DR. BALABHAI NANAVATI HOSPITAL NEWSLETTER VOL. 28 APRIL - JUNE 2012 By doing well the duty which is nearest to us, the duty which is in our hands now, we make ourselves stronger; and improving our strength in this manner step by step, we may reach a state in which it shall be our privilege to do the most coveted and honored duties in life and in society. - Swami Vivekananda EDITORIAL : Scorching summer has already set in. The baked earth will soon start yearning for rain. Goddess Earth will be all green after the first shower of monsoon. Cyclical change that we see in nature must have prompted the ancient sages to think of ‘karma’- today being the consequence of yesterday! One can witness a rare urban landscape from the terraces of our hospital. It is definitely not unique because of towering sky scrapers doting the sky line. A wide canopy of green top imperceptibly merges in the Arabian sea, the setting sun lighting ablaze the summer sky with resplendent orange is idyllic and enchanting view. Migrating flamingoes, parrots, Koels and exotic birds symbiotically exists with whirring choppers. Rumbling sound of cars, whirring choppers and chirping birds create unforgettable symphony. Gazing at the horizon from our terraces is indeed a mystical experience.
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DR. BALABHAI NANAVATI HOSPITAL NEWSLETTERVOL. 28 APRIL - JUNE 2012
By doing well the duty which is nearest to us, the duty which is in our hands now, we make ourselves stronger; and improving our strength in this manner step by step, we may reach a state in which it shall be our privilege to do the most coveted and honored duties in life and in society.
- Swami VivekanandaEDITORIAL :Scorching summer has already set in. The baked earth will soon start yearning for rain. Goddess Earth will be all green after the first shower of monsoon. Cyclical change that we see in nature must have prompted the ancient sages to think of ‘karma’- today being the consequence of yesterday!
One can witness a rare urban landscape from the terraces of our hospital. It is definitely not unique because of towering sky scrapers doting the sky line. A wide canopy of green top imperceptibly merges in the Arabian sea, the setting sun lighting ablaze the summer sky with resplendent orange is idyllic and enchanting view. Migrating flamingoes, parrots, Koels and exotic birds symbiotically exists with whirring choppers. Rumbling sound of cars, whirring choppers and chirping birds create unforgettable symphony. Gazing at the horizon from our terraces is indeed a mystical experience.
Oppressive gloom due to the state of our nation makes us wonder if we are sailing in a wild sea without a beacon or even worse without a sail! But at BNH we are making a relentless effort to pursue our objective of providing excellent healthcare technology for all.
Asias first Knee Resurfacing Surgery, what can be termed as a major innovation in treatment of knee Arthritis was done at our hospital by Dr. Sankalp Muttha.
It gives us immense pleasure to inform that Mukesh Doshi, our eminent consultant was selected for National awards for the Empowerments of persons with Disabilities, 2011 under the category – Best Individual and Institution working for the cause of Persons with Disabilities. The award was presented in person by H.E., the President of India Smt. Pratibhatai Patil, New Delhi on 3rd December 2011.
The hospital has initiated the “Organ donation awareness programme” since March 2011. The patients & their relatives are responding positively & we have been successful in 22 eye donations & 4 skin retrievals at our hospital.Our counsellor Ms. Unnati Lohade conducts Organ & Skin donation seminars to increase the awareness & importance with emphasis on how this positive contribution would go a long way & benefit the society at large.
The hospital in collaboration with MDI Laboratories GmbH Germany will now be able to offer its patients not only additional new tests but also those tests which are notavailable in India. The investment in the latest equipments including the Orthoclinical Diagnostics Vitros 5600 Integrated System offering Micro Slide, Micro Tip, Micro Well, Intellicheck & Micro Sensor technologies will ensure quality patient care by adoption of international standards of services and processes for its operations.
