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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Cardiac Sciences

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Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

Max Institute of Cardiac Sciences strives to provide patients with expert treatment and care. We believe in offering the patients with an ethical and open environment to recover. Our team of expert cardiologists and cardiac surgeons believes in carrying out an in-depth investigation of patient condition taking into account patient’s complete medical history, therefore strategizing a tailored treatment and recovery plan for each.

Our expertise in cardiac care helps us in caring for patients with heart disease by providing complete all-round care. From diagnosis, prevention, treatment, surgical care to cardiac rehabilitation and wellness services, we look after your heart A to Z.

Women Less Likely to Receive CPR than Men!

March 15, 2018 0 142 6 minutes, 35 seconds read

Are We Letting Gender Prejudice Come in the Way of Saving Life? 

For thousands of Indians, cardiopulmonary resuscitation (CPR) is a word hard to pronounce, difficult to spell, and perhaps, even more, difficult to ingrain in people’s minds, especially in India, where despite increased efforts of spreading awareness, the importance of the act is slow to catch on. It is estimated that 98% of Indians don’t know about CPR. At most of the times, CPR is used as a pretext to introduce mouth to mouth breathing, invoking humor or romance on celluloid and movie screens, where the lead pair is seen saving each other after a brave rescue from drowning or the uncomfortable funny situation between two male friends, again at behest of one saving the other. The importance of the act, the context, and the technical nature of performing it goes for a toss. But that is as much sense that can be expected from celluloid.

In real life, things are a lot more different. CPR is not only effective while saving someone from drowning. It is also the most vital first aid that can be offered to anyone who is fainting or has suffered cardiac arrest. Averagely, 310,000 Americans die every year owing to cardiac arrest, and those who receive hands-on CPR have twice to thrice higher chances of surviving. Back home, due to the lack of data on the approximate number of people have suffered from cardiac arrest, it gets difficult to drive the point further. But wait! India happens to be the capital of cardiac diseases, diabetes, and obesity. The fact that our nation is scoring high on the major factors that lead to a cardiac arrest should not leave any doubt that mortality due to cardiac deaths would be one of the highest here as well.

Find the best Cardiologist in India.

Ignorance of CPR in India

So Indians need to know CPR, but the state of ignorance is huge. Though every school going children in India knows the concept of CPR through their science classes, a majority of them don’t know how to practically implement the process. Also, by the time the kids become adults, the idea of CPR is easily forgotten. The people who are willing to give CPR in public places often guess their way through the technique and hope that it will work. Even those who know how to give CPR not necessarily understand when to give it. They may easily miss identifying signs of cardiac arrest. Added to that many misconceptions prevail around it, for example, fainting is instantly linked to brain and not to heart, the idea of administering CPR when a person faints does not even click in most people’s minds. Similarly, CPR is given when a person has been rescued from drowning and most importantly the focus shifts on the mouth to mouth breathing. Well, the news. Mouth to mouth breathing is not considered an essential part of CPR anymore. In fact, increasingly it has been disassociated from CPR and the focus has shifted to only hard pressing on the chest. 

CPR As a Vital Medical Intervention

CPR is an established as an essential medical intervention, which is fairly easy to administer and can be done by anybody, till professional help arrives. It is essential to be aware of and identify it as such. Just a while back we talked about how it has been misused in movies and television, something which influences thousands of people more easily than the educational leaflets promoting it. In these scenes which are played on silver screen, we so often see there is hesitation in the person administering CPR and a self-conscious realization of the person who receives it as soon as the receiver regains consciousness. In these scenarios, there is something we need to dismiss, something we need to disassociate from mentally, something we need to accept, and a lot that we need to understand. 

We need to dismiss mouth to mouth breathing as an essential part of CPR; the focus needs to shift on chest compression. What we need to accept is that there is hesitation, and we need to know why.

Women Less Likely to Receive CPR than Men in Public

Dr. Vanita Arora, Director & Head – Cardiac Electrophysiology Lab & Arrhythmia Services, Senior Consultant-Cardiac Electrophysiologist & Interventional Cardiologist, Max Super Speciality Hospital, Patparganj, says, despite ruling out mouth to mouth breathing as a part of CPR, research has essentially shown that women are less likely to receive CPR than men. Due to social and gender bias prevailing in the society related to women, the fairer sex is more likely to be missing out on help. And that’s what we need to accept, the hesitation. Public spaces in India are still dominated by men. The differently formed chest of women and various notions attached to it makes men hesitant to administer CPR to women. There is the fear of being misunderstood. The act in itself requires heavy compression on the chest, which might be misjudged by the surrounding people who may not be aware of it. There is a definite apprehension of not falling into trouble while helping the other out, especially if the other person is a woman.

