Articles

Dengue – a deadly name during monsoon

Past few years, death toll has been on a rising side due to one of the deadly diseases – Dengue.

Dengue, as we all know, is one of the few deadly diseases which springs up in rainy season and takes away many lives in the tropical regions of the world. The major areas affected due to this disease are Latin America, Part of South Africa and South East Asia. Talking about our country, India, the death toll rose to 1200 during 2016 in the national capital region of the country making the nationwide toll to approximate 10,000. Dengue virus becomes active during the monsoon season which starts in July and ends in September in India. During these three months the dengue virus affects many lives across the nation. With this article, Park Hospital has made an effort to educate and spread awareness about this deadly virus and diseases to help people take preventive measures and protect themselves from Dengue fever.

Dengue Map

Dengue Fever Causes: Dengue fever is caused due to four genetically similar viruses which are carried by Aedes Aegypti and Aedes Albopictus mosquitoes to human body. These viruses are transferred from Mosquito to human body and then can be again transferred to mosquito from human body during incubation period (before symptoms starts appearing).

Dengue Symptoms: The dengue fever symptoms take around 4 – 15 days to appear after the mosquito bite. The common dengue symptoms are:

  • Fever
  • Painful Muscle
  • Bone and joint aches
  • Headache
  • Chills / Sweating
  • Rashes / Red Spots
  • Swollen Lymph Nodes
  • Back Pain
  • Loss of Appetite

Dengue Fever Complications: Generally dengue fever lasts from 7 – 10 days, however, sometimes it can turn out to be more serious disease and need special care and attention.

  • Hemorrhagic: This is usually found in people under 15 years of age but can be present in an adult as well. The major symptoms for this condition are easy bruising in gums and gastrointestinal tract. This serious condition is also known as Dengue Hemor Fever.
  • Dengue Shock Syndrome: This is the deadliest stage of the dengue fever which can even lead to death in some cases. The symptoms to take care of are severe abdominal pain, heavy bleeding and dripping blood pressure.

How to Diagnose Dengue Fever: There is a common test carried out by all hospitals and diagnostics centre to confirm the presence of dengue virus in human body i.e. CBC (Complete Blood Test). The CBC dengue test takes in account the number of platelets and white blood cells, the lower the number the higher the risk of virus. There are situations, when the dengue fever confirmation is not possible with just CBS Test, as the symptoms (fever, rashes, headache, and low platelets) are similar to few other diseases like pneumonia, typhoid, and malaria. In such situations, there other tests available to confirm if the patient is affected by the dengue virus or not. These are:

  • Blood and Urine Culture
  • Spinal Tap
  • MAC-ELISA Assay (Immunoglobulin M-based Test)
  • Ig-ELISA
  • Viral Plaque Reduction Test
  • PCR Test

Dengue Treatment: There is no fixed vaccination or medicine for treating dengue fever. It can be cured by self limited remedy that means can be cured with care and diet change. The patient needs to be hydrated all time and can be given painkillers to lower the body pain. Only thing to remember here is that Non-steroidal Anti-Inflammatory Agents (NSAIDs) are to be avoided as they might lead to high pressure.

In cases of Hemorrhagic and Dengue Shock Syndrome the condition of the patient starts deteriorating with platelet count dipping quickly. In such cases, the patient needs intensive care measures like:

  • Hospitalization
  • V.Fluid Hydration
  • Blood Transfusions
  • Platelet Transfusions
  • Blood Pressure Support

In generic, Papaya leaf extract is also suggested to improve the blood platelet count. Stay Tuned to the blog, for our next article on details regarding Preventive Measures for Dengue Fever.

Angiography, Angioplasty and Coronary Artery Disease

Coronary Artery Disease is the hardening of arteries that supply oxygenated blood to the heart. These arteries are hardened due to the formation of plaque caused by fatty material and other substances being deposited in the arterial wall. This narrows down the artery and reduces blood flow to the heart and leads to several heart problems, including heart attacks. Heart attacks occur when there is less or no supply of oxygenated blood to the heart muscles causing that part of the muscles to lose function or die.

