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: All efforts would be made to control the spread of coronavirus in the city and there will be no fresh lockdown, Karnataka Chief Minister B S Yediyurappa on Friday said, asserting that improving economic situation of the state is also equally important.

Though the state capital was considered a model for the entire country in COVID management and has seen a spike in cases during the last few days, the pandemic can be controlled if everyone cooperated, he said.

His remarks come a day after Revenue Minister R Ashoka said Bengaluru is still 'safe' compared to the COVID-19 situation in other cities and states and had ruled out a fresh lockdown for now, putting to rest speculations that it was planning such a move in view of spike in cases.

As of Thursday evening, a total of 1,791 COVID-19 cases, including 78 deaths and 505 discharges, had been reported in the city while the state's tally stood at 10,560 compared to just 3,408 cases as on June 1. The state capital has the highest number of cases among the districts.

"There is no question of imposing lockdown for any reason. In some areas (with high case load) we have already implemented lockdown, other than those places there is no question of it being implemented in other places," Yediyurappa told reporters here.

Improving the economic situation of the state was also equally important, he said ahead of his meeting with Ministers, MLAs and MPs of all parties from Bengaluru to discuss measures to control COVID-19.

"I will discuss with all MLAs including those from opposition and Ministers from Bengaluru and come to some decision. With their cooperation we will make all honest efforts to control the pandemic in Bengaluru," he added.

Earlier, there had been intense speculation after some ministers said the government may have to consider re-imposing the lockdown, eased in phases from the middle of last month, in view of continuing spike in new cases in the past several days. Bengaluru was a "model" to the entire country in COVID management, but in recent days cases have increased, Yediyurappa said, adding to control it cooperation from everyone was necessary.

"I have confidence that if everyone (MLAs) pays special attention in their respective assembly constituency, COVID can be controlled," he said. Meanwhile, official sources said the Chief Minister has given Revenue Minister Ashoka the charge of overseeing the COVID management in the city.

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News Network
January 16,2020

Haveri, Jan 16: Karnataka Chief Minister B S Yediyurappa on Wednesday hinted at inducting 16 MLAs into the Cabinet which was due for expansion despite the fact that it was a difficult task.

Participating in a function of Choudayya Community here, he further said one should understand the difficulty faced to undertake cabinet expansion in the prevailing situation and whoever gives suggestion should understand the circumstances otherwise the statements would lead to confusion among the community and people of the state.

He stated that 'as many as 17 MLAs resigned to make me Chief Minister and now their community people want their leader to become Minister, it is very difficult to satisfy all of them'.

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News Network
May 20,2020

Bengaluru, May 20: Ride-sharing company Ola Cabs said on Wednesday it will lay off 1,400 of its employees due to business uncertainty caused by the coronavirus pandemic while the revenue has come down by 95 per cent in the past two months.

"The COVID crisis continues to unfold all around us causing unprecedented economic and social destruction. It has also become evident that the coronavirus will not be eliminated any time soon," wrote co-founder and CEO Bhavish Aggarwal to all Ola employees.

"In these circumstances, today I write to all of you with the toughest decision I have ever taken -- the need to downsize our organisation and let go of 1,400 of our valued employees," he said.

Aggarwal said the fallout of virus has been very tough for the cab aggregating industry in particular. "The company's revenue has come down by 95 per cent over the past two months," he said.

Initially, he said, the company hoped it would be a short-lived crisis and that its impact would be temporary. "But unfortunately, it is not been a short crisis. And the prognosis ahead for our business is very unclear and uncertain. It is going to take a long time for people to go out and about like before."
With more companies preferring to have a large number of employees work from home, air travel limited to essential trips and vacations being put off for better times, the impact of this crisis is definitely going to be long-drawn, said Aggarwal.

"The world is not going to revert to the pre-COVID era anytime soon. Social distancing, anxiety and an abundance of caution will be the operating principles for everyone," he told employees.

Aggarwal said the crisis necessitates the need to conserve cash aggressively so that Ola is able to invest in opportunities in the future, adding the downsizing exercise has been a very tough and sad decision for the management team to make.

"While we restructure our organisation to the new realities of our business, we are also going to recommit ourselves to strengthening our operational excellence and leverage a lot more technology to improve efficiencies and reduce cost across all parts of our business," he said.

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