Contrarily, the hesitation is not that much when it is at indoor spaces or at homes. International studies have suggested that there is almost no discrepancy in women receiving CPR at home in comparison to men. The rate for women was reported to be 35% and men received CPR 36%. This is because at home we are surrounded by people we know and daily interact with. Therefore, hesitation is less with people familiar to us. However, the same cannot be said in the Indian scenario as many conservative notions surround Indians even in their families. The levels of physical intimacy and ease are much different than what it is in the west. 

There is a technical aspect to it as well.  Due to the different nature of chest in women, people hesitate to remove or even adjust the clothing to administer a CPR. Although we minutely consider the technique of CPR, it does not necessarily need the pressure to be built on the breasts but in between the breast where the sternum is placed. This boosts the blood circulation and prevents the pulse from giving away. Giving CPR is essential for survival. If the patient is feeling nauseated and wants to vomit, turn him/her over to one side to avoid aspiration in the lungs. Aspiration is defined as the process through which any fluid or vomit can enter into the airways and cause difficulty in breathing. These aspects of CPR are rarely known to people. So, various notions due to our understanding of gender have put us in a situation where there’s something from which we need to disassociate.

Dissociate CPR from Sociocultural Notions

We need to spread awareness on CPR to identify it as purely medical intervention associated with medical and biological science and not social constructs that we have defined around sex.  It’s an act which prevents the brain from being dead due to lack of oxygen. Be it a known person or a stranger, be the person of any age, be the person of any sex, caste, class or creed, by administering CPR where it is needed we are saving a life, and that what needs to be focused upon.

It is important for all of us to be trained in administering CPR. Especially, the people who are working in public spaces, such as traffic police, and emergency services, should know how to administer CPR. India with increasing number of heart patients is sitting on multiple bombs of that may burst any moment. You would never know when knowing CPR comes in handy to save someone’s life. To know more about the CPR, you can visit the nearest heart hospital.

 

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How is Cardiac Arrest Different from a Heart Attack?

March 12, 2018 0 30 3 minutes, 21 seconds read

Most people have seen someone around them with a heart disease or even suffering from a heart attack. However, there are also cases when someone dies because of a cardiac arrest, but people will still call it a heart attack – after all it is the standard terminology. The terms – heart attack and cardiac arrest are used interchangeably but have a completely different meaning. Not only can this be confusing, but the implications in both cases are entirely different. Hence, it is essential to know the difference between the two. 

So, what exactly is a cardiac arrest? How is it different than a heart attack? Are there any signs and symptoms?

Dr. Gaurav Minocha, Principal Consultant, Max Super Speciality Hospital, Vaishali, gives us some pointers on how cardiac arrest and heart attack are different!

What is a Heart Attack?

A heart attack (also known as myocardial infarction) occurs when blood flow to the heart stops, causing damage to the heart muscle. A blocked coronary artery prevents the oxygen-rich blood from reaching the heart which causes the heart muscle to die. So, a heart attack is the death of the heart muscle where blood containing oxygen does not reach the heart.

In case of a heart attack, there is a plaque formation inside a coronary artery which blocks the artery and stops the blood flow to the heart. The longer a person goes without treatment, the greater is the damage to the heart.

Heart Attack is a circulatory problem!

Signs and Symptoms of a Heart Attack

  • Heaviness, discomfort or pain in the chest, arm or below the breastbone
  • Indigestion, fullness or choking feeling which feels like a heartburn
  • Irregular heartbeats
  • Nausea, sweating, dizziness or vomiting
  • Discomfort in arm, jaw, throat, or back

The symptoms of a heart attack start slowly and persist for a few hours, days or even weeks before a heart attack. Furthermore, in case of a heart attack, the heart does not stop beating.

What to do in case of a Heart Attack?

