Category: Health

Dengue in Bangalore… Dont take it easy.. Here is a helpful discussion

Bindu8 Comments

We have seen 2 deaths in our known circle due to Dengue fever in recent past. I thought prevention knowledge needs to be shared.
This article is quite useful.
Best regards
http://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/health+topics/health+conditions+prevention+and+treatment/infectious+diseases/dengue+fever/dengue+fever+-+symptoms+treatment+and+prevention

Who was the second casualty?
Wife of our General Manager is right now down from dengue. Her platelet count is still high and the doctors are not admitting her into the hospital. Anxious days
Platelet count being high is no indication that all is well. When we detected Dengue in my daughter on a Saturday, her platelet count was 2.99 lakhs against a range of 1.5 – 4.5 lakhs. By Monday it was down to 1.5 lakhs and Tuesday it was 60,000.

When the count starts falling, it can fall exponentially. Pls tell your GM to keep a check on the count on a daily basis.
If the count shows a trend of falling rapidly, please do not delay admitting in a hospital, preferably a hospital with a blood bank attached. Though I am not a doctor, but as a matter of caution also keep a check on Creatinine level in the Kidneys and SPGO  and SPGT  ( liver function tests) enzyme levels. In my daughter’s case these enzyme levels had gone upto 16,000 as against a upper limit of 65 and 40.

This dangerous levels happen in the case of Dengue Shock Syndrome.

Please take care.

Regards

1) Platelet count goes down rapidly and below 40-50K it requires hospitalisation.

2) Fresh Papaya leaves juice couple of times in a day helps a lot in maintaining count.

Regards

My GM’s wife had high fever of 104 till yesterday, but fever level has dropped to 101 today, but her nausea and vomiting continues.
My son tells me the patient needs to be admitted to a hospital which has facility for separation of platelets from blood and not just a blood bank. He says there are just 2-3 hospitals in Bangalore. Is this correct?
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My son (6 years at that time) had dengue last year. He got treatment at manipal . manipal should have this facility .
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Dear Kiran Sir,
Fortis Bannerghatta Road has this facility.
Pl have checked with them on phone for more details.
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Rotary Blood Bank in thippasandra Manipal Hospital and I am sure Columbia Asia also must be having it
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She has been admitted to Columbia Asia Hebbal. Needs B+ blood. Hospital does not have platelet separation facility, so donor has to go to Yeshwanthpur facility. We have organized 4 donors so far. One doctor friend suggested blood group does not matter for platelet donation. If that is correct, we will organise more donors.
Keeping fingers crossed for her quick recovery.
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Similar was the case with my wife couple of years back and she was admitted to Columbia Asia,Hebbal. Her platelet was about 30000 and was asked to arrange for platelets. But fortunately she started recovering and the next platelet count started showing improvements. Its the matter of time as well when the body starts gaining immunity.
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1) platlet transfusion is not required until this goes to severe, below 10K. They keep it for emergency purposes.

2) Any group platelet can be donated will be exchanged by the hospital.

3) Interesting that Bangalore has so less hospital for Dengue. In Mumbai most of the hospital you get that treatment.

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One of my colleague  got Dengue recently. He was admitted to Manipal initially but after two days he got shifted to Fortis because of bad service of Manipal. His platelet count has gone down to 20k, and was not increasing even after his temperature had gone down, so, he was given steroids. Because of steroids his platelet count started increasing, and he is fine now, although a little weak.

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This was a most illuminating discussion and I am sure will come in very useful to us all in times of such distress.

On behalf of all, I will like to personally thank all the contributor on the thread: we now do know a lot about dengue, its treatment and even the ‘go-to” hospitals for good Dengue treatment.
Now that a lot has been learnt about the Hospital facilities, I want to know about removing those breeding spots around my home..
Can some one please suggest if I cannot dry the water fountain as its part of a terrace garden water body, what is the best way to kill possibilities of that waterbody becoming a breeding ground, oops pool? – Pour phynyle? or keroscene or Hit.? Any easily available chemicals? – I’ve seen Delhi MCD distributing some white powder, to pour in water coolers and drains, but have no clue what that is and will appreciate suggestions .
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It is correct that for platelets, the type of blood group is immaterial. Any group donor can give blood to the Blood Bank except persons who have diabetes or any other chronic disease. The Bank extracts platelets form the blood and the platelets are transfuse t the patient.
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Hi,

