are you to do if you have a heart
While you are alone.
The Johnson City
Medical Center staff actually discovered
this and did an in-depth study on
it in our ICU.
The two individuals
that discovered this then did an
article on it, had it published
and have had it incorporated into
ACLS and CPR classes.
It is very true
and has and does work. It is called
Let's say it's
6:15 p.m. And you're driving home
(alone of course), after an usually
hard day on the job. You're really
tired, upset and frustrated.Suddenly
you start experiencing severe pain.
In your chest that starts to radiate
out into your arm and up into your
jaw. You are only about five miles
from the hospital nearest your home.Unfortunately
you don't know if you'll be able
to make it that far.
What can you do?
You've been trained
But the guy that
taught the course didn't tell you
what to do if it happened to yourself.
Since many people
are alone when they suffer a heart
attack, this article seemed to be
Without help, the person whose heart
is beating improperly and who begins
to feel faint, has only about 10
seconds left before losing consciousness.
However, these victims can help
themselves by coughing repeatedly
and very vigorously. A deep breath
should be taken before each cough,
and the cough must be deep and prolonged,
as when producing sputum from deep
inside the chest. A breath and a
cough must be repeated about every
two seconds without let up until
help arrives, or until the heart
is felt to be beating normally again.
Deep breaths get oxygen into the
lungs and coughing movements squeeze
the heart and keep the blood circulating.
The squeezing pressure on the heart
also helps it regain normal rhythm.
In this way, heart attack victims
can get to a hospital.
'AND THE BEAT GOES
FLU CLINIC OPENS IN CHENNAI
swine flu vaccine clinic is open to
the public from Monday. This even as
the city recorded its second official
death due to the H1N1 virus on Saturday.
has very low immunity, is going to visit
any foreign country and is suffering
from chronic ailments can approach the
doctors at the clinic voluntarily and
get themselves vaccinated. The vaccine
costs between Rs 150-200. Both injectable
and nasal spray vaccine would be available,”
said Health Secretary V K Subburaj.
Everyone need not get
themselves administered the vaccine,
instead it is advisable only for the
those belonging to certain risk groups,
For the health workers
in all government hospitals in the state,
the vaccines would be administered completely
free of charge, he said.
The clinic is situated
at King’s Institute, Guindy and
would be open to the public on all days.
Presently, there are seven suspected
cases being treated at the Government
General Hospital, of which three cases
have turned out to be positive. Throughout
Tamil Nadu, there are about 20 positive
cases of swine flu.
Express News Service
company, Amrutanjan Health Care Limited
has announced that it will be hiving
off its pain clinics business named
Osmosis.This unit will become totally
autonomous and the process of separation
will get over by December of this year,
said chief executive officer and managing
director Sambhu Sivalenka
45 million Indians carry
hepatitis B virus
The 43 deaths in Modasa
town of Gujarat's Sabarkantha district
over the last fortnight due to hepatitis
B underlines how widespread this viral
infection really is.
"It is one of
the biggest public health challenges,''
said gastroenterologist Dr D N Amarapurkar
of Bombay Hospital.
Statistics bear this
out: around 45 million Indians carry
the deadly virus that can lead to liver
failure and even cancer. "Around
30% of this patient pool would be seriously
affected while the rest would carry
on as though they are not affected,''
"Mumbai is not
a high-incidence zone, yet two out of
100 Mumbaikars carries the virus,''
said Dr Samir Shah, gastroenterologist
from Jaslok Hospital.
Hepatitis B is a viral
infection of the liver, causing jaundice.
It is transmitted through blood, body
fluids and use of infected syringes
among drug-abusers. "The virus
can be transmitted even from a razor
in a barber shop that has a drop of
blood from an infected person. Infected
children hurt while playing in the grounds
can spread the virus,'' said Dr Amarapurkar.
In Modasa, the Union
health ministry believes that reusing
of syringes and needles led to the outbreak.
Global Hospitals and Health
City Springs up in Chennai
Global Hospitals and
Health City in Chennai is being formally
inaugurated by His Excellency Surjit
Singh Barnala, Governor of Tamil Nadu,
on the evening of March 15.The facility,
promoted by Global Hospitals, Hyderabad,
is located on a sprawling 21-acre sylvan
campus at Cheran Nagar, Perumbakkam,
off Old Mahabalipuram Road (OMR) in
As part of its first
phase, the hospital now functions with
325 beds including a special ward meant
for the under- privileged. It has one
of the largest ICUs with more than 100
beds dedicated to various specialties
and a fleet of fully equipped ambulances
stationed at various locations across
the Chennai to provide free service
to the needy. In the second phase under
way, the hospital will have 1000 beds.