A heart attack is a critical condition that requires immediate medical attention. Patients undergo emergency procedures to restore the blood flow to the heart. The best practice in case of any heart-related condition is to call an ambulance or visit the nearest heart hospital immediately.

What is a Cardiac Arrest?

Cardiac Arrest takes place when the heart malfunctions and stops beating unexpectedly, causing the loss of blood supply to the body. This condition is also known as Sudden Cardiac Arrest and occurs without any warnings, and if the heartbeat is not restarted in time, the person will die. Cardiac arrest is prompted by an electrical malfunction in the heart which causes arrhythmia (irregular heartbeats). During a cardiac arrest, the electrical signals that control the timing of the heartbeat (the pumping action of the heart) become chaotic and unorganised, leading the heart to a complete halt. It causes loss of consciousness and eventually death in minutes, if not treated immediately.

Cardiac Arrest is an electrical problem

Signs and Symptoms of a Cardiac Arrest

Cardiac arrest shows no warning signs or symptoms in most people. Some people might experience some non-specific symptoms such as:

  • Worsening chest pain
  • Dizziness
  • Blackouts
  • Fatigue
  • Shortness of breath
  • Vomiting

These symptoms are sudden and often occur moments before a cardiac arrest, without any warnings.

What to do in case of a Cardiac Arrest?

The only way a cardiac arrest is reversible is if the patient is treated within a few minutes. Calling an ambulance is the first thing to do if someone is experiencing a cardiac arrest. Performing a CPR immediately and continuing it till the ambulance arrives, can make a difference between life and death.

The Link Between Cardiac Arrest and a Heart Attack

The two conditions are fundamentally different, and it is essential to be informed about them. Most heart attacks do not lead to a cardiac arrest. However, when a cardiac arrest does occur, a heart attack is most likely the reason because the patient will start to develop irregular heart rhythm. 

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What Do You Need to Know About Primary and Secondary Prevention Of CAD?

March 12, 2018 0 32 2 minutes, 59 seconds read

Narrowing or blockage of the arteries is known as Coronary Artery Disease or CAD. Blockage occurs due to the buildup of cholesterol or plaque on the inner surface of the arteries. This course is slow, happens over a period while the deposits harden over time.

What Are the Repercussions of Blockage of The Coronary Arteries?

If the blockage becomes severe, the person starts feeling pain and discomfort in the chest. There may also be regulating pain in the arm or left shoulder. These are the primary heart attack symptoms that should never be ignored. Sudden progression of the blockage leads to a heart attack and any delay in the treatment can be life-threatening.

Why Does CAD Occur?

Cardiovascular diseases are a major cause of deaths around the world. Various documented risk factors predispose an individual to CAD. These risks include family history, hypertension, dyslipidemia (abnormal blood cholesterol level), long-standing diabetes, a stressful lifestyle and smoking. With a high number of risk factors, the likelihood of developing Coronary Artery Disease increases.          

What is Primary and Secondary Prevention of CAD?

Primary prevention means preventing the condition even before it occurs, and secondary prevention means averting additional attacks of any cardiovascular disease after the first attack has occurred. One can also visit the best heart hospital in Delhi for regular checkup.

Who are the Right Candidates for Primary Prevention?

Family history plays an important role in deciding the candidature for primary prevention of cardiovascular disease. Physical examinations are followed by lab tests that help the doctor analyse the condition. The combined result of all the tests helps the doctor to decide if someone is a candidate for the primary prevention of cardiovascular disease or not.

Primary Prevention would require:

  • Exercise – The effect of exercising on CVD is no different than on the majority of other health conditions. Primary prevention candidates are recommended 150 minutes of moderate intensity exercise or 75 minutes of vigorous activity per week. An increase in physical activity significantly reduces the risk of CVD.
  • Balanced Diet – Diet plays an equally important role in reducing the risk of cardiovascular disease. Doctors recommended a diet that is high in vegetables, whole grains, fruits and low saturated fats and sugars.
  • Smoking – Considered as a major risk factor, smoking doubles the mortality rate in patients with cardiovascular disease and causes other health complications as well. Quitting smoking is the single most cost-effective intrusion in CVD prevention.
  • Body Weight – Being overweight and having a BMI > 25 is another major risk factor for cardiovascular disease. Doctors always advise maintaining a healthy body weight to primary prevention candidates.
  • Lipid-Lowering Therapy – This therapy is used to improve the lipid levels and has been used in primary prevention of cardiovascular disease since long. In this therapy, any elevation in cholesterol level is treated with statins.
  • Anti-Hypertensive Therapies – Hypertension or high blood pressure acts as an independent risk factor for cardiovascular disease and also acts in synergy with other risk factors. Anti-Hypertensive Therapies keep the condition in check and lead to a significant reduction in CVD events.