I had dengue 4 years back and platlet count went below 10000 and i was admitted in Manipal hospital under Dr Col Holla. I needed two rounds of platlet transfusion. During those four days. i was happy feeding on new platlets but my wife/family and friends did have to face lot of anxious moments. My platlet count started improving after 2nd round and was discharged after 4 days. Dengue causes lot of weakness for over a month and you need to take utmost care during that period.
After i came back from hospital, folks from national health department came and surveyed my house to identify the source. Live breeding ground of dengue mosquitoes was traced to a set of flower pots put by my neighbour just outside the gate. Lot of people use a plate under the flower pot to prevent water from leaking and soiling of floor. It is a clean water source best for dengue mosquitoes. They also showed me new eggs ready to become lethal dengue mosquitoes. Place was quickly fumigated. Some other places that they looked for:
– A little bit of water leftover in a mug/bucket etc for days
– Little bit of rain water that gets stuck near slider doors etc
Basically, any clean source of static water kept for days is what dengue mosquito loves. If you are working from home, you are at higher risk as dengue mosquitoes are found during day time.
From then on, mosquito coil/all outs are more used during day in my house.
Regards
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Does anyone have contact in Columbia Asia Hebbal? The doctor attending to the patient has been casual and not helping the anxious family. Also the hospital does not have platelet separation facility which has to be organized at their Yeshwanthpur hospital. The platelet count has dropped to 26000 and the hospital is rather unresponsive in taking proactive steps. The count had dropped from over 100000 last night to 26000 today noon.
Can anyone suggest a contact at this hospital to speed up action or even moving the patient to another better hospital?
Perhaps I am over-reacting but the family’s mental stress is bothering me.
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I have written to Columbia Asia corporate team. Will let you know as soon as I hear from them.
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The doctor has agreed to start platelet transfusion. We are rushing donors to Columbia Asia Yeshwanthpur for donation. The new count taken at 4 pm was 21000. The hospital also just assured us that they have alternate arrangements in case of emergency, whatever that means. We will in any case organise  blood even if it is not used ultimately.
I am worried if the procedure for her transfer to another hospital will be a long-drawn one.
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I just recovered from dengue, but fortunately stopped my platelet count dropping below 60K (I was in Fortis, Bannerghatta Road).

I can say this – detecting dengue early is very important, the earlier the better. One symptom, is feeling extreme weakness.

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Best Surgeon for Hernia Problem

Bindu1 Comment

Dr.Mohan Das of Raghavendra Nursing Home, Shimoga, Karnataka, India is the best surgeon I have seen for hernia related problems.

From our past experience we were quite disappointed with major hospitals both in Bangalore and Mysore. Hence even though my mother was diagnosed with Hernia almost six months back we were hesitating to go for surgery. This is when my sister’s sister in law underwent Hernia surgery at Raghavendra Nursing home in Shimoga. We found the doctor to be very efficient and also could see how fast our relative recovered.

Hence without any second thought we decided we should go to Dr.Mohan das. Dr. Mohan Das might be having more than 30 years of experience in surgery. He is not soft spoken, hence many patients might get fooled by his rough and tough behavior. But we took every thing positives as we were informed of his talking styles before hand. First of all he scolded my mom for postponing the surgery for so long. He said had she come earlier the Hernia growth would have been smaller and could have gone for laproscopic surgery. Now it was big and major surgery was needed.  We got more worried. But nevertheless there was no other option.

We got her admitted on November 28th and to my astonishment I realized that the Nursing home did not have elevator. Stair case on one side and sliding path on other side to move patients in stretcher. Even though the hospital is not very posh we could see that it was neatly maintained. The corridors and all the rooms were cleaned almost thrice a day. Daily bathrooms and sink were washed. I could never smell any bad odor in the hospital premises.

29th was the Surgery and I was more tensed, my mother kept herself cool and said she was not tensed. Surgery was over by 11.30am, and she was moved to the ICU, the anesthesia effect was there hence she could not feel the pain, she spoke to all of us and I was so relieved. She told me that she kept talking with doctors when surgery was going on and it was lively. Also she was carefully shifted to other bed after surgery. She did not have any problem when she was shifted from OT to ICU.

I could remember that my experience when I was shifted from OT to Ward during my C section was not so smooth, so was my sister’s experience in Fortis Bangalore.

The good thing with this hospital is doctor came daily twice even after surgery to check the health of patient, in big hospitals the surgeon hardly visits the patient after the surgery is over. He delegates all the work to juniors. We have to keep running behind the doctors and nurses.

The nursing staff was very good and efficient, they always ensured that Patient is not hurt while giving injections, and other related procedures.

As the doctor accepts only one or two surgery per day he gives his full attention and time to patients. Also there is no hurry in discharging the patients. My mother was discharged after one week. She needs somebody’s help to get up from bed because of age factor and also her knee pain. Otherwise I definitely felt the recovery speed was better compared to previous surgeries she had.

