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hospitals

Medanta hospital in Gurgaon receives bogus bomb threat

by Medically Speaking March 25, 2022

written by Medically Speaking

On Thursday afternoon, an unnamed caller placed a phoney bomb threat call to Medanta hospital, leading security services to dispatch the bomb squad.

According to the FIR filed on the complaint of Dr. Sanjeev Gupta, medical director of Medanta hospital, around 12.15 p.m., they received a threatening call from an unknown number at their contact centre at Medanta hospital. “The caller stated that a bomb was kept in the hospital and that a terrorist assault was possible.” “A panic situation occurred as a result of the call, which disrupted the hospital’s functioning,” the complainant stated in the FIR.

According to police, a bomb disposal unit and a dog squad were promptly summoned to the hospital.

“All the agencies involved were instantly alerted,” a senior police official stated. The area was blocked off and a thorough search was carried out. It turned out to be a prank phone call.”

The caller, according to police, has yet to be identified. “The caller’s last location has been tracked to Delhi, and attempts are on to apprehend the individual,” a police officer who requested anonymity said.

According to authorities, a FIR was filed against the accused at Sadar police station under sections 336 (endangering the life or personal safety of others) and 506 (criminal intimidation) of the Indian Penal Code.

March 25, 2022 0 comment

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Delhi: New hospitals, health cards, and emergency Covid fund are set to receive lion’s share of this year’s health budget

by Medically Speaking March 22, 2022

written by Medically Speaking

According to people familiar with the situation, the majority of Delhi’s healthcare budget this year would be committed to three projects: infrastructure growth, emergency money for Covid administration, and equipping citizens with cloud-based health cards. The budget will also continue work on the 100 mahila mohalla clinics initiative, which was launched last year but was halted because to the epidemic.

The healthcare sector received a budget allocation of Rs 9,934 crore last year, accounting for 14% of the entire spend.

In terms of infrastructure development, the government would concentrate on the continuing building of four hospitals: a 2,716-bed hospital in Siraspur and three 671-bed hospitals in Madipur, Hastsal, and Jwalapuri. According to budget ideas in the works, nine current hospitals would be remodelled to expand the number of beds.
Construction of semi-permanent structures at Sarita Vihar, Shalimar Bagh, Sultanpuri, Kirari, Raghubir Nagar, GTB Hospital Campus, and Chacha Nehru Bal Chikitsalaya is a recent addition. These are simple to construct and will survive for around 30 years. The cabinet approved the construction of the seven structures in the second half of 2021, however it was never included in the budget. These will add 6,800 beds and will take six months to complete.

“A lot of money was spent on maintaining temporary facilities for the treatment of Covid patients in areas like the Ramlila ground.” According to a government official, “the semi-permanent constructions will enhance the number of beds and last for years.”

In the event of another spike, the government will put aside an emergency Covid fund, which can be used to purchase consumables or pay for more healthcare professionals. With all eligible adults over the age of 15 having already gotten their first dosage and over 88 percent having received their second dose, funding for the Covid vaccination effort is set to be cut.

Officials said that QR code-based health cards, which will be used to store residents’ medical information, are also in the works and will be allocated again.

March 22, 2022 0 comment

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Study: Drug to treat OCD could reduce hospitalisation risk in Covid patients

by Medically Speaking October 28, 2021

written by Medically Speaking

According to the findings of a new clinical trial published in The Lancet Global Health, fluvoxamine, an antidepressant used to treat major depressive disorders and obsessive-compulsive disorder (OCD), can reduce the need for hospitalisation among high-risk Covid-19 patients.

The research was conducted as part of the TOGETHER trial, which aims to investigate the efficacy of eight repurposed Covid-19 treatments in high-risk adult patients who are not hospitalised.

The fluvoxamine part of the trial began in January 2021. Researchers recruited adults in Brazil who were symptomatic, had tested positive for Covid, were unvaccinated, and had at least one criteria for high risk.