What Is Done in Secondary Prevention?

Secondary prevention includes:

  • Prevention of a second occurrence of Coronary Artery Disease (e.g., after a first occurrence of acute coronary syndrome or a first heart attack).
  • Prevention of a second occurrence of Coronary Artery Disease after surgical procedures are implied to treat the condition.
  • In both cases, the methods of primary preventions listed above also play a major role in keeping the patient healthy and away from further complications. Also, the combination of primary and secondary prevention averts the second occurrence of coronary artery disease.

 

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Dr. Gaurav Mahajan

Dr. Gaurav Mahajan
Principal Consultant & Head – CTVS
Heart specialist in Delhi, India - Gaurav Mahajan - Max Hospital
Memberships: 
  • Life Member of Indian Association of Thoracic and Cardiovascular Surgeons
  • Life Member Indian Medical Association
  • Life Member of ECMO Society Of India

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Biography

Biographical Sketch: 
  • Dr Gaurav Mahajan is a senior cardiothoracic and vascular surgeon with more than 15 years of experience. He has worked in renowned hospitals of Delhi and NCR like Indraprastha Apollo hospital, Sir Ganga Ram Hospital and Metro Heart Institute Noida. He has been trained extensively in Pediatric Cardiac Surgery at Apollo Hospital for 3 years. He has also operated in many premier Cardiac Institutes of Punjab. Apart from cardiac surgery which is his passion he also shows keen interest in intensive care of post operative patients.

PROFESSIONAL JOURNEY

Work Experience: 
  • Chief Cardiac Surgeon in Metro Heart Institute, Noida
  • Senior Consultant and Head in EMC Hospital Amritsar
  • Associate consultant in Pediatric Cardiac surgery at Indraprastha Apollo Hospital and  Sir Ganga Ram Hospital, New Delhi
  • Consultant in Cardiac surgery at Indraprastha Apollo Hospital and Max Super Speciality Hospital, Saket, New Delhi
Education & Training: 
  • MBBS, M.S.R. Medical College and Hospital, Bangalore
  • M.S. (General Surgery),  M.S.R. Medical College and Hospital, Bangalore
  • MCh. (Cardio Thoracic and Vascular Surgery), SMS Medical College and Hospital, Jaipur
Speciality Interest: 
  • Off Pump Coronary Artery Bypass Surgery
  • Minimally Invasive Coronary Artery Bypass Surgery
  • Valve Replacement and  Repair Redo Coronary and Valve Surgery
  • Surgery for Adult and Congenital Diseases
  • Heart Failure Surgery
Duration Of OPD: 

   Max Super Speciality Hospital, Vaishali

  • Monday – Saturday:  1 pm to 4 pm

Yeh Dil Maange More!

March 7, 2018 0 21 4 minutes, 45 seconds read

Everybody knows of somebody who had a sudden heart attack. Heart disease is truly the most dreaded health problem in modern life even in people who are living a reasonably healthy life.  So is heart disease an unforeseen catastrophe, which can strike you out of the blue or can you actually predict your risk and do something about it. 

The World Health Organization stated in 2010 that 80% of premature heart disease, stroke and diabetes can be prevented by a healthy lifestyle.  A British study called the Whitehall study on 19000 healthy office-goers found that those with a healthy lifestyle and healthy parameters like Blood pressure, blood sugar and weight had on average a 10 year longer life than those who do not.  It should, therefore, be obvious that we should know about the health of our heart and how to improve it.  This will “add years to our life” and also “add life to our years”. 

We present a simple scheme showing you how this is actually possible. It is based on an initiative by American Heart Association called Life’s Simple Seven, but it is equally applicable to Indians.

What is Life’s Simple Seven?

Life’s Simple Seven lists 7 simple questions that you should be able to answer about your lifestyle and health status. It consists of four health-related behaviours – smoking and tobacco, healthy diet, adequate exercise and maintaining a healthy weight. Additionally, 3 things that you have to measure are – blood pressure, blood sugar and serum cholesterol.

