while performing the procedure, if there was even a minor disruption in the blood flow to the brain - it could lead to on-table death. After evaluating all treatment options, right carotid artery stenting was found to be the most feasible & practical as the patient had multiple co-morbidities too. Despite it being an extremely risky case, where even a slight error could prove fatal, we took up the challenge & were successful added Dr. Patodia. The patient was taken to the hospital's cath lab & carotid artery stenting was swiftly & successfully performed. Through a small nick in the groin, a catheter helped deliver a metal stent with inflatable balloon which opened the blockage. Special measures were undertaken, including inserting special filters to avoid any dislodged blood clot from blocking blood flow to the brain and having interventional neurologist Dr. Prashant Singh throughout to ensure prompt action in case of any neuro-emergency. The patient recovered well & he could walk again without any difficulty, within 24 hours. "It has been seen that patients who have high risk factors or who have to undergo a complex surgery or intervention do best at specialized centers where the clinical & support team has a lot of experience. We are happy that the team could successfully perform the intervention and save the patient" said Dr. Mala Airun, Zonal Clinical Director, Narayana Multispeciality Hospital, Jaipur.
India is witnessing a greater number of incidences of Type-1 diabetes mellitus among children during the last two decades mainly in the absence of regular exercises and habit of taking unhealthy diets. The estimated number of commonest form of diabetes in children has increased in India at a rate of 3 to 5% per annum over the last 2 decades. It is observed that the lack of awareness amongst people in general and the denial to accept the diagnosis guilt amongst parents opens the doors to several myths and misguidance, which are in the form of false promises made by people who might be ignorant to the medical field themselves, thus increasing the incidence of diabetes related complications, and occasionally at times a fatal outcome. While parents of children with type 1 diabetes may also experience irritability and mood changes and unintentionally lose weight in kids, the primarily cause of such illness among kids are genetic factors, environmental factors, and disorder of the immune regulatory mechanism. Dr Abhishek Kulkarni, Consultant & Department Co-ordinator, Pediatric & Adolescent Endocrinology, SRCC Children's Hospital, Mumbai, Pediatric & Adolescent Endocrinology, SRCC Children's Hospital, Mumbai, said, "The care of a diabetic child should be a team effort, led by the pediatric endocrinologist, along with vital roles played by diabetes educators, counselors, pediatric nutritionists and support groups. It is a daunting task on the part of the medical and paramedical individuals, but it is not all gloomy out there." "Recent advances in insulin therapy provide opportunities of delivering exogenous insulin in ways which mimics insulin secretion patterns of the human body. The contemporary standard of care, the basal-bolus regime provides basal insulin cover throughout the day with intermittent injections of short acting insulin covering meal timings. This not only reduces the rate of complications due to diabetes, but also prolongs the life expectancy to match that of the reference population," Dr Kulkarni said. The recent advancement of technology in invention of insulin pumps has improved the quality of life of type 1 diabetics providing relative freedom from needle pricks, flexibility in their daily routines, opportunities to enjoy the freedom of physical exercise and intermittent snacking with timely insulin doses. Intensive insulin therapies either through multiple daily dose injections or continuous subcutaneous insulin infusion through the insulin pump are associated with significant reduction in diabetes related complications. Doctors and Physicians at SRCC Children's Hospital managed by Narayana Hospital are committed to undertake more and more advance research providing opportunities to explore and device modalities to provide better health care with promising outcomes to improve the lives of type 1 diabetic children. A silver lining will continue to exist in the gloomiest of corridors of the medical field, experts at SRCC Children's Hospital managed by Narayana Hospital believe. About SRCC Children's Hospital, managed by Narayana Health: is a multi-speciality hospital exclusively for children. Of the 207 beds currently operational, 87 have been allocated for Multispecialty Critical Care covering new-borns to adolescents. It has taken critical care to a higher level with the concept of Level IV care where a qualified team of Paediatric Intensivists will be able to provide Emergency Life Support (ELS) for children with failure of their vital organs including heart, lungs and kidneys. Also available are a team of specialists in Cardiac sciences, Neurosciences, Hematology- Oncology, infectious diseases, Endocrinology, Orthopaedics, ENT, Gastroenterology, diagnostics services and nephrology amongst others. About Narayana Hrudayalaya Limited : Founded in 2000 by Dr. Devi Prasad Shetty and headquartered in Bengaluru, Narayana Hrudayalaya Limited is one of the leading healthcare service providers in India, operating a chain of multispecialty, tertiary and primary healthcare facilities. The Company has a network of 23 hospitals and 7 heart centres across India and single hospital overseas at Cayman Islands with over 6,200 operational beds across all its centres and potential to reach a capacity of over 7,100 beds. About Society for Rehabilitation of Crippled Children (SRCC): SRCC registered under the Societies Act , 1860 and the Maharashtra Public Trust Act 1950. It was established in 1948 to start Children's Orthopaedic Hospital to assist children affected by polio. So far, SRCC has provided healthcare benefits to 100,000 children. It aims are to organise hospitals and clinics for diagnosis, care and treatment of disabled and other children needing any other medical treatment. To create and educate public opinion on the problem of such afflicted children. Its first effort was to establish the Children's Orthopaedic Hospital to look after children afflicted by poliomyelitis. As this crippling disease was gradually eliminated, the society started offering its services to children. For more information: contact Adfactors PR Abhishek Chawande: Mob: 96694516774/ 9820670345
Narayana Health City successfully treated a Bangalorean youth who suffered heart attack while at work. The patient, Mr. Mohammed Rafeek, 27 year old, was suffering from a coronary artery disease (CAD) with Acute Coronary Syndrome (ACS) and Triple Vessel Disease. 27 year old software professional, Mr. Rafeek was leading a normal life until recently. One day suddenly he developed chest pain and was rushed to a nearby hospital. It was found that Mr. Rafeek suffered heart attack for which he was given adequate treatment. However, the search for an advanced treatment facility led him to Narayana Health City. The expert team of doctors under the aegis of Dr. Sanjay Mehrotra, Senior Consultant - Cardiology, Narayana Health City did a complete evaluation of the patient's condition and found that he was suffering from coronary artery disease (CAD) with Acute Coronary Syndrome (ACS). He underwent a coronary angiogram which showed a blockage (stenosis) of 80% in one of the main arteries of the heart called Left Anterior Descending (LAD) and was planned for an angioplasty and stenting. Optical Coherence Tomography (OCT) is new technology which is used Near Infrared Light (NIR) to visualise the inside of the heart arteries. Optical Coherence Tomography allows ten times better visualization than Intravascular Ultrasound (IVUS) which has been a method used to see the inside of heart arteries for a long time. OCT gives a much better resolution and exact information about the nature of the plaque, extent of narrowing of the coronary artery and helps to choose the size and length of the stent better. Speaking about the case, Dr. Sanjay Mehrotra, Senior Consultant - Cardiology, Narayana Health City said, "India today is experiencing a rapid transition in the disease burden and is gradually moving towards a scenario where majority of the deaths are caused by lifestyle diseases. In order to combat the rising incidence, we need to strengthen preventive measures by adopting healthy habits. However, there are times when disease is already there and one needs to effectively treat the disease which needs proficient diagnosis and precise treatment. Technologies like optical coherence tomography help in treating such conditions with more precision." "In case of Mr. Rafeek, with the help of OCT we were able to evaluate the diseased portion of the artery clearly as in his case there was Ruptured plaque which precipitates a heart attack was present in an area which cannot be seen on conventional angiography and failure to do so would have resulted in incomplete coverage which in turn would have lead to complication of stent occlusion and repeat myocardial Infarction (heart attack)." added Dr. Sanjay. Sharing his joy, Mr. Rafeek said, "While I suffered heart attack, my wife was nearing her delivery date and it felt like everything around me is coming to an end. I never imagined that I would be back with my wife celebrating the birth of our child. Today, I am not only getting better but leading a normal life again, thanks to the Narayana Health City. I am so grateful to Dr. Sanjay and his team for giving me a new life specially using this new technology in my case. One thing that I have learned from my own personal experience is that there is a reason why our ancestors lived a healthy life, it simply because of the discipline they followed" Cardiovascular diseases (CVDs) are posing huge social and economic concerns in India, and the steady upswing in the mortality attributed to CVDs is challenging. To prevent India from becoming the heart disease capital of the world, there is a need to bring a necessary shift in social behaviour and instil 'healthy living' as a norm. The responsibility also lies with the medical fraternity to leverage newer techniques which can effectively manage the disease and improve clinical and patient outcomes, eventually reducing the burden.
