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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News Network
April 19,2020

Mangaluru, Apr 19: District-in-charge Minister Kota Srinivas Poojary said that Rs 2000 each has been deposited in the bank accounts of 6,122 construction workers, who are registered with the labour department in the Dakshina Kannada district. The amount will be deposited in the accounts of other registered construction workers at the earliest.

The state government had announced Rs 2000 to construction labourers who are registered and have lost their livelihood due to the on-going nationwide lockdown to curb the spread of the coronavirus. The curbs, which were imposed on March 24, have been extended till May 3. "The labourers were reeling under hardship after construction activities came to a halt," said the Minister.

Supply food

Local bodies should make arrangements to supply food for stranded labourers, destitutes and beggars in all the ULBs in Dakshina Kannada district, Poojary said. 

"No one should starve during the lockdown period. All the ULBs should identify destitutes, migrant labourers in their jurisdiction and arrange food for them. In case of necessity, the help of NGOs can also be taken," he added
The minister announced that Asha workers and health workers would collect information on people's health by visiting the houses in the district and submit a report within 10 days.

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News Network
July 21,2020

Bengaluru, Jul 21: Students who are Covid-19 positive but are asymptomatic will be allowed to write the Common Entrance Test (CET) scheduled on July 30 and 31 for entrance into professional courses in Karnataka.

According to the Standard Operating Procedure (SOP) issued by the Department of Health and Family Welfare for CET, space should be allotted for students who have tested positive. Such students will have to be transported to and from the exam centre in an ambulance.

According to the SOP issued yesterday, candidates with COVID-19 “shall provide a risk consent certificate for taking up the exam.” The SOP also says “they shall inform about their status to the authorities concerned in advance to make the necessary arrangements.”

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News Network
January 21,2020

Bengaluru, Jan 21: A private hospital in Bengaluru, the capital of Karnataka, on Tuesday claimed that it has successfully performed a live liver transplant on a Jehovah's Witness from Nigeria, by not using blood or blood products, in order to protect the patient's religious beliefs.

It is said that Jehovah's Witnesses are followers of a Christian faith that prohibits the use of blood or blood products during their treatment. Gehojadak (37), a Jehovah's Witness follower, had developed decompensated liver disease and visited more than three countries seeking treatment over the last four years but was turned away by most doctors due to the highly risky nature of surgery, Aster CMI Hospital said.

The surgery was challenging compared to a normal liver transplant because in order to protect the patient's religious beliefs, the medical team could not use blood or blood products (Fresh frozen plasma, Cryoprecipitate, Platelets etc), it said in a release, adding that very few such surgeries have been successfully conducted worldwide.

The patient's brother was the donor, the hospital said, adding, without a liver transplant, Gehojadak's chances of survival were less than 10 per cent over the next two years. A team of liver specialists from the Hospital thoroughly reviewed the patient's medical history before recommending a bloodless liver transplant and charted out a feasible pathway to make the surgery a success.

"This transplant was especially challenging as we did not have the safety net (of using blood) even if the patient's life was at risk due to their advance directive. We have performed other non-transplant liver surgeries in Jehovah's Witnesses and this gave us the confidence to take on Gehojadak's transplant," Dr Rajiv Lochan, Consultant Liver Transplant Surgeon, said.

The critical surgery took a 12-hour period to complete where two teams of specialists with close to 25 doctors including anaesthetists, intensivists worked in absolute sync with each other and Gehojadak finally received a life-saving liver transplant, the Hospital said. In a period of two weeks, the patient and his brother were fit enough to go home and were discharged from the hospital.

"Even if their haemoglobin levels dropped to life-threatening levels, the patients were clear that they would not accept a blood transfusion. Keeping the limitations in mind, the most effective treatment path was planned, and we spent close to two months preparing the patients for surgery," Arun V, Consultant Anesthesiologist said. The hospital arranged customised artificial products like synthetic drug molecules, to conduct a bloodless liver transplant, he added.

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