A Story of AppreciationOne young academically excellent person went to apply for a managerial position in a big company.He passed the first interview; the director did the last interview, made the last decision.The director discovered from the CV that the youth's academic achievements were excellent all the way, from the secondary school until the postgraduate research, never had a year when he did not score.The director asked, "Did you obtain any scholarships in school?" the youth answered "none".The director asked, “Was it your father who paid for your school fees?" The youth answered, "My father passed away when I was one year old, it was my mother who paid for my school fees."
The director asked, "Where did your mother work?"The youth answered, "My mother worked as clothes cleaner." The director requested the youth to show his hands. The youth showed a pair of hands that were smooth and perfect.The director asked, "Have you ever helped your mother wash the clothes before?" The youth answered, "Never, my mother always wanted me to study and read more books. Furthermore, my mother can wash clothes faster than me." The director said, "I have a request. When you go back today, go and clean your mother's hands, and then see me tomorrow morning." The youth felt that his chance of landing the job was high. When he went back, he happily requested his mother to let him clean her hands. His mother felt strange, happy but with mixed feelings, she showed her hands to the kid.The youth cleaned his mother's hands slowly. His tear fell as he did that. It was the first time he noticed that his mother's hands were so wrinkled, and there were so many bruises in her hands. Some bruises were so painful that his mother shivered when they were cleaned with water.This was the first time the youth realized that it was this pair of hands that washed the clothes everyday to enable him to pay the school fee. The bruises in the mother's hands were the price that the mother had to pay for his graduation, academic excellence and his future. After finishing the cleaning of his mother hands, the youth quietly washed all the remaining clothes for his mother.That night, mother and son talked for a very long time. Next morning, the youth went to the director's office. The Director noticed the tears in the youth's eyes, asked: "Can you tell me what have you done and learned yesterday in your house?" The youth answered, "I cleaned my mother's hand, and also finished cleaning all the remaining clothes'The Director asked, "please tell me your feelings." The youth said, Number 1, I know now what is appreciation. Without my mother, there would not be a successful me today. Number 2, by working together and helping my mother, I now realized how difficult and tough it is to get something done.Number 3, I have come to appreciate the importance and value of family relationship. The director said, "This is what I am looking for to be my manager. I want to recruit a person who can appreciate the help of others, a person who knows the sufferings of others to getthings done, and a person who would not put money as his only goal in life. You are hired.” Later on, this young person worked very hard, and received the respect of his subordinates. Every
employee worked diligently and as a team. The company's performance improved tremendously. A child, who has been protected and habitually given whatever he wanted, would develop "entitlement mentality" and would always put himself first. He would be ignorant of his parent's efforts. When he starts work, he assumes that every person must listen to him, and when he becomes a manager, he would never know the sufferings of his employees and would always blame others. For this kind of people, who may be good academically, may be successful for a while, but eventually would not feel sense of achievement. He will grumble and be full of hatred and fight for more. If we are this kind of protective parents, are we really showing love or are we destroying the kid instead?*You can let your kid live in a big house, eat a good meal, learn piano, watch a big screen TV. But when you are cutting grass, please let them experience it. After a meal, let them wash their plates and bowls together with their brothers and sisters. It is not because you do not have money to hire a maid, but it is because you want to love them in a right way. You want them to understand, no matter how rich their parents are, one day their hair will grow gray, same as the mother of that young person. The most important thing is your kid learns how to appreciate the effort and experience the difficulty and learns the ability to work with others to get things done. "Society does not go down because of the activities of criminals, but because of the inactivity of the good people." - Swami Vivekananda
On 5th February 2012, a CME was conducted at Dr. Balabhai Nanavati Hospital, Auditorium II level by our eminent consultants – Dr. Shilpa Kulkarni, Dr. Kumud Mehta, Dr. Bharat Agarwal & Dr. Bharat Dalvi spoke on “Insights in the latest of Pediatric stroke”, “Our experience in the Pediatric Nephrology OPD”, “Use, misuse and abuse of platelet transfusion in children” & “Pediatric heart disease and the paediatrician” respectively. Around 80 delegates attended this session.
