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Hospital : 
Max Super Speciality Hospital, Saket
Description: 
  • Robotic Urological Surgery: 15 years journey 
    Dr. Rahul Yadav, Dr. Anant Kumar
  • Robotic surgery is the latest in advanced onco surgical procedures 
    Dr. Harit Chaturvedi
  • Percutaneous balloon aortic valvuloplasty & balloon dilatation of aortic coarctation in a 10 year old child 
    Dr. Neeraj Awasthy, Dr. Sushil Shukla
  • Role of CT/MR imaging and echocardiography in evaluation of valsalva sinus aneurysm 
    Dr. Reena Anand, Dr. Raj Kumar, Dr. Divya Malhotra, Dr. Bharat Aggarwal
  • Risk factors for patients undergoing treatment for Breast Cancer
    Ms. Kanika Arora, Ms. Ritika Samaddar
  • Radiology Case of The Month 
    Dr. Nafisa Shakir Batta, Dr. Dhruv Jain
Date: 
October, 2015 :15
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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

Neurosciences

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Neurosciences

Dr. Amit Gupta

Dr. Amit Gupta
Sr. Consultant- Neuro Surgery
Amit Gupta
Memberships: 
  • Executive Member Of Neurological Surgeons’s Society Of India (NSSI)
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PROFESSIONAL JOURNEY

Work Experience: 

Over the time span of more than 10 yrs and involving more than 4000 neurosurgical procedures in some of the best institutions of India including:-

  • G.T.B. Hospital
  • Paras Hospital, Gurgaon
  • Max Hospital, Saket
  • Rajiv Gandhi Cancer Institute & Research Centre
  • Fortis Hospital, Shalimar Bagh
  • B.L.K Hospital, Pusa Road
  • Maharaja Agarsen Hospital, Punjabi Bagh
Education & Training: 
  • MBBS- BRD Medical College, Gorakhpur, 2002
  • MS- General Surgery- G R Medical College, Gwalior, 2005
  • M.Ch- Neurosurgery- SMS Medical College, Jaipur, 2009
Awards Information: 
  • 4000+ Surgeries done
  • Special training done at renowned Institutions for Minimal
  • Invasive Spine and Micro-neuro Surgery.
Speciality Interest: 
  • Cranial Base Surgery
  • Pituitary Tumor, CSF rhinorrhea
  • Trigeminal Neuralgia
  • Redo Spine Surgery- failed back syndrome
  • Minimal Invasive Spine Surgery
Duration Of OPD: 

       Max Hospital, Shalimar Bagh

  • Monday, Wednesday, Friday- 10am to1pm
  • Tuesday and Thursday- 2pm to 4 pm

Stroke

November 1, 2019 0 1 minute, 57 seconds read

Stroke or lakwa is a neurological condition with long term disability and serious complications resulting from the effects due to brain involvement.

Timely treatment is important for managing a patient of stroke. Timely intervention to halt the disease process is a must. But, at the same time the hospital providing the basic and the further intensive care to the patients should satisfy a certain requirements. Today, on the occasion of World Stroke Day, Dr. Anand Saxena (Associate Director & HOD – Neurology) will try putting some light on the requirements a hospital must satisfy to be recognized as a stroke center or a stroke ready hospital.

First and foremost, the hospital should be easily accessible to the patient in terms of the time taken to reach the emergency room. The emergency room should ideally have point of care for specific investigations as per the case history.

The emergency room of the hospital should have an intensivist or a neurologist who can quickly identify a stroke patient. The nursing staff of the hospital should be trained for assessment of the patients and grade the disability using the standard NIHSS stroke scale.

After the initial contact in the emergency room, the hospital should have a facility for CT scan which helps classify the type of stroke. Since time is crucial, the process of getting a CT scan done and getting it read at the earliest is essential. Hence the hospital should have the radiology department working round the clock. The hospital should have facilities to ensure a quick transit of the patient to and from the radiology department.

The treatment of ischemic stroke, thrombolysis (clot busting therapy), generally requires a continuous monitoring of the patient. Also, the patient needs to be provided support to tide over any respiratory disturbances if present. Thus, the hospital must have a fully functional intensive care unit with personnel efficient in handling and managing patients. Post-treatment care of stroke patients helps a lot with respect to preventing early mortality. Apart from that, post-treatment care is essential to allow patients regain full functional independence. Thus, the hospital should also be able to provide a proper rehabilitatory care to the patients.

Remember, if you see a stroke patient, make sure you call the ambulance and rush the patient to the nearest stroke ready hospital to ensure a favorable outcome in the patient.