I would suggest you go for Dr.Mohan das irrespective of your place of domicile. Shimoga is not very costly your relatives can stay in a nearby lodge and can take care of you.

The total fee was INR 60,200/- which included Surgery, all the medicines and special ward stay.

The Address of the Nursing home is

Sri Raghavendra Nursing Home
Laproscopy surgical center
G.A.Complex
JPN Road,First cross
Shimoga
Karnataka
India
Pin code – 577201

+91- 08182-224340

 

 

sleep Right to avoid Heart Attack

BinduLeave a comment

Hi Friends one of my friends forwarded this mail to me. I am sharing the same with you, as it will help everyone.

 

WHY YOUNG & HEALTHY PEOPLE GET HEART ATTACK

 

Ranjan Das, CEO and MD of SAP Indian subcontinent died after a massive cardiac arrest in Mumbai. One of the youngest CEOs, he was just 42 year old

What killed Ranjan Das and Lessons for Corporate India

A few months ago, many of us heard about the sad demise of Ranjan Das from Bandra, Mumbai. He was very active in sports, was a fitness freak and a Marathon runner. It was common to see him run on Bandra’s Carter Road . Just after Diwali, he returned home from his gym after a workout, collapsed with a massive heart attack and died.

It was certainly a wake-up call for corporate India . However, it was even more disastrous for runners amongst us. Since Ranjan was an avid marathoner ( in Feb 09, he ran Chennai Marathon at the same time some of us were running Pondicherry Marathon 180 km away ), the question came as to why an exceptionally active, athletic person succumb to heart attack at 42

Years of age.

 

Was it the stress?

 

While Ranjan had mentioned that he faced a lot of stress, that is a common element in most of our lives. We used to think that by being fit, one can conquer the bad effects Of stress.

 

The Real Reason However, everyone missed out a small line in the reports That Ranjan used to make do with 4-5 hours of sleep. This is an earlier interview of Ranjan on NDTV In the program. Well-known cardiologist on the subject of ‘Heart Disease caused by Lack of Sleep’ have distilled the key points below in the hope it will save some of our lives.

 

Some Excerpts:

 

1. Short sleep duration ( <5 or 5-6 hours ) increased risk for high BP by 350% to 500% compared to those who slept longer than 6 hours per night.

 

2. Young people ( 25-49 years of age ) are twice as likely to get high BP If they sleep less.

 

3.  Individuals who slept less than 5 hours a night had a 3-fold increased Risk of heart attacks.

 

4.  Complete and partial lack of sleep increased the blood concentrations of High sensitivity C-Reactive Protein (hs-cRP), the strongest predictor of heart attacks. Even After getting adequate sleep later, the levels stayed high!!

 

5. Just one night of sleep loss increases very toxic substances in body Such as Interleukin-6 (IL! -6), Tumour Necrosis Factor-Alpha (TNF-alpha) and C-reactive protein (cRP). They increase risks of many medical conditions, including cancer, arthritis and heart disease.

 

6. Sleeping for <=5 hours per night leads to 39% increase in heart disease.

Sleeping for <=6 hours per night leads to 18% increase in heart disease.

 

Ideal Sleep

 

In brief, sleep is composed of two stages: REM ( Rapid Eye Movement ) and Non-REM. The former helps in mental consolidation while the latter helps in physical repair and Rebuilding. During the night, you alternate between REM and non-REM stages 4-5 times.

 

The earlier part of sleep is mostly non-REM. During that period, your pituitary gland releases growth hormones that repair your body. The latter part of sleep is more and more REM type.

 

For us to be mentally alert during the day, the latter part of sleep is more important. No wonder when you wake up with an alarm clock after 5-6 hours of sleep, you are mentally irritable throughout the day (lack of REM sleep). And if you have slept for less than 5 hours, your body is in a complete physical mess ( lack of non-REM sleep ), you are tired Throughout the day, moving like a zombie and your immunity is way down.

 

Finally, as long-distance runners, you need an hour of extra sleep to repair the running related damage.

In conclusion:

 

Barring stress control, Ranjan Das did everything right: eating proper Food, exercising ( marathoning! ), maintaining proper weight. But he missed getting proper and Adequate sleep, minimum 8 hours. In our opinion, that killed him.

 

If you are not getting enough sleep ( 8 hours ), you are playing with fire, even if you have low stress.

 

Unfortunately, Ranjan Das is not alone when it comes to missing sleep. Many of us are doing exactly the same, perhaps out of ignorance. Please forward this mail to Your colleagues/friends as possible, especially those who might be Short-changing their sleep. If we can save even one young Life because of this email, we would be very happy.

 

-daya bengaluru