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. 

Comments

Kumar
 - 
Tuesday, 26 Sep 2017

Nothing but for getting publicity to that doctor and hospital

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News Network
April 17,2020

Bengaluru, Apr 17: Forty-four new cases of coronavirus have been reported in the State till now, said Karnataka's Health Department on Friday.

"44 new COVID-19 cases reported in the State from 5 pm Thursday to 5 pm on Friday. The total number of positive cases in the State is 359 including 13 deaths and 88 discharges," said the Health Department.

Meanwhile, a meeting was convened to review the situation on the rising cases of coronavirus in the State. According to Karnataka Chief Minister's Office (CMO), the meeting was attended by Chief Minister BS Yediyurappa, Home Minister Basavaraja Bommai, Health Minister B Sriramulu, and Deputy Chief Minister Ashwath Narayan.

The CMO said: "Earlier we used to do 500 tests per day. Now we are doing 2,000 tests. The suggestion was made to take care of the people who are in the ICU to prevent death. It was suggested and planned to work out a protocol for the treatment of COVID-19 patients all over the state."

The meeting also stressed the need for plasma treatment. Experts opined that people having influenza-like symptoms like fever, cold, breathlessness, etc., need to get tested for COVID 19.

The CMO said: "Officers were directed to conduct tests of the people with influenza-like symptoms in the districts where nil cases have been reported. ICMR has issued circular to set up two labs in each district and one lab in each medical college. In this direction, efforts are being made to set up 10 more labs in the State by the end of April."

"It was also decided to be prepared for treating an increased number of patients after relaxing in lockdown. It was also decided to issue guidelines to companies that would start working after relaxing lockdown. It was also decided to appeal to people to download Arogya Setu App. We will meet on April 21 again to decide further course of action," added the CMO.

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News Network
June 2,2020

Mangaluru, Jun 2: The Karnataka Muzarai department, whose main income comes through temple and other religious places of worship, has incurred a loss of Rs 600 Crore in revenue during the lock-down, Minister for Muzrai Kota Srinivas Poojary said on Monday.

Addressing reporters here, he said the Kollur Sri Mookambika temple alone lost revenue of about Rs 14 crore it was earning during April and May.

Around 300 A and B grade temples under Muzrai (Hindu religious institutions and charitable endowments) department in the State lost around 35 per cent of their annual income, he said.

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Agencies
July 17,2020

Bengaluru, Jul 17: Karnataka Chief Minister B S Yediyurappa on Friday said lockdown is not the solution for controlling COVID-19 and made it clear that there was no proposal before the government to extend it in Bengaluru.

Bengaluru urban and rural areas are currently under "complete lockdown" since 8 pm of July 14 and it will be effective till 5 am on July 22.

With the spike in cases, speculations were rife that the current lockdown is likely to be extended for 15 days, as that much time is required to break the chain.

"Lockdown is not the solution to control COVID. There is no proposal before the government to extend the lockdown," Yediyurappa was quoted as saying by his office in a release.

The Chief Minister today chaired a meeting with Ministers who have been made in-charge of eight zones in the city and officials regarding the COVID-19 situation in Bengaluru.

Earlier too, on July 13, the eve of the lockdown, Yediyurappa had said the government did not plan to extend it in Bengaluru urban and rural districts, and had appealed to the people to cooperate by not paying heed to rumours.

However, earlier today city Mayor M Goutham Kumar and commissioner of the civic body Bruhat Bengaluru Mahanagara Palike B H Anil Kumar had favoured its extension.

They had said that in their personal opinion, a 15 day lockdown would be good, as that much time is required to break the chain.

The Opposition Congress too had asked for a minimum of 15 days lockdown after taking expert opinion.

"Respected Chief Minister, you have imposed lockdown in Bengaluru, but it is difficult to expect results from this lockdown, which has been imposed just for for the sake of it.

Take expert opinion and enforce strict lockdown in Bengaluru at least for 15 days.

If not, even if God comes,it will be difficult to protect Bengaluru," KPCC Working President Eshwar Khandre tweeted.

Speaking to reporters after attending the meeting chaired by the CM, Revenue Minister R Ashoka said lockdown will not be extended and all activities can resume as usual from July 22.

"Lockdown will not be extended. I'm saying this after discussing with the Chief Minister. There is no such thinking before the government.

CM has got report from the experts, it was discussed in the meeting.

By lockdown we can only postpone things, we have taken that breathing time.

If we continue lockdown it will keep on continuing," he said.

The Minister said the process of sealing places, wherever required, would continue.

He said the plan to conduct more tests was discussed at the meeting and all the required zone wise arrangements would be made

"We also discussed about beds and shortage of ventilators and steps will be taken to arrange for them," he said.

As of July 16 evening, cumulatively 51,422 COVID-19 positive cases have been confirmed in the state, which includes 1,032 deaths and 19,729 discharges.

Bengaluru urban district tops the list of positive cases, with a total of 25,288 infections.

Out of 4,169 fresh cases reported on Thursday, a whopping 2,344 were from Bengaluru urban alone

At the meeting, the Chief Minister said all necessary steps should be taken to clear all the difficulties faced by infected patients in getting admitted to hospitals.

The CMO statement quoted Yediyurappa as directing Ministers to hold meetings with private hospitals to ensure that COVID and non COVID patients get treatment.

Warning of strict action against private hospitals if they don't allocate beds for COVID patients,he said volunteers and nodal officers would be appointed to gather information about admission of such patients and availability of beds

The Chief Minister said rapid antigen tests should be conducted on those dying at hospitals or homes and necessary action taken to hand over the bodies or to conduct last rites as per the procedures, depending on the cause of death.

Recruitment was on to appoint doctors to resolve shortage, he said,adding that volunteers have been identified in each ward for micromanagement and ambulances allocated.

Marriage halls and lodges have been selected in all wards for those not having separate quarantine facilities, Yediyurappa said and stressed on increasing testing.

Deploying extra police force at places where there are chances of people gathering in large numbers, ensuring beds availability and ambulances within two hours of a patient testing positive- with decentralized monitoring, giving priority to those symptomatic above 65-years during allocation of beds were among directions given by the Chief Minister.

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