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Is your diet cola making you dumb

July 15, 2019 0 2 minutes, 24 seconds read

The artificial sweeteners used in diet sodas—and thousands of other processed foods—are anything but sweet. In fact, they can be toxic to the brain. Consuming these sugar substitutes on a regular basis is not a recipe for a healthy memory.

We see a lot of patients who believe artificial sugar drinks are good and would help them lose weight. On the other hand these drinks tend to cause digestive issues, arthritis, forgetfulness, and confusion. In fact, these chemical laden drinks can hurt your brain and cause memory loss.

Research has linked drinking diet colas to stroke and Alzheimer’s disease.

4 Ways Artificial Sweeteners Steal Your Mind

1. Forgetful.

One of the most commonly used artificial sweeteners, aspartame, is extremely harmful to the brain. In simple words aspartame works by stimulating brain cells, but in excessive amounts and over long term it can overstimulate the brain cells and works like a potent neurotoxin. It can damage brain cells and cause cell death which leads to forgetfulness and ultimately dementia.

2. CHRONICALLY HIGH INSULIN.

Elevated insulin levels increase your risk for Alzheimer’s disease and also raises the risk of heart disease, diabetes, metabolic syndrome, and other health problems. High Insulin  is associated with weight gain and obesity.

3. SLOW  METABOLISM.

Contrary to the belief that artificial sweeteners can cause weight loss, they actually make you gain weight. Many animal studies have shown that artificial sugars slow down the metabolism  and cuase weight gain. In one such study,  rats which were fed artificially sweetened foods were found to  have slower metabolisms and greater weight gain than those given sugar-sweetened foods—despite the fact that the rats that ate sugary foods consumed more calories than those that ate artificially sweetened foods.  Both diabetes and obesity are considered independent risk factors for memory problems and several forms of dementia. 

4. IMPAIRED GUT HEALTH.

Artificial sweeteners (aspartame, sucralose, saccharine, and acesulfame potassium) have toxic effects on gut bacteria. Compromised gut bacteria can lead to issues such as indigestion,  acidity, impaired absorption of nutrients like leaky gut, a condition in which the lining of the gut becomes excessively permeable. Leaky gut has been linked to the development of Alzheimer’s disease and other dementias.

Sweeter Alternatives

If you want to avoid sugar and don’t want the damage that comes from artificial sweeteners, here are two options.

Erythritol, a sugar alcohol that comes in crystals or powder form, is calorie-free and doesn’t cause blood sugar or insulin levels to spike. (Note: Be aware that sugar alcohols, such as Xylitol and Maltitol, may cause GI distress.)

Stevia, a natural plant extract, is 200-300 times sweeter than sugar, but it does not impact blood sugar levels the way sugar does. Some evidence suggests stevia may stabilize blood sugar, but more research is needed.  (Note: If you take medication for blood pressure or diabetes, talk to a healthcare provider before using stevia.)

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All that Shakes is NOT Parkinson’s

April 23, 2019 0 1 minute, 6 seconds read

Parkinsonism constitutes a number of conditions which have the following similar features:

  • Slowing of activities
  • Tremors
  • Stiffness/Rigidity of body
  • Postural instability (Tendency to fall)

If 2 out of the above 4 symptoms are present then the condition is Termed Parkinsonism.

Parkinsonism is a syndrome which has several similar but distinct conditions within it such as Parkinson’s disease, Vascular Parkinson’s, Parkinson’s plus syndromes (Multiple System Atrophy, Progressive Supranuclear Palsy, Normal Pressure Hydrocephalus. This can be compared to the example of Motor vehicles given below:

MOTOR VEHICLES (PARKINSONISM)

  • BUSES (PARKINSON’S PLUS)
  • TRUCKS (DRUG INDUCED PARKINSON’S)
  • SCOOTERS (VASCULAR PARKINSON’S)
  • VANS (NPH)
  • CARS (PARKINSON’S DISEASE)

The common early symptoms of Parkinson’s include:

  • Excessive salivation
  • Shoulder pain – often misdiagnosed as frozen shoulder
  • Vivid dreams and dream-enacting behavior called REM sleep behavior disorder (RBD)
  • Slurred indistinct, low volume speech
  • Handwriting becoming smaller
  • Stooping of posture when walking, sitting
  • Expressionless face - often confused with depression.

It is important to recognize the symptoms of Parkinsonism early make the correct diagnosis and start treatment early. It is even more important to diagnose Mimic condition such as essential tremors which are often mistaken as Parkinson’s disease.