People suffering from heart problems can be treated using surgical and non-surgical methods. Angioplasty is also one such non-surgical method to treat heart diseases (also called as interventional technique). This method is used to widen blocked or narrowed arteries (a result of coronary heart disease or atherosclerosis) that carry oxygen-rich blood to the heart.

CABG CausesSymptoms of Coronary Artery Disease

  • Pain or discomfort in the chest is the most common symptom
  • A squeezing pain in the chest, neck, back, stomach or arm
  • Shortness of breath
  • Fatigue
  • Weakness

Treatment of Coronary Artery Disease

Medicines may be prescribed to control high blood pressure, high cholesterol levels or diabetes.

CABG Treatment

In case the disease is severe, the following procedures and surgeries are done:

  • Angioplasty and Stent Placement
  • Coronary Artery Bypass Surgery (CABG)
  • Minimally Invasive Heart Surgery

What Happens During Angioplasty Treatment?

Before starting the procedure, some pain medicine and blood thinning medicine are given to the patient. A local anaesthesia may also be given.

Angioplasty procedure: As a part of angioplasty, a cardiac catheterization is performed. A sheath (a thin plastic tube) is inserted through the groin or arm, into an artery. Through this sheath, a long, flexible, narrow and hollow tube called the catheter is passed and guided through the blood vessels to the arteries around the heart. A small amount of a contrast material (dye) is injected into the body to highlight blood flow through the arteries. The dye, injected during angioplasty, is photographed through an X-ray as it travels through the heart chambers, valves and arteries. Through these pictures, the doctor can tell if there are any blockages in the arteries or if they have narrowed down and if the heart valves are functioning properly.

In case a decision is taken to perform an angioplasty, the doctor will move the catheter to the artery with a blockage. An interventional procedure (as mentioned below) will be performed.

Balloon angioplasty: A catheter with a small balloon tip is placed at the point of narrowing of the blocked artery. Upon reaching there, the balloon is inflated to compress the plaque in the artery wall to widen (stretch) the artery and increase blood flow to the heart.

Stent: A stent is a mesh metal tube that is introduced as a scaffold into the coronary artery, with the help of a balloon catheter that is placed over a guide wire. When the balloon tip is inflated, the stent expands to the size of the coronary artery and stays in place permanently.

Rotoblation: An acorn-shaped, diamond coated tip is attached to the catheter, which rotates at high speed and grinds away the plaque upon reaching the blocked artery.

Atherectomy: A minimally invasive surgical method of removing, mainly, atherosclerosis from a large blood vessel within the body. It is generally used to effectively treat peripheral arterial disease of the lower extremities are also been used to treat coronary artery disease

Cutting Balloon: An angioplasty technique that has a special balloon tip with small blade that is activated when the balloon is inflated. The blade chips at the hardened calcific deposits on the artery

What is Angiography?

Many people tend to confuse angiography and angioplasty. There is a vast difference between these two terms. While angioplasty has been explained above, angiography is a medical imaging of blood vessels, which involves using water soluble ionic or non-ionic x-ray contrast material that is injected into the blood stream to visualise the blood vessels supplying blood to the heart and is a diagnostic tool.

Neck bone fractures can be fatal for the patients

  • Cervical Fracture

Cervical Fracture

By Dr. Manish Kumar, Neurosurgeon (MBBS, DNB (Neurosurgery))

Off all the cases of cervical spine (neck) trauma, about one out of five involves the axis (C-2 – the second vertebra of spine in the neck). The commonest type of the axis injury is the fracture at the junction of the odontoid/ dens (the peg like structure from the superior aspect of the axis vertebra in to the first vertebra C – 1 also called as Atlas) and the body of the second vertebra/ axis also called as type II odontoid fracture. The importance of the part of bone called dens can be understood by the fact that this few millimetre-thick bone appears to be the only bony connection between the cervical spine and the head and its fracture is like separation of the head from rest of the body below!