Your answer can be rated to carry 0, 1 or 2 points.  Score calculation: 2 points for ideal, 1 point for intermediate and 0 points for poor quality. These calculations are then added and the total score will identify 3 ranks of lifestyle health, 10-14 being optimal, 5-9 being average, and 0-4 being inadequate. Research has revealed that the overall lifetime risk for heart failure among adults aged from 45-64 is only 14.4% if they fall into the optimal category, 26.8% for average, and an alarming 48.6% for those in the inadequate category.

Area Definition

(Score: 2 points = Ideal; 1 point = Intermediate;
0 points = poor quality)

STAYING ACTIVE  Physical exercise and activities
strengthen your body, mind and reduce your risk for
cardiovascular issues. Find exercises and activities you
enjoy and can engage with at least 12 times per month and
consult with your primary care physician if you are just
starting.
2 points for 150 minutes moderate activity or 75 min
vigorous activity per week. 1 point – less exercise, and 0
points for none
EATING HEALTHY 

What constitutes a healthy diet has
become controversial of late.  However, you should  Eat a
healthy balanced diet with less salt and sugar, avoid fast
 foods, take plenty of fruits and vegetables.  Fat intake is
 permissible but watch the calories. Non-veg foods are
also healthy with an emphasis on white meat and eggs.  Milk
and milk products are important sources of protein in the
Indian diet

2 points for a healthy diet, 1 point for intermediate diet,

0 points for unhealthy diet – if you don’t take a balanced

diet

WATCHING YOUR BMI 

Calculate your Body Mass

 Index (BMI). It is a close approximation of body fat and is

a better guide than weight alone.

It is calculated as the weight in kg divided by the square of

the height in metres. 

For Indians, BMI should be  below 23 (2 points)

BMI > 23-28 scores 1 point

BMI >28 is unhealthy and scores 0 points

BLOOD PRESSURE 

The higher the pressure, the greater

 the risk of damage being caused to your heart and veins

(i.e. hypertension).

Normal BP is <120/80 without treatment (2 points)
Score 0 points if BP is >140 upper or> 90 lower value

with or without treatment. 
Score 1 point for intermediate values or even for normal

value with treatment

BLOOD CHOLESTEROL  there are 2 types of
cholesterol: low-density lipoprotein (LDL) and
high-density lipoproteins.  Although cholesterol is
essential for your body to function properly, an unhealthy
amount of LDL cholesterol may clog your arteries.Score
2 points for total cholesterol <200 mg/dl, 1 point for
200-240 mg/dl and 0 points for higher values
BLOOD SUGAR 

knowing your blood sugar is just as
 important as knowing your blood pressure and cholesterol.

 Prediabetes can be managed with diet and exercise while diabetes usually needs drugs. Risk of heart disease is raised even with prediabetes

If you are not fasting, glycosylated Hemoglobin can be

measured to denote the 3-month average glucose level.

FPG (Fasting plasma glucose ) <100 mg/dl or
HbA1c <5.7% is ideal and scores 2 points

FPG 100-120 or HbA1c 5.8-6.4 gets 1 point

FPG >120 or HbA1C> 6.5 increases risk – 0 points

TOBACCO USE 

Inhaled or oral tobacco damages almost

 every organ in your body, and the chemicals in tobacco can

 harm the structure and function of your blood vessels and

damage your heart. This even applies to the e-cigarettes

which are being promoted today

 2 pts for no tobacco/smoking (Never or left >12 months)

1 pt for those who have quit < 12 mon ago

0 pt for current users

 

Use this as an approximate guide to the health of your heart and a call to action to improve it.  Remember your health is primarily in your hands and that there is a lot that each one of us can do to improve it.  This is true for even those people who already have a health issue. Our best heart specialist can be a friend and mentor in this road to good health. 

Put up this chart at your home or work-space and remind yourself constantly about what you can do.  Set yourself simple health goals every week and then follow them regularly.  You can also visit the best heart hospital in Delhi for more information. Occasional indulgences are permitted provided we take care of the big picture.

Listen to your heart because “Yeh Dil Maange More”!