For the study, 741 participants were given 100 mg of fluvoxamine twice daily for 10 days and 756 participants received a placebo.

The participants were observed for 28 days. The researchers recorded how many patients spent more than six hours receiving physician treatment at a specialised Covid-19 emergency setting, or hospitalisation.

Of the 741 participants who received fluvoxamine, 79 required an extended stay for more than six hours in an emergency setting or hospitalisation, compared to 119 out of the 756 participants who received the placebo.

The results show that using fluvoxamine to treat high-risk outpatients with early-diagnosed Covid reduced the need for prolonged observation in an emergency setting or hospitalisation, compared to a control group who received a placebo.

“Recent vaccination developments and campaigns have proved to be effective and important in reducing the number of new symptomatic cases, hospitalisations, and deaths due to COVID-19. However, COVID-19 still poses a risk to individuals in countries with low resources and limited access to vaccinations,” said Edward Mills of McMaster University in Canada, co-principal investigator on the trial.

“Identifying inexpensive, widely available, and effective therapies against COVID-19 is therefore of great importance, and repurposing existing medications that are widely available and have well-understood safety profiles is of particular interest,” Mills said.

October 28, 2021 0 comment

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Specialists at Apollo Cradle & Children’s Hospital successfully perform a high risk surgery to save a mother with blocked Cervix & her preterm baby!

by Medically Speaking October 5, 2021

written by Medically Speaking

• Mother was detected with a perilous condition, Placenta Percreta in her 5th month of pregnancy

• Placenta was impeding the passage of the baby from the womb

• Incidence of Placenta Percreta is about 7%, with a mortality rate of 3.9%

Hyderabad, October 5th, 2021: A 32-year-old women in an advanced stage of pregnancy, with placenta blocking the Cervix, was saved along with her pre-term baby; by a multi-specialty team at Apollo Cradle & Children’s Hospital, Jubilee Hills. The Doctors led by Dr Lakshmi Rathana M., Sr. Consultant Obstetrics & Gynecology, Apollo Cradle & Children’s Hospital; performed a complex cesarean hysterectomy, spanning over four hours, from Barkas, Hyderabad. Both the mother and the healthy female baby who needed minimal NICU support, have since recovered and been discharged.

The patient was earlier diagnosed in her fifth month of pregnancy with a perilous condition called Placenta Percreta, where placenta extends into the vagina and sides of the uterus, thereby blocking the Cervix. The Cervix is the narrow passage for the baby to pass through from the womb, at the time of delivery. The blocking of the cervix impedes the delivery of the baby, thereby immensely risking the lives of both the mother and the baby. The incidence of Placenta Percreta is about 7% in pregnant women and the mortality and morbidity of such patients could be to the extent of 3.9%. The treatment for Placenta Percreta involves either removal of uterus while keeping the placenta intact or retaining the placenta inside and awaiting for the resolution of the problem in the course of the next 3 to 4 months. This patient developed Placenta Percreta condition because of her undergoing cesarian sections for three of her previous deliveries and the best possible treatment option for her was removal of the uterus.

Cesarean hysterectomy involving removal of the uterus immediately after delivery of the baby is a potential high-risk procedure, therefore multidisciplinary intervention was necessary, besides taking all precautions to save precious lives. The vigilant and timely actions of both Anesthesia and Surgical teams could save the patient despite massive blood loss and transfusions, says Dr Lakshmi Rathna M

Prior to the surgery, the specialists took all the precautions necessary for a minimal complication and safe delivery, right from the time of detection of the complication during the twentieth week of the patient’s pregnancy. They ensured regular checkups and close supervision. The per-vaginal bleeding was controlled by serial Ultrasound and Hemoglobin levels were maintained with oral Hematinics to avoid anemia till the delivery. The patient and attenders were continuously counselled for any inheritable disorders. A team of comprising of Obstetricians, Dr Lakshmi Rathna M.; Dr Sapna, Dr Nandini; teams of Surgeons, Anesthetists, Neonates & Pediatric Team and support staff ensured the success of the surgery.