The C1-2 complex allows far more motion than any other single level in the cervical spine. This motion is predominantly rotational, since translational motion at C1- C2 is limited by the strong transverse ligament. This restriction is lost after fracture of the odontoid and may be associated with abnormal movement of the C1-C2 complex in relation to the C2 body. This may result in spinal cord compression producing severe neurological problems. The injury is like decapitation. About 25-40% of dens fractures are fatal at the time of accident due to cessation of breathing and sudden loss of other vital functions or other associated injuries like Brain injuries. Many patients suffer with severe morbidity because of poor handling during transit or in the hospital sometimes even resulting in prolonged hospital stay and death.

In case of type 2 Odontoid fracture, surgical fixation with lag screw passed through the C-2 body up to the tip of the dens is of the first choice if there is no other fracture associated. In case this procedure fails or in case there are other associated injuries, posterior procedure of Occipito cervical stabilisation and fusion is done which results in significant restriction of the neck movements for rest of life.

At Park Hospital, Gurugram on 15th of June, we had a patient with anterior screw fixation of type 2 odontoid fracture who was operated successfully. The patient had come following an injury due to fall from electric pole. The patient is an electric technician, had developed severe neck pain and inability to move the head following the trauma. Luckily he did not develop any weakness of the hands or legs or any difficulty in breathing. Skull pin traction was applied immediately on arrival as the patient was waiting for definitive surgery. Post operatively patient is not having any weakness of hands or legs and is able to talk and eat immediately after the surgery. He could walk on the next day of the surgery. He will have normal range of neck movement.

Top 10 Hospitals in Delhi, India

  • top 10 hospital in Delhi, India

After leaving a great impression in the North region of India, Park Hospital has earned are owned position among the top 10 hospitals in Delhi. Park Group is a rapidly growing chain of hospitals in Delhi and has various Hospitals in Gurgaon, NCR. Presently, they have 1500 beds and reach the level of prominence in the field of healthcare through their new tech machinery and advanced treatments along with a skilled team of doctors as well as Professional staff. With the support of a great panel of doctors and 27*7 emergency services, the hospital attracts a number of patients from all over the North India.

Park Hospital offers high-quality treatment for Cardiac Sciences like diagnosis and monitoring of heart patients, crucial analytical procedure and, Neurology, Nephrology, Orthopedics& Joint replacement, General Surgery, Critical Care etc., which only the best hospitals in India, can provide. The hospital is the appreciable blend of state-of-the-art infrastructure, new tech tools & machinery as well as tech-friendly staff which gives a thought of care and best treatment. Not only this but also the hospitality of the hospital for the people who come along with patients are magnificent so that one can relax in a critical situation.

Excellence in Quality Healthcare:

  • The team of cardiac sciences comprises of health science assistants, operating department practitioners, specialist nurses, anesthetists, radiographers and so on, they help the patients in their most critical times and take complete care till the time they are not cured.
  • The Neurology unit is supported by well-equipped and complete ICU facilities, and also for managing critically ill neurological patients, The Electro-Encephalogram (EEG) monitoring is also available at the multi speciality hospital.
  • The Nephrology unit is equipped with the latest technology for the advance treatment of renal disease and also other problems due to stone, diabetes, hypertension, and infection.
  • The unit of Obstetrics and Gynecology in the hospital takes complete care of the women health, from pre to postnatal period along with advanced gynecologic surgeries, if needed.
  • The Orthopedics & Joint replacement units help to replace the damaged bone which provides comfortable movements very soon.
  • The unit of Oncology of Park Hospital works and gives the best treatment to Cancer patients through its various forms of treatments which include hormones, drugs, chemicals and biological products.
  • The General Surgery unit normally focuses on the abdominal area organs treatment, as it is the one of the significant decision for your physical well-being.

 

Being one of the best Hospitals in Gurgaon, Park Groups a renowned name which is synonym with the new birth, healthy life that each and every individual strives for.

