Patient sings as docs remove tumour from his brain at Thumbay Hospital

News Network
September 26, 2017

Ajman, Sept 26: Sayed Khorshed Alam, a 50-year-old Bangladeshi national who recently underwent a brain surgery spoke and sang with his Doctors at Thumbay Hospital – Ajman throughout the surgery, while they were busy removing a Tennis ball-sized tumour from his brain.

Dr Ishwar Chandra Premsagar and patient Sayed Khorshed Alam

Known as ‘awake brain surgery’ this procedure requires the patient to be awake, alert andcooperative, while doctors during this procedure ask questions and monitor the activity in the patient’s brain as he responds.

The patient came to the hospital with complaints of weakness of the right lower limb followed by the right upper limb, which he had been experiencing since July 2017. He had focal seizure in the right leg in late August 2017, which lasted for about 2 minutes without loss of consciousness. Examinations revealed that the weakness on his right leg was more than that of his hand. He could not walk without support. His weakness increasedgradually and he became wheelchair bound.

At Thumbay Hospital – Ajman, contrast MRI of the patient’s brain revealed a large tumour on the left side of brain which controls the movement of the right side of the body, particularly the leg. The team led by Dr.Ishwar Chandra Premsagar, Consultant (Incharge) – Neurosurgery, decided to perform ‘Awake Brain Surgery’. “The tumor was very close to the area controlling the movement of the body’s right side. Tumors in this position are especially critical for people who are right-handed,” said Dr. Ishwar.

The patient was operated on while he was awake, talking, singing and moving his hands and legs. Throughout the procedure of removal of the tumour, he was encouraged to talk and move his right hand and leg by Dr.Vinay, the Neuroanesthetist, to ensure that the procedure wasn’t causing further weakness or any speech problem. “The advantage of this type of surgery is that the surgeons can monitor the progress during the operation. The procedure also reduces the risk of damage to functional areas of your brain that could affect limb movements or speech, because as long as the patient doesn’t experience further weakness or inability to speak, the surgeons are reassured that they are on the right track,” said Dr. Ishwar.

“Thebone of skull just overlying the tumour was removed by Craniotomy, under local anesthesia. Then the brain tumour was removed with his active cooperation. It was taken out bit-by-bit with special machine called CUSA.  CUSA removes the tumour silently without affecting the surrounding brain and with minimum bleeding. After total removal of tumour, the bone was fixed back as before,” explained the doctor.

Soon after the surgery, the patient drank water, and fruit juice a little later. He had a full meal in the evening.He was able to stand up next morning started &walking with support, soon after. “The awake brain surgery not only avoided increase in weakness but rather there was improvement in weakness on the very same day. The side effects of general anesthesia were also avoided. He was discharged from the hospital completely recovered, demonstrated by his ability to stand on his weak limb alone, without any support.”

SayedKhurshidAlam is a happy man now. “This is a miracle God has given me. I am grateful to the doctors at Thumbay Hospital Ajman for the treatment. I had given up hopes of being able to walk on my own ever again, prior to the surgery. Now I am also able to run,” he said with a beaming smile.

Headed by expert doctors with wide ranging experience, the Neurosurgery Department of Thumbay Hospital – Ajman is well-equipped to perform all types of neuro surgeries. The department offers a range of minimally invasive procedures including Endoscopic Lumbar Spine Surgery and Endoscopic Cervical Spine Surgery. These procedures take only 40 minutes to 1 hour through small incision, and usually the patient is fine to be discharged from the hospital the very next day. 

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Kumar
 - 
Tuesday, 26 Sep 2017

Nothing but for getting publicity to that doctor and hospital

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News Network
June 26,2020

Bengaluru, Jun 26: The National Restaurant Association of India (NRAI) on Thursday came up with a Standard Operating Procedure (SOP) for restaurants whereby among other physical distancing norms, it has suggested a 2-metre gap between tables.