NEWS UPDATE :
On 22nd January 2012, a CME was conducted at Karl’s Residency on “ENT Update 2012” by our eminent consultants – Dr. Neemish Kamat, Dr. Manohar Shaan, Dr. Prabodh Karnik, Dr. K P Morwani & Dr. Narayan J., spoke on “Radiology in ENT”, “Paediatric Airway”, “Cochlear Implant”, “Discharging Ear” and“Advances in Sinus Surgery” respectively. Around 51 delegates attended this knowledge packed session.
DEPARTMENT & TECHNOLOGY UPDATE :
ASIA’s FIRST KNEE RESURFACING SURGERY
NANAVATI HOSPITAL ADOPTS LATEST KNEE RESURFACING SURGERY IN INDIA – Dr. Sankalp Mutha, MBBS, MCH ORTHO (Consultant Knee Resurfacing Surgeon) brings Orthoglide Knee Resurfacing to India.
Knee Resurfacing Center at Nanavati Hospital has adopted the State-of-the Art Resurfacing Procedure to provide Minimally Invasive Knee Solution to patients suffering from Knee Joint pain.
In what can be termed as major innovation in treatment of Knee Arthritis in India Dr. Sankalp Mutha successfully conducted the first path breaking Knee Resurfacing Surgery in India as well as Asia at Nanavati Hospital, Mumbai using the FDA approved OrthoGlide Knee Implant, patented and designed by ABSCorporation of the USA, licensed in India to Smart Ortho Devices Pvt. Ltd., New Delhi. It took just under an hour with almost no blood loss, no bone cuts and no cement used leaving all the joint bones absolutely natural and virtually untouched.
The Lamp Lighting, Graduation Ceremony & Prize Distribution was celebrated by College of Nursing on Wednesday 15th February, 2012. Mr.Priyam Jhaveri - Vice Chairman of the hospital graced the occasion as Chief Guest.
On 28th February 2012, an Eye Donation Camp was conducted at Wipro Ltd. (Powai) by our Organ Counsellor – Ms. Unnati Lohade. All those attended were very happy with the way it was organised.
On 4th February 2012, to commemorate the “World Cancer Day” a FREE seminaron Cancer Awareness was conducted at Dr. Balabhai Nanavati Hospital by our eminent consultants Dr. Sanjay Dudhat (HOD – Oncology), Dr. Sona Pungavkar (Consultant – Radiologist) & Ms. Nirva Desai (Dietician) on “Cancer Prevention, Treatment & Rehabilitation”, “Screening in Cancer (Early Detection)” and “Role of Diet in Cancer” respectively.
Post Operation, the patient recovered well and was walking within four hours of surgery which is unheard of with current surgical modalities offered to patients of knee arthritis. Pain relief and Improved Movement of the knee joint was reported within hours of the procedure and the Patient was discharged the next day of the Procedure.
Osteoarthritis, which is the cause of the pain, erodes the cartilage that acts as a cushion between bones in knee joints, causing inflammation and pain in joints. OrthoGlide is designed to replace much of the function of the cartilage that has been lost due to the disease. Osteoarthritis has alarmingly become the 2nd largest disease after Diabetes affecting the Indian
Population as per recent studies.
After conservative oral treatments fail, this surgery offers a cost effective treatment for early and moderate arthritis of the knee joint which is virtually half of the cost of Total Knee Replacements which is considered to be the last option for the disease in advance stages with badly degenerated joints. The Major advantages of this surgery over standard Total Knee Replacement includes its early rehabilitation which helps patients to return very fast to normal daily function and life style. It allows patient to squat and seat cross - legged, an important part of our daily lives in our Indian Culture. This surgery, which promises a cheap and easy path of regaining back the life style functions, definitely offers a new ray of hope to active and young patients who are worried about major surgery and prolonged post - op rehabilitation to deal with Knee Arthritis.
Frequently Asked Questions :
Q : When would the OrthoGlide be an option for me?A : If you are continuing to have knee pain after receiving conventional, non-surgical therapy and your doctor is considering surgical options then the OrthoGlide may be the next step for you. A trained OrthoGlide surgeon can help determine if you are a candidate.