Narayana Health City successfully treated three patients suffering from chronic liver disease through related donor liver transplant. The doctors sourced matching livers from the recipients' family members and carried out the transplants at Narayana Health City. Patients included 39 year old Sathish Babu, 44 year old Venkata Swamy Reddy and 12 year old Sugita Sathiyaseelan. Hailing from Dommasandra, Anekal 39 year old Sathish Babu was a known case of chronic liver disease owing to alcoholism. He was being treated at Narayana Health City where the doctors advised him to undergo a liver transplant. Luckily for Mr. Sathish Babu, his sister was found to be a matching donor. Mr. Venkata Swamy Reddy, a 44 year old farmer was diagnosed with chronic liver cancer for which he was being treated at Narayana Health City. As his condition was not improving, he had to undergo a liver transplant. Fortunately for Mr. Reddy, his brother was a perfect match. 12 year old Sugitha Sathiyaseelan, a student from SriLanka, was diagnosed with chronic liver disease and the search for advanced treatment led her family to Narayana Health City where she was being treated. After a prolonged medical management she was advised to undergo liver transplant for which fortunately, her father was found to be her matched donor. Speaking about CLD and the successful transplants, Dr. Sanjay Goja - Director and Clinical Lead, Senior Consultant and Head of Liver Transplant & HPB Surgery, Narayana Health City said, "Chronic liver disease (CLD) can lead to faster complications and higher mortality. The classic signs for CLD are severe jaundice, itching, excessive bleeding, stunted or retarded growth, bloated bellies, irritability and vomiting blood. About 8-20% of people with liver complications suffer from alcohol induced liver diseases and rest 70-80 % with other liver diseases. Liver diseases are not only common among high alcohol consumers but many non-alcohol consumers also suffer from liver complications due to high Body Mass Index (BMI)." Chronic liver disease (CLD) consists of a wide range of liver pathologies which include inflammation (chronic hepatitis), liver cirrhosis, and hepatocellular carcinoma. It is estimated that in India around 20000 people need liver transplant with hardly 800-1000 cases getting treatment. This may be attributed to the high cost of liver transplant surgery and lack of awareness amongst people apart from other social reasons due to which not many families opt for liver transplant. The relatives who are allowed to donate include mother, father, brothers, sisters, son, daughter, and spouse. Recently in the new gazette, grandparents have been included in the list of first relatives. In majority cases donors are usually the parents where two-thirds constitute the mothers and the remaining one-third being the fathers.
Bengaluru, 06 September, 2018: As we head closer to World Marrow Donor Day, Mazumdar Shaw Cancer Centre at Narayana Health City - one of the leading Blood and Marrow Stem Cell Transplant units in India highlights alarming cases of two Cambodian sisters aged 9 and 11 years; their hero and saviour being a 11-month-old sibling and half HLA matched father. With Bone Marrow Transplant being the only cure for Thalassemia, it becomes very important to find a matching donor for such treatment. "It is highly unlikely to find an unrelated donor for Cambodian descent patients as there is no Cambodian donor registry and number of Cambodian donors in other registries are almost negligible", informed Dr. Sunil Bhat, Head - Paediatric Oncology, Haematology and Bone Marrow Transplant at Mazumdar Shaw Cancer Centre, Narayana Health City. "Chances of a match with other ethnic backgrounds are extremely low", he added. It was a big shock for this couple from Cambodia to have two consecutive children - both girls, suffering from Thalassemia - a disease that requires life-long blood transfusion every few weeks. "Most of the affected patients usually die in the second to fourth decade of life", confirmed Dr. Sunil Bhat. Fortunately, almost eight years after the second child was born, the family was blessed with a baby boy who was normal and did not suffer from Thalassemia. The father being a doctor by profession had made every possible effort to provide the best care to both his affected daughters. However, it was getting difficult for him in Cambodia. Giving adequate, safe and effective blood transfusions and managing the complications of iron overload was becoming a challenge to the family. They had learnt that Bone Marrow Transplant is the only cure for this condition. They began their search for a centre with immense experience in paediatric bone marrow transplants. Their research led to Narayana Health City in Bengaluru and Dr. Sunil Bhat who has remarkable experience in treating complex cases of blood disorders in children. The centre is also known for its innovative techniques in Haplo identical (half-matched) bone marrow transplants. Affirming that Bone Marrow Transplant (BMT) is the only cure for many life-threatening diseases, Dr. Sunil Bhat said, "With increasing number of