Park Hospital

  • 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

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

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.

  • When do you need to see a Psychiatrist?

Life is far more complicated than we think in reality. There are some problems we can’t conquer easily, the problems beyond our reach to solve.

Back to back failures in life, the death of someone very close to you, and many other problems that caused anxiety.

You must know that every problem has a solution and you should not give up for anything in your life. Though there are some problems like the sense of constant fear, anxiety, and no one likes you, all of these can be treated under the valuable suggestion of a Psychiatrist.

There are some certain situations and problems when you need to see a Psychiatrist:

Depression

When you feel helpless for most of the time and also you are facing a constant sense of fear, can be the signs of depression. Depression is a constant feeling when you lose your interest in things you were interested before. Additionally, sleeping disorders, fatigue, and not control over emotions are the symptoms of Depression.

A Psychiatrist helps you to find the reason and come out of this problem. With the right medication, you can overcome this problem in just a few weeks.

Phobias

Fear from darkness, heights, and lizards are common. But phobias like Agoraphobia and social phobia can lead to serious health problems.

A good and experienced Psychiatrist can help you overcome your fears with the help of certain medications, exercises, and techniques.

Mental Disorders

Repeating things, eating abnormally, personality disorders can some types of mental disorders that may disturb your life. They can come in different forms and can only be discovered by a mental health professional.

Here are some mental disorders:

  • Bipolar Disorder
  • Post-traumatic stress disorder
  • Major depressive disorder
  • Schizophrenia

Why should you seek the right help?

Right help means visiting a psychiatrist to find a good solution over the problem. You need to find a good psychiatrist near you and make your communication pure and clean with her/him.

The best Psychiatrists at the Park Hospital work on different ideas and medications to solve all your mental health problems.

Never hesitate to meet with a mental health professional in the division of Psychiatry at Park Hospital if you ever find something unusual with your daily routine habits and behaviour.

  • Why should we not ignore dental problems?

We are taught from childhood to take care of our dental hygiene. Also, we were told to brush our teeth twice daily when we were kids.

Flossing can also be performed to keep the teeth clean. If not once a day, we can do it twice a week to keep our teeth clean. You can search through the videos to find the right technique for the flossing.

Even after taking care of our dental hygiene, some dental and oral problems may still persist. You can try home remedies to fade those problems away. But, there are many problems you should not continue along. You must go to see a doctor when you feel that your dental problem is not solving even after trying multiple techniques and remedies.

To counter your dental problems, you must go to see the best dentist Gurgaon near you.

Here are 5 major dental problems you shouldn’t ignore:

Bleeding Gums

Bleeding gums is not a big problem in most of the cases because normally the blood may come out while brushing and flossing the teeth. But, sometimes, it may create a problem like Gingivitis and it could turn into periodontitis, which can cause damage even to your teeth.

Clicking jaw or ear pain

If you feel clicking or popping jaw, it could be a symptom of temporomandibular disorder (TMD). TMD keeps increasing if not treated immediately. The TMD can cause teeth grinding, clenching, and dislocation of your jaw.

Tooth Sensitivity

Once tooth sensitivity out of 100 times is not a problem. Grinding is one of the main reasons for tooth sensitivity, which may cause the loss of the tooth’s natural structure. Later, it becomes a problem when your teeth start feeling sensitive every time you eat or drink hot or cold.

Bad breath

To avoid bad breath, you must brush your teeth twice a day and floss them at least twice a week. When bad breath doesn’t go away even after maintaining good oral health, then this may be the sign of other chronic health problems like liver and kidney disorders.

Persistent Tooth Pain

If a tooth or jaw pain persists for several days or you are experiencing unbearable pain, you must go to see a dentist in order to avoid other complications like infection.

With a dedicated dentistry unit, Park Hospital offers the best dental treatment in Gurgaon. Also, at Park Hospital, you can find the best cosmetic dentist in Gurgaon to rectify all your dental and oral problems.