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A Health Burden: Coronary Artery Disease (CAD)

March 1, 2018 0 86 1 minute, 57 seconds read

Coronary Artery Disease is a major health burden with an estimate that India will have largest heart disease burden by 2020. It is the 1st among top 5 causes of death in Indian population. Dr. Subhash Kumar Sinha, Director – CTVS, Max Smart Super Speciality Hospital, Saket explains us that “Coronary Artery diseases is a multi -factorial disease that essentially is a built up of cholesterol inside the coronary artery thus impeding the forward flow of blood in the vessels.”

What are the Factors of CAD?

Our expert clinician divides the factors into Unmodifiable and Modifiable risk factors.

The Unmodifiable risk factors for coronary artery disease are: Family history, diabetes- being post-menopausal for women and being older than 45 for men

The Modifiable ones are Smoking, Tobacco in any form, Stress, Hypertension, Sedentary lifestyles and obesity contributes to this disease in this world of modernization.

How can you prevent this disease?

You may prevent and control many coronary heart disease risk factors with heart-healthy lifestyle changes (routine exercises & yoga) and medicines. There should be the strict and tight management of blood pressure through anti-hypertensive medications, control of diabetes with anti-diabetic medication.

Cut on smoking as well as consuming any form of tobacco. People with a family history or any of the above-mentioned risk factors should have timely medical check-ups and consultation with Heart Doctor to identify the causative factor early.

Are there any recommended tests?

Coronary artery disease can be diagnosed with the aid of echocardiography (2D & stress ECHO) which reveals the percentage of functioning heart muscles. The gold standard for diagnosis is conventional Coronary Angiogram.

Other investigation modalities may be CT- Coronary Angiogram and stress thallium. PET-CT may be advised in case of uncertainty over the benefit of undergoing the operations.

The treatment options include (A) time-tested surgical intervention - coronary artery bypass grafting a.k.a CABG, to restore the blood circulation of the heart muscles using more and more Arterial (Long lasting) and vein grafts. CABG can now easily be done by entering the chest between the ribs (minimally invasive technique) or through a mid-line chest incision. (B) Percutaneous intervention a.k.a stenting.

With present-day technological advances and expertise almost 100% successful outcome can be achieved in Coronary Surgery if done timely, so one should come early to a surgeon for the maximal preservation of heart muscles or heart function. 

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What Factors Will You Consider In Choosing a Hospital For Your Child's Congenital Heart Disease?

February 27, 2018 0 119 3 minutes, 0 seconds read

Congenital heart diseases are most common birth defects. If your child is diagnosed with congenital heart disease, you feel like you are entering a strange and unfamiliar territory. Instead of welcoming your newborn baby to a cosy and comfortable nursery at home, you are confined to a hospital till he gets cured.

Operating on a tiny organ with correspondingly small vessels requires highly specialized training, skills as well as experience. Even under pressure, you are required to decide which hospital to take your child for a potentially life-saving surgery. You are faced with multiple decisions related to your child’s life. To guide your family, you are required to choose a hospital with a highly-skilled pediatric cardiologist & pediatric surgeon.

It is crucial to find a hospital which has not only an excellent team of surgeons but also a good rapport. Dr. Dinesh Kumar Mittal, Senior Consultant & Head – CTVS, Max Super Speciality Hospital, Shalimar Bagh, explains a few factors that you should consider while choosing a hospital for your child are:

Complexity of the Surgery

If there is a rare defect, you will need to take your child to a high-volume centre which has previously experienced that sort of anomaly. As per the Society of Thoracic Surgery (STS), there exist five levels of complexities for congenital heart diseases. The advanced the level of complexity, the more difficult is to treat the heart defect. So a rare anomaly should be operated in a high-volume centre, and by an experienced surgeon.

Get Data About the Previous Surgeries

Pick a hospital that has a track record of treating multiple cases, including the complex ones. Multispecialty centres have a variety of surgeons and you should look at various surgeons within the same hospital to find the best fit for your child. It is crucial to enquire factors like the number of times a surgeon has performed the procedure along with the number of successful treatments in the surgeon’s tenure.

Ratings of the Hospital

The ratings of a hospital reasonably reflect the overall performance of treatment. It is always beneficial to take some time to research the surgeons and hospitals. It is essential to determine where a child will get the best treatment and care. We at Max Healthcare have come a long way in improving the health of children born with congenital heart defects.