About Apollo Cradle & Children’s Hospital:

Apollo Cradle & Children’s Hospital is India’s leading specialty hospital network for Women and Children. We have a robust presence in six cities, including Hyderabad, Bangalore, Delhi NCR, Amritsar, Chennai and Pune, making it the foremost integrated Maternal and Child Healthcare Service Provider in India. Our primary objective is to provide the highest standards of clinical excellence, with personalized care for every mother and child. The relentless hard work since inception, has enabled Apollo Cradle & Children’s Hospital to win the trust of millions of women and children across India, and to ensure that both mother and baby are In Safe Hands.

Apollo Cradle & Children’s Hospital has been following all the required safety precautions throughout the pandemic to keep patients safe.

Apollo Cradle & Children’s Hospital has a network of 14 centres across India, located in Hyderabad, Bangalore, Delhi NCR, Amritsar, Chennai & Pune cities. Through its network of 14 centers, Apollo Cradle & Children’s Hospital offers Maternity and Gynecology, Fetal Medicine, Pediatrics and Neonatology services, and is on a mission to bring international standards of healthcare to every individual. We are driven by the vision of Apollo to offer healthcare of international standards in India. In a span of 38 years, over 175,000+ babies have been safely delivered through Apollo Cradle & Children’s Hospital.

October 5, 2021 0 comment

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Max Healthcare plans to invest Rs 1,600 crore in Gurugram to add approximately 1,000 beds

by Medically Speaking October 5, 2021

written by Medically Speaking

Max Healthcare Institute announced plans on Monday to invest approximately Rs 1,600 crore in expanding its capacity in the national capital region by adding approximately 1,000 beds in Gurugram, Haryana. According to a regulatory filing, Max Healthcare Institute “is further fortifying its presence and expanding its bed capacity in NCR by adding two hospitals of around 500 beds each in Gurugram.”

The Max Healthcare board of directors approved the expansion plan earlier in the day, according to the company.”The total investment is expected to be around Rs 1,600 crore. The expansion plan is proposed to be funded through internal accruals, borrowings, and/or any other means permitted by applicable laws “According to Max Healthcare Institute.

HSVP (Haryana Shahri Vikas Pradhikaran) has allotted two land parcels measuring approximately 6.11 acres and approximately 5.26 acres for the two hospitals following the company’s successful bid in a recent HUDA auction, it added.

“The two newly acquired land parcels will be built in phases, adding around 1,000 beds over the next 4-6 years and further strengthening our presence in NCR,” Max Healthcare Chairman and MD Abhay Soi said.

According to the filing, Max Healthcare currently operates a multi-specialty hospital in Gurugram.

Max Healthcare Institute’s shares closed at Rs 352.95 per scrip on the BSE, down 1.63 percent from the previous close.

Max Healthcare is one of the largest private sector hospital chains in terms of revenue, with the majority of its 17 facilities located in northern India.

Eight hospitals and four medical centres are located in Delhi and the NCR, with the rest in Mumbai, Mohali, Bathinda, and Dehradun.

October 5, 2021 0 comment

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AIIMS Delhi Doctors Mass Transfer reports refute the Centre, quoting Health Minister Mandaviya

by Medically Speaking September 26, 2021

written by Medically Speaking

The Union Ministry of Health has explained that media reports by Health Minister Mansukh Mandaviya say the mass transfer of AIIMS Delhi’s doctors is “wrong and misleading.”

The Ministry said that certain reports reported that Mandaviya had been speaking about such a mass transfer on Saturday in Delhi of the 66th day of the foundation of the All Inde Medical Institute (AIIMS). They also stated that in the near future the government will adopt a transfer policy to implement uniform medical standards throughout the country in all AIIMS systems.