The Global Hospitals’
Group, founded by Dr. K Ravindranath,
a pioneer in Laparoscopic Surgery, is
the fastest growing chain in the health
care sector in India with hubs in Hyderabad,
Bengaluru and Chennai and spokes at
ten other places. It is building similar
facilities in Mumbai, Kolkata, Bhubaneswar
and New Delhi.Global Hospitals and Health
City in Chennai is a multi super specialty,
tertiary care and multi organ transplantation
center. The facility lives up to its
name in the way it has been conceived,
designed and constructed.
The first phase features
» Heart and
» Gastroenterology, Liver and
» Neurosciences, Trauma &
» Nephro/Urology and Transplantation.
Global is the first
Hospital in Tamil Nadu to have a 64-slice
PET-CT scan. It has high-end equipment
like Endosono Unit, Neuro and Spine
Navigation, Stereotactic System, Video
EEG, Modern Cath-Lab, Gamma Camera,
Lithotripsy Unit and YAG Laser.
Chennai, has highly qualified and internationally
trained consultants, dedicated nursing
staff and fully trained technicians.
Every patient interface within the hospital
is thoughtfully created. From emergency
bays, consultation suites, patient rooms
to waiting lounges, all areas are designed
for effective functionality. The hospital
has a 24-hour diagnostic laboratory,
24-hour pharmacy, 24-hour blood bank,
and facilities like a canteen, bank
& ATM. Once fully operational, the
1000-bed Global Hospitals and Health
city will offer health care services
across 25 departments. It will have
a Cancer Institute and facilities for
Clinical Research in Stem Cell Therapy
and Regenerative Medicine. The facility
will have an International Patient Block,
Rehabilitation and Rejuvenation Therapy
Center, Assisted Care Center for the
elderly, hotel, health spa, service
apartments and institutes to train nurses,
paramedical personnel, technologists
and healthcare managers.
Global will be training
medical professionals in broad specialties
and super specialties.Global Hospitals
and Health City is not merely a jewel
in the Global crown but also a landmark
in the metropolis. The hospital will
be focusing on promoting medical tourism
in a big way, like its counterparts
in Hyderabad and Bengaluru.
Free schemes announced
by MIOT Hospitals
MIOT Hospitals announced
a slew of free treatment packages for
poor patients to coincide with its tenth
Spelling out his vision
for the hospital’s future, Dr.
Mohandas said: “The hospital would
as much fail in upholding its founding
philosophy as I would in my loyalty
to my humble origins in a village in
the southernmost district of Tirunelveli,
if the tertiary care at MIOT is kept
beyond the reach of the country’s
Siegfried Weller, MIOT
Director, said the hospital’s
mission statement of striving for “A
Better Tomorrow and a Healthy Future
for the country” was as valid
then as it is today.
Mallika Mohandas, MIOT
chairman, said the institution would
continue to adhere to the founding principles
into the future.
MIOT Hospitals is a
Leader in Orthopedics and Nationally
and Internationally known for their
adoption of Professional standards.
A Multi Crore, Multi Specialty Hospital
with German Collaboration. An International
Hospital in Chennai and the country.
The Truly Global Hospital with World
Class Specialties in India in the field
of Joint Replacement Surgeries, Orthopedics
and Trauma. Now Has Specialized Centre
for Thoracic & Cardio Vascular Care,
Centre for Neurology and Neuro Surgery,
and Other Specialties.
Sankara Nethralaya Hospital
to spend Rs. 80 crore for expansion
will incur a capital expenditure of Rs.80
crore in 2009-2010 on its expansion programme,
according to Tarun Sharma, Director of
Shri Bhagwan Mahavir Vitreoretinal Services,
Mr. Sharma said “We
need the support of more friends to continue
our programme of making healthcare affordable.”
on presenting ‘Friends of Sankara
will start a 50,000 sq ft facility in
Kolkata on January 21. An overseas centre
in Mauritius will become a reality soon,”
said S.S.Badrinath, founder and Chairman
emeritus of Sankara Nethralaya.
As Sankara Nethralaya
is a non-commercial, charitable organisation
“we require more contributions from
donors to expand our activities,”
he added. “We do 125 major eye surgeries
per day. Around 30 per cent of the total
number of major surgeries are done free
of cost,” Dr. Badrinath added.
The ‘Friends of
Sankara Nethralaya Scheme’ recognises
individuals contributing Rs.1 lakh. The
hospital will perform one free surgery
on any date in a year specified by the
donor for 12 years. Every year the hospital
receives around Rs.6 crore as donation,
a press release issued at the function
said. A total of 22 individuals/firms
received the ‘Friends of Sankara
hospital gives 4-month-old a new eye
For nearly a month,
the four-month-old boy was writhing in
pain. His right eye had bulged out as
the cornea, iris, pupil and lens was severely
infected, a condition called anterior
staphyloma, making it impossible for him
even to blink. Ten days, ago doctors at
Agarwal Hospital performed a surgery to
replace the entire front portion of the
eye using parts of the eye received from
a cadaver and synthetic parts.