Q : What is it made of and how does it work?A : The OrthoGlide is made of a cobalt-chrome metal alloy. Its geometric design allows it to fit the natural shape of the knee joint and allow full articulation. It comes in a range of sizes to fit patient anatomy.
Q : How long will the surgery take?A : As with any surgery, there are many factors that can determine the length of the procedure, but on average the surgery takes about an hour or two.
Q : What are some of the risks associated with the OrthoGlide surgery?A : Risks of the procedure are the same as those associated with any surgical procedure including :infection, blood clots, cardiovascular, pulmonary and anesthetic complications.
Q : What kind of rehabilitation can I expect?A : Generally, no formal rehab is required after surgery. After surgery you may put weight on your leg as tolerated. You may be given a cane or crutches to assist you. You will be instructed on some simple exercises to do at home.
Q : What is cost of surgery?A : The cost of surgery is about half of currently available other surgical options like TKR for knee joint osteoarthritis.
Q : When can I get back to regular activity?A : Weight bearing on the knee is as tolerated after surgery. Light to moderate activity is recommended after surgery as the knee begins to feel more comfortable.
Q : What type of activities can I do after surgery?A : The OrthoGlide is designed to reduce the pain in the knee so that you can enjoy more of your day-to-day activities. Patients who have undergone knee surgery can squat and sit cross legged. Recommended safe activities include walking, golf, swimming, and cycling.
Q : Will the OrthoGlide take away the pain in my knee?A : The OrthoGlide is an alternative option for patients considering more invasive procedures for relieving pain. In the continuum of care of OA of the knee it would be placed after all other non-surgical therapies have been tried.
HEALTH CAPSULE :Summer is here and it's that time of the year when people on the streets have to be extra cautious - as the sun's heat may cause severe damage to their health.Scorching summer heat can sometimes be very intolerable. Not only does it lead to a series of minor and major health problems, the high temperature during the season can be a reason for increased energy bills as well! There are many ways to stay cool in the summer season, prevent yourself from a heat stroke and save a lot of money on the utility bills.
The tips given below will help you keep heat at bay, naturally.
Prepare Your Home∙ Reduce The Heat : Light fixtures and appliances at home can produce a lot of heat. Therefore, turn off the lights in the daytime and switch them on only when it is dark. Avoid frequent use of heat-generating home appliances, such as microwave, oven. Replace incandescent bulbs with fluorescent light fixtures. This way, you will save a lot of money on energy bills and keep the atmosphere at home cool and pleasant.
∙ Circulate The Cool Air : Ventilation is highly required during the summer season. If you have air conditioning system, allow the cool air to circulate freely throughout the room. Open the windows on the non-sunny side of your room. Install window fan on the opposite side of the room. The fan will expel the hot air and pull the cool breeze, from the open windows, into the room.
Prepare Yourself∙ Take A Shower : A cool shower will help a great deal in combating the scorching summer heat. Take a cool shower at least twice a day. Fill a spray bottle with rose water and use it while bathing. Cool essential oils also help soothe your body.
∙ Wear Light Clothes : Wear light, loose fitting and airy clothes, especially when you go out on a hot sunny day. Cotton is the best natural fabric for summer. Avoid wearing clothes made of synthetic stuff, like nylon and polyester. Silk is a strict no-no fabric for summers.
∙ Protect Yourself From Sun : Do not forget to wear sun block while going out. It can be a sunscreen moisturizer, lotion or cream. The product should contain SPF, which protects the body from harmful UV rays.
∙ Eat Less : Instead of three heavy meals in a day, inculcate the habit of eating 5-6 small meals, during summer. Eat food high in water content, like fresh fruits and vegetables. Water melon is the best fruit for summers.
∙ Drink Plenty of Fluids : Drink plenty of water and fluids like fruit juices. Avoid aerated drinks like soda and cola. Do not consume sugary drinks, as their high sugar content can lead to dehydration. Instead, consume juices made of fresh fruits and vegetables. Sports beverages are also good to keep the energy level high.
