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."

Comments

Sherief
 - 
Sunday, 27 Nov 2016

We wish her fast recovery.

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coastaldigest.com news network
June 7,2020

Bengaluru, June 7: Promising Kannada actor Chiranjeevi Sarja died of heart attack in Bengaluru on Sunday. He was 39. 

The actor complained of severe chest pain and respiratory problems on Saturday. He was immediately rushed to Sagar hospital in Jayanagar, according to sources.

It is said that he suffered heart attack. Doctors attempted to revive him, but the efforts failed.

Chiranjeevi Sarja, the relative of mutlilingual South Indian actor, Arjun Sarja, had married Meghana Raj, the daughter of Prameela Joshai and Sundar Raj in 2018. He acted in 22 films. 

His throat swab sample have been sent for testing, added the sources.

He had started his career with Vayuputra in 2009. Shivarjuna, which was his last film, had released days before lockdown was imposed.

In October 2017, he was engaged to actress Meghana Raj. They married on 2 May 2018.

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News Network
June 20,2020

Bengaluru, Jun 20: The Karnataka Health Department has issued guidelines on the admission of COVID-19 patients in private hospitals after clinical assessment, mandating that the district surveillance officer (DSO) should be first informed to initiate further procedures, an official said on Friday.

"A health team sent by the DSO should visit the home or hospital where the patient is staying. The team should conduct a rapid assessment of his or her health condition," said Karnataka's Additional Chief Secretary Jawaid Akhtar.

In the rapid health condition assessment, the team should first check the patient's body temperature, followed by SpO2 (oxygen saturation) level and confirm if there are any comorbidities such as hypertension, diabetes, tuberculosis, HIV, cancer, stroke etc.

Depending on the health condition of patients, Akhtar said, two categories have been made.

"Those who have body temperature greater than 37.5 degrees Celsius, SpO2 level below 94 percent, elderly (above 60 years) and suffering from known comorbid conditions should be taken to a dedicated Covid hospital (DCH)," he said.

"All other patients, even if older but not suffering from co-morbidities, those below 60 and suffering from co-morbidities and asymptomatic cases should be taken to a dedicated Covid health centre (DCHC) or a private hospital as opted by the patient," he added.

Private hospitals have been asked to pitch in due to the rising number of cases in Karnataka. Currently, there are 2943 active cases in the state after 337 cases were reported on Friday.

"The patients are assessed clinically and evaluated at DCHCs or private hospitals with appropriate diagnostic tests. After evaluation, if the patients are asymptomatic, they are shifted to a COVID Care Centre (CCC) for further management," said Akhtar.

CCCs are expected to be equipped with ventilated rooms, pulse oximeters, handheld thermal scanners and blood pressure apparatus.

A nurse has to be present round the clock for every 50 patients and should visit each patient twice a day for assessment whereas the medical officer has to visit the CCC once a day. He should also be available on call in case of an emergency.

Staff serving food and others should wear personal protective equipment and an N-95 mask. Explaining the procedures at DCHCs, Akhtar said general examinations for medical conditions like body temperature, BP, pulse, oxygen saturation and urine output should be in place.

Investigations such as complete blood count, fasting blood sugar, random blood sugar, liver function tests, renal function tests, ECG and chest X-ray facilities should be available.

"DCHCs should ensure that above examinations are over in an orderly timeline of 24 hours and depending on the examination, the patient is continued to be lodged at the DCHC or sent to DCH or CCC," said the senior officer.

Likewise, the discharge policy should be done as per the protocols issued by the Health Department from time to time.

The Karnataka government is yet to fix an upper limit on the cost of treating COVID-19 patients in private hospitals. While reports indicated that this could be capped at Rs 5200 per day, health officials are yet to specify this is the case. Private hospitals in the state have asked the government to take a collaborative approach in deciding the fixed cap on treatment cost.

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coastaldigest.com news network
June 28,2020

Mandya, Jun 28: Prime Minister Narendra Modi praised an 83-year-old farmer from Malavalli taluk in Mandya district of Karnataka for his efforts in water conservation.

While urging the people to focus on saving water, Modi, in his 'Man Ki Baat' on All India Radio quoted Kamegowda from Dasna Doddi village who single handedly dug small 16 ponds over the years in his farm land and in nearby hill while taking his animals for grazing.

"Kamegowda ji is an ordinary farmer, albeit possessing an extraordinary personality. He has achieved a personal feat that will leave anyone awestruck! Kamegowda ji, aged 80-85 takes out his animals for grazing but at the same time he has taken it upon himself to build new ponds in his area", the PM said in his Mann Ki Baat, a monthly radio address on Sunday.

To overcome problems of water scarcity in the area, Gowda started building small ponds. Thereby, he contributed a lot for water conservation, the PM said.

"... An octagenerarian like Kamegowda ji, till now, has dug 16 ponds through his hard work and the sweat of his brow. It is possible that the ponds he has constructed may not be very big but then his efforts are huge. Today, the entire area has got a new lease of life on account of these ponds," the PM said.

A little effort by us helps nature and environment quite significantly. Many of our countrymen are putting extraordinary efforts in this endeavour, the PM said. 

Kamegowda, used to take his sheep and goats to nearby hill for grazing. After finding no water to sheeps, he started digging ponds to address water scarcity. With collection of rain water, these lakes are brimming with water even during peak summer.

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