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
August 6,2020

Bengaluru, Aug 6: Firebrand BJP Bengaluru South MP Tejasvi Surya on Wednesday said that control of state power by Hindus is absolutely essential for sustenance of Dharma.

His comments, in a series of tweets, came on a day Prime Minister Narendra Modi performed the groundbreaking ceremony for the Lord Ram temple at Ayodhya.

"Dear Hindus, Most important lesson is that control of State power by Hindus is absolutely essential for sustenance of Dharma. When we didn't control State, we lost our temple. When we regained, we rebuilt. The 282 (seats) in 2014 and 303 (seats) in 2019 to Sri Narendra Modi made today possible!", Surya, who is also the party's BJP youth Wing state general secretary, tweeted.

He also said that the survival of India depends on the survival of Sanatana Dharma.

"The Sanatana Dharma, that is nationalism,' Sri Aurobindo had said in his Uttarapara speech. But what does it mean? Along with Jai Sri Ram, the purohits also chanted Bharat Mata Ki Jai - That is Dharmic nationalism. If Dharma survives, India survives," he said in another tweet.

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coastaldigest.com news network
May 23,2020

Mangaluru, May 23: Criticising the Karnataka government's fresh protocol for management of Covid-19 as expensive, a prominent physician in the city has demanded its withdrawal.

According to Dr B Srinivas Kakkilaya, the protocol released by the Health and Family Welfare Department on May 15 enlists unnecessary and unconfirmed tests and treatments. 

The protocol has classified Covid-19 cases into three categories and has provided for hospitalisation of all three categories of patients, from asymptomatic to the most severely ill.

In a letter to the government, Dr Kakkilaya said: "The protocol suggests several investigations to be done right on the day of admission, including blood counts, liver and renal function tests, chest X Ray, ECG, CT scan of the chest, and other special investigations, all of which, if done, will cost Rs 25,000 per patient."

"In the coming days when lakhs of patients are likely to be infected with SARS CoV2, is it necessary and feasible to hospitalise and test all these patients at Rs 25,000 per person," he questioned.

The treatment options suggested in the protocol are also surprising, he pointed out. "The protocol recommends choloroquine, azithromycin, oseltamivir, zinc and vitamin C for all patients, from asymptomatic to the severely ill, and also anti coagulant injections for many patients. All these would cost at least Rs 5,000 per patient. For severe cases of Covid-19, many unproven and experimental treatments have been suggested, which are very expensive and highly questionable," Dr Kakkilaya notes.

Therefore, this protocol, he asserted was not evidence based and likely to do more harm than good. He said these unnecessarily expensive tests and allowing private companies to conduct trials on Covid-19 patients is likely to be misused by vested interests and must be immediately withdrawn, and instead, a protocol that is evidence-based, simple and avoiding unnecessary expenses, must be developed.

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News Network
February 12,2020

Tirupati, Feb 12: A middle-aged man committed suicide out of fear that he was infected with the dreaded Coronavirus (COVID-19), which has killed over 1000 in China. The deceased identified as Balakrishna (50) was suffering from hypertension. He killed self, after being discharged from hospital, fearing it would spread to his family.  The incident happened in Chittoor district on Monday but came to light only on Tuesday.

Balakrishna was treated in Tirupati last week and told that he had an infection. After two days in the hospital, he got better and returned to his village in Chittoor district on Sunday. But fearing that he was infected with COVID-19, Balakrishna isolated himself from his family. Before committing suicide, he surfed many videos about Coronavirus and also behaved weirdly with the family members by warning them against coming close to him.

“He remained aloof, saying he was infected with coronavirus and asked his family not to come near him. When they tried to approach him, he got agitated, threw stones at them and then locked himself in a room," district medical and health officer Dr M Penchalaiah said.

He was found hanging from a tree near his mother’s grave on the village outskirts. The tragic incident took place in Seshama Naidu Kandriga in Thottambedu block.

According to reports, he was suffering from cold and fever. He went to Tirupati hospital where doctors gave him medicines for viral infection and advised him to wear mask.  He wrongly thought he had coronavirus. However, doctors told Balakrishna he did not have coronavirus.

His son Balamurali said that his father panicked and started saying he needed to kill himself to keep other safe from him and coronavirus. “He began to pelt stones and things at us to keep us away from him,” Balamurali said.

“My father was all worried that the virus would spread to us. He hanged himself to save us,” Murali said.

Thottambedu police sub-inspector Venkata Subbaiah said no case was registered as the family refused to lodge a complaint. Till now, no Coronavirus case has been reported in Andhra Pradesh and Telangana.

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