This policy will lead to mass transfer of doctors of AIIMS Delhi to the new AIIMS, while new doctors will be appointed for AIIMS Delhi, the ministry stated.

“It is clarified that the headlines of various newspapers quoting the Union Health Minister from yesterday’s AIIMS New Delhi 66th foundation day event are incorrect and misleading. The Union Minister did not make such statements yesterday. These reports are fallacious, ill-informed and have clearly misrepresented the facts,” the health ministry clarified on Sunday.

“Mandaviya had expressed hope that students passing out of AIIMS would enrich the new AIIMS being built across the country. The present faculty with their rich experience can also act as a guiding light to these institutes,” it further added.

The ministry also shared the link to a YouTube video with the Health Minister’s address to further substantiate its clarification.

September 26, 2021 0 comment

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COVID-19 is more susceptible to hospitalisation for adults over 40 with diabetes than children

by Medically Speaking September 26, 2021

written by Medically Speaking

Adults over 40 years of age suffering from COVID-19 type 1 diabetes are seven times more likely than children with the same respiratory problem to be hospitalised, according to a study.

The study published by the Endochrine Society’s Journal of Clinical Endocrinology & Metabolism said “People with diabetes are at greater risk of diabetes-COVID 19-related complications, particularly if over the age of 40.”

Children with COVID-19 rarely develop severe respiratory symptoms and often remain asymptomatic, the study said.

In contrast, adults experience respiratory symptoms of varying severity, with older adults and those with diabetes at higher risk of acute respiratory distress syndrome and death.

“Our study shows people over 40 with type 1 diabetes have worse outcomes from COVID-19 than children and young adults. Children and young adults experienced milder disease and a better prognosis,” said Dr Carla Demeterco-Berggren, from the University of California San Diego.

“These findings indicate the need for age-tailored treatments, immunisation and clinical management of individuals affected by type 1 diabetes and COVID-19. Public health recommendations, including wearing masks and getting vaccinated, need to be followed by all to reduce the risk of contracting COVID-19,” she said.

The researchers studied data from 767 patients with COVID-19 and type 1 diabetes from 56 diabetes clinics across the US. Fifty-four percent were 18 or younger, 32 per cent were 19-40 years old and 14 per cent were over 40.

The study found patients over 40 were seven times more likely to be hospitalised with COVID-19 compared to the younger group.

No patients from the 18 and under group died, while three died from the over 40 age group and two died from the 19-40 age group.

People with diabetes and COVID-19 who were 40 and older were more likely to experience adverse outcomes such as death, diabetic ketoacidosis or severe hypoglycemia.

This group also had a significantly higher prevalence of obesity, hypertension or cardiovascular disease and chronic kidney disease when compared to the younger groups.

“The goal of our study is to prevent poor COVID-19 outcomes for adults with type 1 diabetes and to highlight the need to base health care decisions on data as the COVID-19 pandemic evolves,” said Demeterco-Berggren.

September 26, 2021 0 comment

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Ludhiana’s pair reserved for negligence that led to patient burning

by Medically Speaking September 19, 2021

written by Medically Speaking

According to the report of the Civil Surgeon and the doctor’s board’s preliminary inquiry a case of medical negligence against doctors was registered in accordance with Section 304-A.

Tarlok Chand was admitted for surgery at Jassian Road, Arogya Hospital on 15 January. After surgery, the patient was transferred to the recovery room where a blanket blower was kept that caused his legs to be burned.

The Board held the unanimous view that the hot air blower caused patients to get burned in Arogya Hospital. The patient developed wound infection and sickness, for which it was subject to immediately below knee amputation, and was delayed due to comorbidities. Before his death on April 19, Chandigarh, a patient was admitted for reconstruction/rehabilitation.

After the Board submitted the report, Dr Ashish Ohri and Dr Shweta Ohri were registered.

