Park Hospital

COVID-19 Pneumonia: Severity & Supportive treatment

  • COVID-19 Pneumonia: Severity & Supportive treatment

Generally, Pneumonia is defined as the infection of lungs, which is caused by bacteria, fungi, and viruses. The pneumatic condition can make small air sacs into your lungs, known as alveoli, to fill with fluid.

Apart from the usual pneumatic condition, Pneumonia can also be caused by covid-19, which is considered a severe coronavirus illness.

How does the infection spread?

When covid-19 infected person’s respiratory droplets enter your upper respiratory tract, the virus multiplies and the infection starts and progresses into your lungs. The weak lungs and immune system increase the chances of having complications of Pneumonia. In covid-19 pneumatic condition, the alveoli and its surrounding tissues can get damaged.

You will be more prone to getting inflammation if you have a weak immune system. The inflamed lungs can lead to dead cells and tissues. All these factors impact the transfer of oxygen, leading to severe symptoms like dry coughing and breathlessness.

Still, the latest researches cannot determine all the complications caused by the Covid-19 and how the Covid-19 Pneumonia is different from other types of Pneumonia.

Most of the covid-19 cases involve mild to moderate symptoms, which needs basic medical attention. People with the pneumatic condition or similar symptoms must consult with their doctor for covid-19 test or treatment.

Symptoms of Covid-19 Pneumonia

  • Fever
  • Chills
  • Cough
  • Chest pain
  • Shortness of Breathe
  • Fatigue

There is a situation or some serious symptoms, which should not be ignored:

  • Difficulty breathing
  • Confusion
  • Rapid heartbeat
  • Constant feeling of pressure or pain in the chest
  • Trouble staying awake or difficulty waking

Who is more prone to catching a covid-19 infection?

  • Weaker immune system
  • Undergoing cancer treatment
  • HIV positive
  • Diabetes

How covid-19 is treated?

So far, there is no specific treatment introduced for covid-19 infection. A variety of drugs has been tested for the treatment of COVID-19. The treatment for COVID-19 is supportive only and given to support the immune system and maintain the oxygen level in the body.

Patients with COVID-19 pneumonia are also treated with oxygen therapy and severe cases require the support of a ventilator.

Long-term effects of COVID-19 infection

The severe damage due to COVID-19 pneumonia may lead to long-term bad effects.

A study reveals that more than 90 per cent cases who had COVID-19 Pneumonia, reported lung lesions when examined by CT scan.

Even after 2-3 months, patients reported mild breathing issues and difficulty doing heavy exercises.

Prevention & Care tips to avoid COVID-19 infections

  • Keep washing your hand until a highly trusted medicine or vaccine is developed
  • Eat healthy and vitamin C enriched diet
  • If you already are facing some medical condition, be strict to your medication and take good care of your health
  • Wear a triple-layered mask in public places and when you go outside of your home or workplace

Park Group of Hospitals requests you to follow all the directed guidelines by WHO and IMA. One of the best multispecialty hospitals in Gurgaon and Delhi, India, Park Hospital facilitates hi-tech facilities for all major health problems, transplants, and surgical procedures.

Everything you need to know about back pain; Causes & Symptoms

  • Everything you need to know about back pain; Causes & Symptoms

Back pain can be very uncomfortable and debilitating sometimes. It can stop you from working and make you bother with your daily schedule.

The problem can be very disturbing and may have different causes, which are mentioned below:

Strain

The major reason for upper & lower back pain is a strain, tension, and injury. Here are some frequent causes of back pain:

  • Muscle tension
  • Damaged disks
  • Sports injury or fractures
  • Lifting heavy weight improperly or with wrong postures

Movement & Posture

Usually, backache can be the result due to adopting poor posturing while working in the office on a seat.

Let’s get to know about detailed posture activities related to back pain problems:

  • Bending for long hours while working on a computer
  • Muscle tension
  • Regular coughing & sneezing
  • Straining the spine forward while driving
  • Long driving sessions, especially in the driving profession
  • Pushing or lifting something heavy
  • Over-stretching
  • Sleeping on a hard mattress that doesn’t support the body posture

Structural problems

  • Ruptured disks

A ruptured disk can cause pressure on a nerve in our spine, which can be resulting in back pain.

  • Bulging disks

Like a ruptured disk, a bulging disk can also make a pressure on a nerve and form sever back pain.

  • Arthritis

Osteoarthritis can impact the comfort in your hips, lower, back, and other joints. In rare cases, the space around the spinal cord reduces, which is known as spinal stenosis.

