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Self CPR
What are you to do if you have a heart attack

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 cough CPR.

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 in CPR

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 in order.
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 ON '


FLU CLINIC OPENS IN CHENNAI

CHENNAI: The 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.

“Anybody who 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, he added.

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

Chennai-based pharmaceutical 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

Source – TopNews.in


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,'' he added.

"Mumbai is not a high-incidence zone, yet two out of 100 Mumbaikars carries the virus,'' said Dr Samir Shah, gastroenterologist from Jaslok Hospital.

HIGHLY INFECTIOUS

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.

SOURCE – www.findchennai.com


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 Chennai.

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 Lung Transplantation.
» Gastroenterology, Liver and Transplantation.
» Neurosciences, Trauma & Orthopedics.
» 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.

Global Hospitals. 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.

SOURCE – www.findchennai.com


Free schemes announced by MIOT Hospitals

MIOT Hospitals announced a slew of free treatment packages for poor patients to coincide with its tenth anniversary fete.

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 rural population.”

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.

SOURCE – www.findchennai.com


Sankara Nethralaya Hospital to spend Rs. 80 crore for expansion
Sankara Nethralaya 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, Sankara Nethralaya.

Mr. Sharma said “We need the support of more friends to continue our programme of making healthcare affordable.” on presenting ‘Friends of Sankara Nethralaya Award’.

“Sankara Nethralaya 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 Nethralaya Award.’

SOURCE – www.findchennai.com


Chennai 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 Agarwal.

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," he added.

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.

SOURCE – www.findchennai.com


Doctor can’t be held liable for error of judgment

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 tract infection.

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 situation.”

Therefore, whenever 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 concerned.”

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 Act.”

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 apples.”

Sometimes despite 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.”

SOURCE – www.findchennai.com



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