September 19, 2021 0 comment

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Staff shortages harmed patients the most, according to Maharashtra survey

by Medically Speaking August 29, 2021

written by Medically Speaking

Coronavirus updates: India’s health ministry recorded 45,083 new coronavirus infections on Sunday, owing to an increase in cases in Kerala.

Covid-19 cases were estimated to be at 32.7 million nationwide, with 437,830 deaths. According to Reuters, the state government of Kerala reported 31,265 new infections late on Saturday, accounting for roughly 70% of the country’s total new daily cases. From next week, Kerala will be under a curfew from 10 p.m. to 6 a.m. to prevent the spread of infections.

People in Maharashtra should celebrate festivals at home as a “slight increase” in Covid-19 cases in the past few days is worrying, said a state minister. Maharashtra reported on Saturday 4,831 new coronavirus cases and 126 deaths, taking the infection tally to 64,52,273 and death toll to 1,37,026.

Delhi’s government said on Saturday it did not find a death due to Covid-19 for the third consecutive day, as it found 29 new cases of the disease.

World coronavirus updates: Thousands of demonstrators gathered in French cities for a seventh consecutive weekend to protest against the government’s health pass system, which makes access to restaurants, cafes and other venues conditional on proof of vaccination or a recent negative Covid-19 test.

Japan said it’s investigating the deaths of two people who had been administered Moderna’s Covid-19 vaccines.

Russia reported 19,492 new cases of Covid-19 in a day, according to the government’s virus response center. Total cases have reached 6.86 million, Bloomberg reported.

August 29, 2021 0 comment

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AIIMS conducts ‘scarless’ bikini hip surgeries

by Medically Speaking August 27, 2021

written by Medically Speaking

At least 20 patients, primarily women in their late twenties and thirties, have had hip replacement surgery at AIIMS utilising a modified method in which the incision is placed within the bikini line skin fold or the frontal groyne crease. The procedure is also known as “bikini hip replacement surgery.”

Dr Rajesh Malhotra, professor and head of orthopaedics at AIIMS, told TOI that unlike the conventional approach for conducting hip replacement, which leaves behind a noticeable scar, the modified technique is done in a manner that few can tell surgery has been done even if the patient wears a bikini.
“Very few centres in the world do this surgery. It’s challenging and takes longer than usual, but we decided to adopt it to help young women who are hesitant to undergo the procedure for fear of the residual scar,” added Malhotra.

There are three main approaches for a hip replacement surgery. In the posterior approach, the surgeon makes an incision on the back of the hip joint and cuts the gluteus maximus muscle to remove the damaged joint and replaces it with artificial parts. In the anterolateral approach, the incision is made on the outer side of the thigh. In the anterior approach, a vertical incision is made on the front of the hip to replace the joints without cutting or splitting the muscles.

The bikini surgery is a modified version of the anterior approach where the surgeons make a horizontal incision along the bikini line to ensure minimal scar. Further, special cosmetic stitches are used to minimise the noticeability of the scar.
Malhotra said the operation through the bikini incision, which is only 6-8cm in width, was more challenging than the other approaches because the field of vision and operation was less. “It needs a lot of experience and the right selection of patients to succeed,” he added.

AIIMS conducted the first such surgery last year. Till date, 20 surgeries have been performed. Nine patients suffered from avascular necrosis of the head of the femur, six patients had a history of damage to the hip joints due to rheumatoid arthritis, two others suffered from arthritis caused due to lupus and bone damage due to tuberculosis, and one patient developed avascular necrosis of the hip and extreme pain post-Covid. Most of the patients were young women.

A mini-review on the psychology of scars published in the journal Psychiatria Danubina in 2018 stated that scarring may be skin deep, but psychological impact went deeper. “The evidence is decisive; the presence of scars can result in clear markers of mental disturbance in patients with associated symptoms of depression, anger, anxiety and post-traumatic stress.”

August 27, 2021 0 comment

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