  • Osteoporosis

When bones or vertebrae of the spine become brittle and porous, can make compression fractures, resulting in pain.

  • Kidney problem

Kidney stones or infections may cause backache.

  • Sciatica

When a sharp pain starts from your buttock and travels down to the back of your leg, can be caused by bulging or herniated disk pressing on a nerve.

Symptoms of back pain

The primary symptom is ache or pain anywhere in the back and sometimes in the buttocks and legs.

It is okay if the back pain goes away on its own, else you need treatment or go to see a doctor if it combines with the following symptoms:

  • Frequent fever condition
  • Inflammation or swelling on your back
  • Pain that reaches below your knees
  • Weight loss
  • Urinary incontinence
  • Difficulty urinating
  • Numbness around the buttocks or anus
  • Numbness around the genitals

How to diagnose the reason for back pain?

A doctor always asks some questions like the frequency & intensity of pain, about injuries, or some medical condition you are going through.

Secondly, if the condition doesn’t look normal to the doctor, he/she will ask you to go through X-Ray, MRI, or CT scan to know the state of soft tissues in the back.

Bones scan are referred to detect bone tumours or compression fractures and Electromyography or EMG can also be conducted to know the condition of muscles.

Park Hospital has a dedicated orthopaedic unit to counter all your back pain problems and the latest diagnostic machines and equipment facilitated to diagnose the problem. Highly experienced orthopaedic doctors are appointed to perform all complicated surgeries to providing the best treatment.

COVID-19 AND DIABETES MELLITUS

  • COVID-19 AND DIABETES MELLITUS An Institutional Experience: Park Hospital, Gurugram

An Institutional Experience: Park Hospital, Gurugram

Dr (Col) M K Dutta,

Endocrinologist & Internal Medicine (Senior Consultant)

The Covid-19 pandemic has changed the course of the world and exposed it, particularly the health care structure to such sheer and frustration.

It is not surprising to see a large number of diabetics, both type 1 and type 2, suffering from the disease and having much increased morbidity and mortality. Increased ICU admission by double, increased mortality in diabetes patients by 3 times and severe disease rates twice of normal population has been seen in the recent epidemic in China. Reports of ACE receptor upgradation requiring anti-hypertensive medication modification are being published. Having been at the forefront in the management of these cases, one finds certain factors aggravating this phenomenon.

  1. Lack of lifestyle modification i.e., improper diet, lack of adequate exercise, improper sleep, increased stress due to financial depravation, loss of jobs, lack of social communication.
  2. Failure to access healthcare due to presumed risk of infection, hospitals converted to Covid hospitals, lack of functioning diabetic and endocrinology OPDs
  3. Lack of information about diabetes monitoring treatment, check-up during this period
  4. No information on medication changes, insulin sick day guidelines, changing schedules of treatment during this period

It has been seen that patients are suffering from rising blood glucose levels due to isolation. Infection with Covid-19 significantly worsens the glycaemic status. There is lack of understanding among basic doctors caring for the disease. Very few endocrinologists are available on the ground in the care of diabetic patients, the job being left to young residents, physicians and nurses who find it an increasingly difficult job to control hyperglycaemia, fluids and electrolytes. The frequent use of steroids and stress of infection worsens the situation with added rise in metabolic control due to concurrent comorbidities and the use of inotropes.

We at Park Hospital Gurugram have treated many patients suffering from Covid-19 and found that a large number are diabetics who suffer from poor immunity leading to an increased risk of moderate to severe Covid-19 infection. There is a need to step up glycaemic monitoring with frequent blood glucose measurements and early appropriate use of insulin in basal bolus regimen to achieve glycaemic control. There have been cases of severe DKA who have been managed with IV fluids, electrolyte correction, insulin infusion and bicarbonate depending on the severity of acidosis which is also further complicated by lactic acidosis and uraemic acidosis. Factors like dehydration, fever, sepsis, use of multiple medications, inotropes and frequent steroids make the situations truly challenging.

We have preferred to discontinue Metformin in these serious situations though DPP-inhibitors and insulin find a place in diabetic management.

Also very important is the role of regular monitoring of blood glucose levels at home and maintenance of normal blood glucose with regular use of prescribed medications which include oral hypoglycemic agents, GLP1 analogues, insulin subcutaneous, insulin pump therapy and treatment of concurrent illnesses. The role of exercise which includes atleast 150 mins of aerobic exercise and 2 days of resistance training on a weekly basis cannot be over emphasized.