Ophthalmic surgeon Dr
Amar Agarwal, who heads Agarwal's Eye
Hospital, confirmed that the team of doctors
had not only retained the anatomical integrity
after they removed the diseased eye, but
also preserved at least a part of its
functional ability. The hospital, which
claims, this to be the first such surgery
in the world, has called the procedure
anterior segment transplantation.
"When the child
came to us, we did not know what to do.
We either had to remove the eye and place
an artificial eye in the empty socket
or do a corneal transplant. There was
no point in doing both. Because the latter
option will fail as there is no iris or
pupil for the eye to see. The first option
could even disfigure the child's face
because without the eye, the socket would
not grow like the other," said Dr
That's when the hospital's
consultant Dr Soosan Jacob decided they
would have to look at newer options. "We
decided to use a donor cornea and sclera
along with prosthetic iris, pupil and
lens. We put together a bio-prosthetic
device, which will bind together well
and be more stable," she said.
When the doctor received
calls for eye donation, the team harvested
the entire eye instead of just the cornea
and sclera. "Usually, we pack just
these two. This time we knew we would
need a lot more," she said. From
the donor eye, the doctor removed the
cornea and sclera in the hospital. Inside
the cornea, they attached the synthetic
iris and the lens with a special glue.
It automatically created the space for
the pupil. Almost simultaneously, doctors
removed the diseased eye and replaced
it with the bio-prosthetic device.
"It took us four
hours to complete the surgery. But at
the end, we thought we have done something
that would help the child lead a quality
life," said Dr Amar. The hospital
was not able to confirm if the boy would
have normal vision. "For now, we
are not sure about the visual capacity
of the implanted eye. So far he has never
used his right eye. To activate it, we
close his normal eye for at least six
hours a day. This will give more input
to the nerves in the eye and enhance his
ability to use the rectified eye,"
On the insistence of
the boy's parents, Dr Agarwal named him
Kailash. Holding Kailash in her arms,
his mother Kala told reporters: "I
have two reasons to celebrate. My son
can now possibly see. He is no more in
pain and he has a name," she said.
Her husband Govindaraju, a coolie added:
"The hospital has waived off the
bill," he said.
can’t be held liable for error of
A doctor cannot straightway
be held liable for medical negligence
simply because a patient has not favourably
responded to treatment or surgery has
failed, the Supreme Court has held.
A Bench consisting
of Justices Markandey Katju and R.M.
Lodha on Tuesday said: “A medical
practitioner is not liable to be held
negligent simply because things went
wrong from a mischance or misadventure
or through an error of judgment in choosing
one reasonable course of treatment in
preference to another. He would be liable
only where his conduct fell below the
standards of a reasonably competent
practitioner in his field.”
The Bench set aside
an order passed by the National Consumer
Disputes Redress Commission, which held
Dr. Martin F. D’Souza of the Nanavati
Hospital, Mumbai, guilty of negligence
on a complaint from Mohd Ishfaq, who
was treated for renal and severe urinary
Writing the judgment,
Justice Katju said: “While doctors
who cause death or agony due to medical
negligence should certainly be penalised,
it must also be remembered that like
all professionals doctors too can make
errors of judgment, but if they are
punished for this no doctor can practise
his vocation with equanimity. Indiscriminate
proceedings and decisions against doctors
are counter-productive and serve society
no good. They inhibit the free exercise
of judgment by a professional in a particular
complaints were received against a doctor
or hospital, the consumer forum or criminal
court, before issuing notice, should
first refer the matter to a competent
doctor or a committee of doctors, specialising
in the field where negligence was attributed.
Only after that doctor or committee
“reports that there is a prima
facie case of medical negligence should
notice be issued to the doctor/hospital
The Bench said: “This
is necessary to avoid harassment to
doctors who may not ultimately be found
to be negligent. We further warn police
officials not to arrest or harass doctors
unless the facts clearly come within
the parameters laid down by the apex
court in Jacob Mathew’s case;
otherwise, the policemen will themselves
have to face legal action.”
The Bench said: “While
this court has no sympathy for doctors
who are negligent, it must also be said
that frivolous complaints against doctors
have increased by leaps and bounds particularly
after the medical profession was placed
within the purview of the Consumer Protection
The Bench said: “The
courts and consumer fora are not experts
in medical science and must not substitute
their own views for that of specialists.
It is true that the medical profession
has to an extent become commercialised
and there are many doctors who depart
from the Hippocratic oath for their
selfish ends of making money. However,
the entire medical fraternity cannot
be blamed or branded as lacking in integrity
or competence just because of some bad
the best effort, the treatment of a
doctor failed, the Bench said. “For
instance, sometimes despite the best
effort of a surgeon, the patient dies.
That does not mean that the doctor or
the surgeon must be held guilty of medical
negligence, unless there is some strong
evidence to suggest that he is. On the
facts of this particular case, we are
of the opinion that the appellant [Martin
F. D’Souza] was not guilty of
medical negligence. Appeal allowed.”