∙ Exercise : Doing light intensity exercises can help you a great deal in staying cool. Indulge in exercise either early in the morning or late in the evening. You will sweat during the workout, which is a natural way of cooling down the body.
We suggest this summer reach out for coconut water instead of the cool beverages which are readily available at all the supermarkets & general stores.Coconut water is the purest liquid second to water, it’s a fluid of life, listed below are the Health Benefits :
1. Coconut Water Hydrates the BodyCoconut water is an isotonic solution which replaces the fluids and minerals that the body loses during physical activities. For this reason, many athletes and persons who work out regularly are encouraged to drink coconut water to replace all the minerals and fluid that they lose while working out. Even the United Nations Food and Agriculture Organization
(FAO) attest to the benefits of drinking coconut water when it fought for a patent in 2000 to market coconut water as the next big sports drinks.
2. Coconut Water Relieves Urinary ProblemsIf you consume coconut water on a regular basis it can reduce urinary problems. People who suffer from strangury, polyutra and other urinary ailments drink coconut water to relieve their symptoms.
3. Coconut Water Kills Intestinal WormsDrinking coconut water with one teaspoon of olive oil for three days will kill intestinal worms and clear the stomach of worms, which makes for better digestion.
4. Coconut Water Breaks up Kidney StonesPeople who have kidney problems and are plagued by kidney stones should drink coconut water in addition to taking their medication. Drinking coconut water regularly helps to break up kidney stones making them easier to push out.
5. Coconut Water is used in Blood TransfusionCoconut water is almost identical to blood plasma and this makes it easy to use for blood transfusion. In cases of emergency coconut water has been used as an intravenous hydration fluid instead of the standard IV fluid. During World War II many wounded soldiers were saved in the Pacific because of emergency transfusion using coconut water as plasma.
6. Coconut Water is an AntibacterialCoconut water contains monolaurin, an antiviral, antibacterial and antiprozoal monoglyceride that is used to kill lipid-coated viruses such as HIV, Herpes, cytomegalovirus, flu and various pathogenic bacteria.
7. Coconut Water Controls VomitingCoconut water is great at reducing vomiting. People who have typhoid, malaria, fevers or other ailments that are known to induce vomiting drink coconut water to settle the stomach. As such, coconut water is also a good thing to drink during a hangover.
8. Coconut Water During PregnancyMany doctors recommend drinking coconut water during pregnancy due to wide range of nutritional benefits of coconut water. It contains high levels of lauric acid which is what is
used by the body to make monolaurin - a disease fighting fatty acid derivative. Lauric acid has anti-fungal, anti-bacterial and anti - viral properties which protect the body against various infections and boosts the immune system.
∙ Interesting data based on a 100ml drink : Contains more potassium (at about 294 mg) than most sports drinks (117 mg) and most energy drinks. Less sodium (25mg) where sports drinks have around 41mg and energy drinks have about 200mg! 5mg of Natural Sugars where sports and energy drinks range from 10-25mg of Altered Sugars. Very high in Chloride at 118mg; compared to sports drinks at about 39mg.
∙ Coconut water should be consumed fresh - once exposed to air, the liquid rapidly loses most of its organoleptic and nutritional characteristics, and begins to ferment.∙ More Nutritious than whole milk - Less fat and NO cholesterol∙ More Healthy than Orange Juice - Much lower calories∙ Better than processed baby milk- It contains lauric acid, which is present in human mother's milk∙ Naturally sterile - Water permeates though the filtering husk! ∙ Universal donor - Its identical to human blood plasma ∙ Natural Isotonic Beverage - The same level we have in our blood.
Our tradition of medical excellence goes back over five decades and has been catalysed by a commitment to serving the general needs of our community and the individual needs of our patrons. We are glad to offer you the health check-up schemes at competitive rates and you may kindly contact the OPD health check desk @ 91-22-26182263/64 to book your appointment.