The role of maintaining a regular balanced diabetic diet which is high in protein and unsaturated fats and avoidance of high carbohydrate load and saturated fats is emphasized to maintain appropriate body weight and muscle.

Pain Free Orthopaedic and Knee Replacement Surgery in Gurgaon- Park Hospital

  • Pain Free Orthopaedic and Knee Replacement Surgery in Gurgaon- Park Hospital

While the world is hustling with one another for economic boost ups, we often overlook our joint pains. We consider them to be a part of the hustle and get back to our daily routine. If there were no one pain and suffering, life would be so much easier but a world so perfect does not seem to exist. Diseases like arthritis is so common in today’s era. There are more than 10 million cases per year. Arthritis is the swelling and tenderness of one or more of your joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age.

Park Hospital is best known for the orthopaedic surgery in Gurgaon. They serve joint replacement surgery at it’s best. Park has the best surgeon for joints and paramedical in the Unit of Orthopaedic and Joint Replacement. With it’s equipped centre, it also provides highly qualified doctors for knee replacement surgery who understand their patients and treat them with utmost devotion.

Typically, joint replacement surgery is recommended for patients with advanced end-stage joint disease (usually knee or hip) who have tried non-operative treatment but still experience functional decline and disabling pain. When performed at the correct moment and with the right guidance, joint replacement is an incredibly successful operation. Modern joint replacement surgery involves removing the worn cartilage from both sides of the joint, followed by resurfacing the joint with a metal and plastic replacement implant which looks like your normal joint and works like it. Although almost every joint in the body can be replaced, most surgeries involve the hip or knee.

A few affordable and skilled Orthopaedic surgeries have been performed in Park Hospital; Gurgaon include:

  • Total Knee Replacement Surgery (TKR)
  • Hip Reconstruction and Replacement Surgery
  • Partial Knee Resurfacing
  • Ligament tears (MCL, ACL)
  • Artificial Limbs for Prosthesis
  • Trauma
  • Carpal Tunnel Release Surgery
  • Elbow Replacement Surgery

Health research and development convergence make every effort to save patients from the suffering they experience. Orthopaedic surgery has progressed well beyond our expectations with the introduction of the new technologies such as machine navigation. Using these technologies, surgeons can now execute pain-free surgery with great precision. Not only this, but patient care has also increased with reduced periods in the facility, fewer time for recovery and most significantly, fewer discomfort. An important point to note here is that it is necessary to educate not only the best surgeons but also patients about these procedures as it will help them to collaborate better.

Top 10 Facts about Paediatric and Neonatal Surgery – Park Hospital

  • Top 10 Facts about Paediatric and Neonatal Surgery - Park Hospital

Adult surgeons not considered expert while performing surgery on a child. A specialized doctor only can perform surgery in the cases of children. Child body organs are complex and sophisticated in comparison to the adults. Surgery parameters like anaesthesia, IV fluids also need different expertise and monitoring.

Here are some interesting facts mentioned below, to help you know about the facts about child surgery:

  • 20th century brought the revolution of paediatric or child surgery since the birth abnormalities came into notice.
  • William E. Ladd was the first doctor who performed paediatric surgery and thus known as the father of child surgery.
  • Neonatal and fetal surgeries are the branches or sub-division of pediatric surgery.
  • Child surgery follows different fluid consumption. It needs special expertise to give liquids to a child.
  • Regional anaesthesia along with general anaesthesia given to block the nerve before surgery in the targeted part of the body.
  • Epidural anaesthesia is the most common anaesthesia used to perform child surgery. This type of anaesthesia given during childbirth (Injection of local anaesthesia during childbirth)
  • Parents need to be there for their children post-surgery. Parents are the only one who can prepare their child mentally for the surgery. They should also be beside their children after the surgery to mentally heal the child.
  • A child needs 3-4 weeks to recover after a less complicated surgery while a complicated surgery needs 6-8 weeks to recover.
  • During child surgery, development of counter antibodies seen due to frequent blood transfusions. It may create difficulty obtaining compatible blood for the child. Special expertise needed to match the child’s blood type to reduce antibody development.
  • Ideally, an anaesthetist should pay the child or their parent a visit to know about the general health and complications before surgery.

The pediatric division of Park hospital offers the best OPD and surgical services under the surveillance of supreme child doctors. At Park Hospital in Gurgaon and Delhi NCR, all child surgeries performed by child specialists.

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