Joint Replacement Surgery: Best Orthopedic Hospital in Delhi

  • Best Orthopedic Hospital in Delhi, Joint Replacement Surgery
Best Orthopedic Hospital in Delhi, Joint Replacement Surgery

Park Hospital

Many people struggle with the issue of joint pains which may or may not develop due to an infection in the joints (septic arthritis), or because of factors like overweight, diseases, or sports injury. These conditions limit the blood flow in the joints and cause problems in the bones. When these issues are neglected for a prolonged period of time, it may cause joint pains. Only the best orthopedic hospital in Delhi will have the options to treat joint pains effectively. Among various options, joint replacement surgery is the most viable option to treat this problem from the core.

Causes of Joint Pains

The best orthopedic doctors will thoroughly screen and verify the cause of the joint pains as the problems may not be as casual as it looks. There are various causes of joint pains resulting from problems with the lining of the joint, surrounding the bone or tendons or ligament muscles around the joint. Apart from this the main causes include-

  • Infection
  • Osteoarthritis
  • Rheumatoid Arthritis
  • Connective Tissue diseases
  • Joint bone or soft tissue injury (Knee, elbow, shoulder, ankle)

 

Joint Replacement Surgery- A Perfect Solution

The last resort for the treatment of joint pains is joint replacement surgery. People suffering from osteoarthritis and rheumatoid arthritis are recommended to opt for the main orthopedic treatment i.e. joint replacement surgeries which are characterized by the replacement of the damaged cartilage. In the surgery, the joints are resurfaced while the muscles and ligaments support and function. The prosthesis made up of titanium, stainless steel or ceramic allows the growth of the bone in the implant. The procedure is followed by physical therapies to adjust themselves with the physical movements.

  • Correcting a deformity
  • Improves mobility
  • Severe joint pain
  • Stiffness, limping
  • Muscle weakness
  • Swelling

How to Choose the Best Orthopedic Hospital

To have the most effective orthopedic therapy, it is important to choose the best orthopedic hospital. Since, joint replacement surgery includes hip, knee and shoulder surgery, only those medical institutes should be chosen that suits your criteria-

Logistics: Always make sure that the hospital has all the necessary technologies and treatments required for the surgery. Check if the hospital has a specialized orthopedic department only for joint replacement surgeries. Make efforts to find out the number of operation theaters, nurses and the team of orthopedic surgeons.

Experienced Orthopedic Surgeons: An experienced surgeon will be efficient enough to handle the complex cases and suggest treatment and after-care which will be great for the patient. The hospital that you choose must have a good team of highly qualified and experienced orthopedic doctors & surgeons who will counsel you to clear all your doubts and keep regular follow-ups on their patients.

Feedback from patients: Take reviews from the patients who have undergone treatments and joint replacement surgeries from the hospital. They are the best people to get feedback on the doctors, nurses, treatments and the care offered at the hospital. Their genuine reviews and feedback will definitely help you decide whether to go to the hospital or not.

Location of the Hospital: The location plays a major role. As a patient, one always think of having an orthopedic near me so that in case of an emergency, one can visit the doctor immediately. Getting post-surgical care and taking follow-up from the doctor is always easy if the hospital is located near your place.

Quality Measures: One should always make sure that the machinery, equipment, and procedures of the orthopedic treatments conform to the international standards. From the antibiotics to the quality of prosthesis and the equipment in the operation theater should be of good quality and passed through the quality assurance standards.

Check Hospital Rating: Read, review and find out the rating of the hospital in terms of patient care, therapies offered, medical standards followed etc. These queries are easily answered at the internet and social media pages.

Affordability: The cost of the surgery is one of the most important factors to consider while selecting the best orthopedic hospital in Delhi. Most hospitals have great differences in their cost which confuse most people with the thought that the higher the cost, the better is the patient care, which is not always true. Choose the hospital after comparing the cost factor and the treatment & services offered.