Formulated in partnership with Releski, a Bengaluru based skill-tech company, the SoP suggests that in case of back-to-back seating, people sitting with their backs towards each other will have their seats divided by 'Plexiglass' divider raised up to 2 meters from the ground.

"In a typical restaurant, the improvised seating plan should have a minimum distance of 2 metres between tables. The distance of 2 metres (6 feet) between tables should measure from one edge of the table to the other table's edge," it said.

In case of loose or free seating such as in banquet style or food court style seating, a minimum 2 meters of distance should be maintained between tables.

The guidelines noted that, to encourage physical distancing, restaurants have to sacrifice their seating capacity, to promote health and safety, and also to gain trust from their patrons.

"In order to perform this, divide your restaurants under different sectors. Pull out your restaurant's floor plan and colour code different sections red and yellow. Red sections are potential areas where maximum footfall or traffic is observed. Yellow sections are areas where the footfalls are average," it said.

All the red sections are encircled or bordered by placing barricades or Q manager and will open at specific points to access the yellow section and all the opening points will have hand sanitisers and sprays, and every guest who walks from red zones to yellow zones will sanitise himself/herself to reduce the chances of contamination.

For air conditioning, the guidelines of CPWD shall be followed which inter alia emphasises that the temperature setting of all air conditioning devices should be in the range of 24-30 degree Celsius, relative humidity should be in the range of 40- 65 per cent, intake of fresh air should be as much as possible and cross ventilation should be adequate, the guidelines suggested.

The industry body has also suggested appointment of a COVID-free Ambassador who would operate as the Chief Health Officer within the restaurant team, preferably from the management team in each shift.

The ambassador's would put the new daily work routines into practice, to monitor compliance with good practice and to lead the preventative measures, adapt to health & safety recommendations and requirements of the restaurant and oversee the implementation of the norms.

Anurag Katriar, President of NRAI and CEO & Executive Director of deGustibus Hospitality, said: "Every restaurant cutting across formats is facing the harsh reality of subdued to shut business volumes in the present and the uncertainty of business environment in the future. One thing is certain that hygiene and safety will be a key differentiator in the post-pandemic restaurant operations."

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coastaldigest.com news network
June 19,2020

Mangaluru/ Udupi, June 19: As many as 13 fresh coronavirus positive cases were reported in Dakshina Kannada on June 19, taking the total number of cases in the coastal district to 414. In Udupi, the total number of covid cases mounted to 1,050 with 11 new cases.

Four among the 13 patients in Dakshina Kannada had returned from Saudi Arabia and seven had returned from Sharjah recently. Two others were suffering from an influenza-like illness (ILI). All the 13 patients have been shifted to the designated COVID hospital in Mangaluru.

In Udupi, three among the 11 new covid patients are children. Four are Maharashtra returnees and two had come from Tamil Nadu. Five others have contracted infection from other positive patients. 

Only 98 cases are currently active in Udupi among 1,050. As many as 950 patients have been discharged from hospital. Two deaths have occurred in the district including one on Friday.

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News Network
March 16,2020

Mumbai, Mar 16: Shri Sai Baba sansthan trust on sunday appealed to devotees to postpone their visit to Shirdi for a few days in view of coronavirus outbreak in the country.

"As per the directives of the government, I request the devotees to postpone their visit to Shirdi for a few days," said Arun Dogre, Chief Executive Officer of Shri Sai Baba sansthan trust, Shirdi.

On Saturday, the Siddhivinayak temple located in Prabhadevi has instructed all its employees to wear masks, while hand sanitizers have been provided to everyone inside the temple.

Speaking to news agency,Siddhivinayak trust chairman , Adesh Bandekar had said, "We are providing sanitizers to all the devotees in the temple and where they stand in a queue holding the railings, are being cleaned in every 30 minutes."

Coronavirus, which originated in China's Wuhan city, has so far spread to more than 100 countries infecting over 1,20,000 people. In India, 107 persons, including foreign nationals were tested positive till March 15 at 12 pm.

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