Research the Whole Team

Pediatric heart surgery is a team effort. A dedicated pediatric heart surgery team consisting of an experienced heart surgeon, cardiologist &nurses and intensivist is definitely going to make a difference in the outcome of surgery as a whole.One should prefer such hospital (as Max ) which has such fully functional units.

Learn About the Baby’s Condition

The more you know about your baby’s condition, the better you can assess the cardiologists. One should go beyond a medical library search or web and speak to experts in the field. It is always crucial to ask in detail about the treatment options, possible complications, follow-up care, and what kinds of results to expect. Furthermore, one can talk to other parents whose child has gone through a heart surgery.

Ultimately, it is up to you to decide for the best medical team for your child. Making the critical choice about whom to trust with your child’s heart surgery is one of the hardest questions you ever face. It is essential for you to carefully consider all above points and select a hospital with dedicated pediatric heart team for your childs' well being. We at Max Healthcare have such a dedicated and experienced surgeon: 

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Heart Transplant – Frequently Asked Questions

February 12, 2018 0 47 3 minutes, 38 seconds read

A heart transplant is usually recommended to patients where other treatment options like medication and surgeries have failed to improve the functioning of the heart. The process in which a diseased heart is replaced by a healthy heart is called heart transplant. Today, with advanced medical technology it is possible to successfully do a heart transplant without any complications. The chances of survival are high; however only if the surgery is performed at one of the best heart transplant hospitals like Max Healthcare.

Since, a heart transplant is a critical operation; peopl

 

e do come up with a lot of questions regarding the same.

Dr. Kewal Krishan, Program In-charge – Heart Transplant & Ventricular Assist Devices Sr. Consultant - CTVS, Max Super Speciality Hospital, Saket, some of the frequently asked questions are:

What are the circumstances under which I would come to know if I need a heart transplant?

Heart transplant surgery is done in cases where a person is suffering from a severe heart disease. You don’t have to worry about that as your cardiologist or pulmonary medicine specialist would refer you to the heart transplant center. Mainly, two things are evaluated at a transplant center. First is to check the condition of the heart and how severe the disease is. Second and most important thing is to see if the person will be able to survive the heart transplant surgery or not.

What difference would a heart transplant make to my life?

Heart transplant surgery will, without a doubt, make a lot of difference to one’s life. After the heart transplant surgery is performed, the patient would observe the symptoms of the heart disease fading away. Not only that, they will be able to perform all the physical activities better than the one without a transplant. However, every heart recipient is put on regular drug treatment and medicines along with a close supervision.

Is a heart transplant surgery difficult and painful?

A heart transplant surgery is done by keeping many things into consideration basis on which the level of complications is evaluated. When the evaluation is done, there are various things that are informed by the doctors to the patients like the procedure, risk and recovery after surgery. The surgery is performed under general anaesthesia where the patient is unconscious and does not feel anything.

How much time would it take for me to get discharged from the hospital after the heart transplant surgery?

Heart transplant surgery is not that complicated as it sounds. Usually, it takes around 10 days for a heart recipient to be discharged from the hospital. But there can be cases when it takes more than two weeks. It all depends on the severity and condition of the recipient as to how well they respond to the surgery.

Once the surgery is done, will it still be painful afterwards?

Patients usually do not complain about having pain after the surgery. Yes, there will be a little discomfort while coughing but proper medicines and painkillers will help minimize the pain.

How bad my scars will be?

The scar of a heart transplant surgery will be prominent initially, but it will fade away to become a thin line with the course of time.

How much time would I need to get back to work?

It is suggested by the doctors that a heart transplant patient should take a minimum of months off from work. One can always take more time than that if needed.

What kind of medicines will I be taking after the heart transplant surgery?

The doctors would prescribe a combination of immunosuppressants (or anti-rejection) after the surgery. Along with that, other medications would also be prescribed to protect your body from various infections.

Can my family be there at the hospital with me after the surgery is done?

Once the heart transplant surgery is done, the recipient would be in the intensive care unit where the family members would not be allowed. But there would be visiting hours so that they can come and spend time with you.

When will I recover totally from the surgery?

There are various things that determine the time of recovery for a heart transplant recipient. In most cases, it takes three to six months for a recipient to fully recover from the surgery. But age and other related factors may affect the recovery period for some.

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