CM Jaya speaks using tracheostomy tube valve: Apollo chairman

November 25, 2016

Chennai, Nov 25: Tamil Nadu Chief Minister Jayalalithaa is doing well and speaks using a valve attached to the tracheostomy tube as she continues to get treatment, Apollo Hospitals Chairman Dr Prathap C Reddy said here today.

JayaReddy said the Chief Minister, who is getting whole body physiotherapy, is undergoing a "normal recuperation" after being in bed for several weeks and it is she who would decide when to go home.

Asked whether she has any trouble in speaking, he told reporters "...she speaks from a few seconds to a few minutes... but she is not in a hurry."

Reddy said with tracheostomy, "normally they (patients) cannot speak. It also has a speaker attached. She uses that speaker (valve), but it is not easy for a person to speak with a speaker because they have to hold their breath."

Speaking on the sidelines of a programme on organ donation, he said that for some patients, tracheostomy (a tube and attached valve for communication) may be permanent. Only such patients are trained to use and speak using the speaker.

In Jayalalithaa's case, "it was only temporary and she need not go through it.. (need not have it permanently). We also do not spend time in training her to use that speaker", he said.

The chairman said that normally, the tracheostomy tube is left in the patient. "She (Jayalalithaa) is breathing on her own most of the time... 90 per cent... we just leave it as one will become more comfortable," he said.

On physiotherapy, he said the Chief Minister was getting whole body physiotherapy, both static as well as active. Physiotherapists were also encouraging her to do exercises.

Explaining what he termed was the 'set pattern', he said for each organ there is a specific way of doing physiotherapy, all of which was being followed.

The next thing to do is to see if the Chief Minister stands up and walks and then she would be ready to go home.

"If you ask me when that will happen, I told you she is a very strong Chief Minister, she has a very strong mind and she will tell you all. Not me."

The Chief Minister is "absolutely well today and it is she who would decide (to go home), not the health minister or health secretary... only when she realises, feels that everything is perfect," Reddy added.

On the recent shifting of the Chief Minister to a room from the Critical Care Unit, he said the intensive care team and all specialists, including cardiologists, nephrologists and a pulmonologist decided she could be managed in a normal room where she will feel much more happy.

Hence, she did not need the same care as she did in the first few weeks, he said.

"I am glad to say that at Apollo with a wonderful team of doctors they could give back all of the organs which had severe problems. It is all solved now and all that is happening is for her to return to back to normalcy," he said.

Reddy said "she is now having a normal recuperation after being in bed for several weeks, getting treated for illness."

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Sherief
 - 
Sunday, 27 Nov 2016

We wish her fast recovery.

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News Network
July 4,2020

Bengaluru, Jul 4: Amid the rising COVID-19 cases in the state, the Karnataka COVID-19 Task Force has decided to set up booth-level committees across the state including 8,800 here for effective monitoring and surveillance.

The task force also released detailed guidelines for home isolation for asymptomatic cases including 17 days ''home isolation'' for patients below 50 years of age. It also warned of legal action against those health workers for disrespect to the bodies.

Briefing reporters after the meeting on Friday, Medical Education Minister Dr K Sudhakar said the local management will be strengthened for effective monitoring and surveillance of COVID-19 cases. "There will be booth-level task force committees throughout the state right from the village to Bengaluru.

These task force committees will act at the ultra local level. The task force will act as a structural and functional unit of COVID-19 dealing with monitoring, surveillance, checking of all the ILI cases, ambulances and hospitals," he added.

He also said the committees will comprise one member each from the Health department, police department, municipalities or Panchayat, volunteers, valveman. The committee will have five to six members.

The principal secretary in the Village Development and Panchayat Raj department L K Ateeq has been appointed as the nodal officer to manage the task force in the rural areas whereas in the urban areas, the Urban Development secretary, the municipal administration directors and the municipal commissioner will form the local task force.

"In Bengaluru alone 8,800 teams will be formed, which will be coterminous with the 8,800 booths in the city. They will provide the real-time data. They will be imparted training," the minister added. Noting that there were about 8,800 electoral booths in Bengaluru city and each booth will have a task force committee, he said a nodal officer has been appointed to oversee this.

The state level task force also came out with a slew of conditions. As far as home isolation is concerned, it would apply for patients who are below 50 years and have no symptoms of any other disease, and their homes should have a toilet and have an attendant.

He also said home isolation duration has been increased from 14 to 17 days. "People should not get fever in the next three days after completing 14 days, else they will be quarantined for another seven days. If they don''t get fever then they will be freed to perform their personal activities," Sudhakar said.

Those who are above 50 years and have comorbidities, will be treated at the COVID care centres only and they will be under medical supervision and be subjected to regular tests. The state is also making arrangements for telecommunication for those who are asymptomatic but wish to speak to a doctor.

It was also decided to have at least two ambulances in each of the 198 wards of Bengaluru. The minister said the additional commissioner of police (traffic) will be the nodal officer to coordinate the movement of ambulances. The task force has also appointed a nodal officer to manage the hospitals based on the availability of beds and ventilators. The officer will provide real time information about beds.

"We want to make sure that no one has to run from one hospital to another," Sudhakar said. On the cremation of the bodies, Sudhakar said guidelines have been issued on how to handle bodies at mortuaries, taking them in the ambulances, human treatment to the deceased while performing the last rites and fumigation of the bed. "Legal action will be taken against those who treat bodies in an inhuman way," Sudhakar said.

The state-level task force has also decided to arrange for test reports within 24 hours. It has also been decided to increase the testing capacity from the existing 15,000 a day to 25,000. In view of the spurt in COVID-19 cases, the task force also recommended antigen tests in crowded areas to check whether there was community spread.

To a question on closing down the border, the minister said there is no question of lockdown. "We cannot hide from this disease. It is not a solution. We have to live with it now, yet maintain a distance from it," he added. Sudhakar, who is a doctor himself, said COVID-19 is not as deadly a virus as those he had seen in the past and asked people not to be scared of it.

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coastaldigest.com news network
June 18,2020

Mangaluru Jun 18: Dakshina Kannada on Thursday, June 18, reported 23 fresh covid-19 cases, taking the total number of the cases detected in the district to 401.  

Among the 23 corona-positive patients, there are 21 males and two females. 

21 are Saudi returnees, while the other two have contracted infection from P-6618.

No cases were reported in Udupi district on Thursday.

The total number of cases in Udupi is 1,039, with only 92 cases being currently active. As many as 946 patients including 38 on Thursday who recovered have been discharged from hospital.

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News Network
July 21,2020

Mangaluru, Jul 21: Private hospitals cannot send back COVID-19 patients for any reason, district in-charge minister Kota Srinivas Poojary said on Monday.

The Minister was addressing a meeting at the Father Muller Medical College here on the arrangements made for COVID-19 patients.

Dakshina Kannada district is quite advanced in the medical field. Hence, the government will not tolerate COVID-19 patients wandering from one hospital to another for treatment. Refusing to admit COVID-19 patients in hospitals is unacceptable, he warned.

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