haematological disorders, the number of patients requiring a blood stem cell transplant is also increasing. There are more than 1, 00,000 patients with serious blood disorders diagnosed in India every year and they can be cured with a BMT. One of the major differences between bone marrow transplant and solid organ transplants is that in BMT we need to match HLA of the patient and the donor. The chance of a patient finding a matched donor within family is only 25% to 30%; this leaves about 70% patients needing BMT for the cure of their disease but don't have a matching donor". The younger sister was fortunate as her brother was the HLA match who could donate, but he was only 11 months old! Extracting marrow stem cells from a donor who is an infant was a clinical challenge. The team at Narayana Health City came up with an innovative plan of taking the bone marrow from the donor at two different time points, around 4 to 6 weeks apart, in order to have adequate marrow for transplant. The transplant was performed in March this year making the 11-month-old infant the youngest donor to have donated bone marrow for his sister. The girl is completely cured of Thalassemia now. However, her elder sister was not so lucky as she couldn't get a fully matched donor. Therefore, her transplant was even more challenging. She did not have any HLA matched donor either in the family or anywhere in the World. The next possibility was a Haplo-identical transplant. Doctors at Mazumdar Shaw Cancer Centre at Narayana Health City decided to use the stem cells of the father who was a half match with the elder daughter. A new technique was used in haplo (half matched) transplant as the donor stem cells were not fully matching the patient. "Her bad cells were taken out in a procedure called TCR alpha-beta depletion and only the good cells were given to the patient", explained Dr. Sunil Bhat. "This avoids the risk of donor cells attacking the patient's body", he said. Although this technique helps in the above mentioned mechanism, it would delay the immune recovery, which would put them at risk of serious infections. "To address this issue of slow immune recovery, CD45RA depletion is an additional technique recently introduced", informed Dr. Sunil. "This helps us to give memory cells, which can fight infections in the patient", he said. This new technique has probably been used for the first time in India for the treatment of Thalassemia major.
Bengaluru, 30th August 2018: Department of Critical Care Medicine at Mazumdar Shaw Medical Center, Narayana Health City today organised a CME programme on the treatment of ARDS (adult respiratory distress syndrome) in ICU at its premises. The workshop witnessed around 120 delegates participating at the event from various specialties like physicians, pulmonologists, intensivists, anaesthesiologists and many allied science practitioners like respiratory and physiotherapists as well. Acute respiratory distress syndrome (ARDS) is a severe lung condition which occurs when fluid fills up the air sacs in lungs. Excess fluid in lungs can either lower the amount of oxygen or increase the amount of carbon dioxide in bloodstream. Further, ARDS can prevent oxygen supply to organs thereby restricting their function. In the worst sequel, it affects both the lungs to cause damage to alveoli (functional units of lung) which clinically manifest as difficulty in breathing, decreased oxygenation and failure of the respiratory system. Speaking about the event, Dr. M.M Harish, Consultant and academic In-charge, Department of Critical Care Medicine, Mazumdar Shaw Medical Center said, "The workshop was conducted to address recent rise in community acquired pneumonia and sepsis, which is one of the major cause among patients who require ICU admission these days. The rationale behind this program is to enlighten the knowledge on both basic pathophysiology of ARDS and advanced treatment options for deadly diseases like Extracorporeal Membrane Oxygenation (ECMO), prone position artificial ventilation and other newer methods of artificial respiration." With all the advances in medical technology, death rate because of ARDS still remains around 35-50%. ARDS can affect all the age groups from newborn to elderly with the spectrum of severity varying depending on how badly the patient is deprived of oxygen (hypoxia). Further, based on the degree of hypoxia, it is classified as mild, moderate and severe. More the degree of severity (i.e. hypoxia) more chances of death, therefore early recognition of the causative insult and hand in hand treatment of that cause and the ARDS parse is very important for saving a life. About Narayana Health City, Bengaluru: NH Health City is located in Bommasandra, Bengaluru, which comprises of Narayana Institute of Cardiac Sciences (NICS), a superspecialty hospital for cardiology and cardiac surgery, and Mazumdar Shaw Medical Center (MSMC), a multispecialty hospital for cancer care, neurology and neurosurgery, nephrology, urology, and houses what we believe, is one of India's largest bone marrow transplant units. NH Health City operates a stem cell bank.