Treatment results in relief and resolution of symptoms to a great extent.

For advanced cases new therapeutic modalities such as Deep Brain can be considered.

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Back Pain & Sciatica - Does Cold Weather Make Spine Problems Worse?

February 1, 2019 0 2 minutes, 50 seconds read

As the Season Changes and the temperature drops chances of developing acute back pain may go up most people with back pain and sciatica say firmly that winter makes it worse.  Do cold temperatures really make spine Problems worse? As winter sets in, muscles stiffen up in the cold. Added tension can make the pain worse with the risk of a muscles sprain that in turn can cause plenty of back pain.

Dark and gloomy days with colder temperature and fewer hours of sunlight in winter may contribute to depression which in turn can cause or aggravate chronic back pain. Shorter, colder days discourage from exercising which can be a recipe for back pain. Avoiding exercise is one of the worst things you can do for your aching back in winter. Below are some common reason people experience acute low back pain in winter reason along with tips you can try to avoid unnecessary pain.

BENDING AND TWISTING ACTIVITIES

  • Some helpful tips to avoid low back pain during these activities include :
  • Be sure and warm up your muscles.
  • Pace yourself: Exhausting and difficult physical activities are prone to worsen back pain, and should be done with frequent breaks as necessary.
  • Proper form : Always lift with your legs and not your back. Bend at your Knees when lifting, and avoid bending and twisting as much as possible.

Cold temperatures and snow on the ground can lead to slick sidewalks and ice covered surfaces. 

Tips to avoid slips and falls:

  • Wear proper Footwear and gloves .Treads on Winter foot wear help to prevent slips and falls.
  • Watch were you are going .it sound simple But with everyone’s eyes glued to their smart phone, it’s no wonder people fall from not looking where they are going.

REGULAR EXERCISE REGIMEN

Tips for avoiding lack of exercise:

  • Maintain a healthy home exercise program to strengthen your back
  • Spend less time on the couch watching TV and cricket. Take commercial breaks to stand up and stretch or do some home exercises.
  • Avoid overeating during winters to avoid excessive weight gain which can certainly lead to episodes of acute back pain.

KEEP WARM

Many patients complain of joint pain as the temperature drops, but there are simple ways to try and avoid this.

  • Dress warm .when it’s cold outside dress warm and wear layers you can always remove some articles of clothing if you get too warm. Many people under dress and leave themselves vulnerable avoid this common mistake by wearing layers of clothing that will Keep you warm in these cold conditions 
  • Try a heating pad on sensitive areas. The local heat can be therapeutic to the area
  • Stretch and warm up muscles before any outdoor and strenuous activity.

If you do have pain this winter, there are things you can do:

  • Mild Pain: employ rest, analgesics and continue your home exercise program as tolerated.
  • Moderate to severe pain: This is the time to see a healthcare provider to help you give a diagnosis and setup an appropriate patient specific treatment plan.

TAKE CARE THIS WINTER SEASON

  • Maintain a healthy home exercise program to strengthen your back.
  • While watching TV, take commercial breaks to stretch or do some home exercises.
  • Avoid overeating during winters to avoid excessive weight gain that can lead to backache.
  • When it’s cold outside, dress warm and wear layers of clothes that’s easy to remove.

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Can You Have A Healthy Pregnancy If You Are Suffering From MS?

November 1, 2018 0 2 minutes, 41 seconds read

Also known as MS, Multiple Sclerosis is an autoimmune disorder that affects the brain and spinal cord. Unfortunately, in cases of many women, the diagnosis comes at a stage when they are about to plan a pregnancy. Several studies have shown that pregnancy, delivery, and rate of congenital disabilities are no different in women with MS when equated to those without MS. The good part is that there are no substantial evidence of MS causing infertility.

In the past, women with MS were advised not to start a family as the condition may keep them away from giving proper care to their newborn baby. In addition, it was also presumed that pregnancy might worsen the symptoms. 

So, if someone is fighting hard with MS and wishes to plan a pregnancy, the advice is to seek consultation from the best neurologist in Gurgaon to better understand the chances of having a healthy pregnancy. 

Living with MS While Pregnant

Luckily, the picture today is somewhat different. Multiple studies have shown that pregnancy reduces the chances of relapse and this mainly happens in the third trimester. However, if someone has unrecognized MS, they are more likely to start having symptoms during pregnancy. The incapacitating effects of MS may make it substantially hard to carry a pregnancy without any complications. Coordination problems and muscle weakness may surge the likelihood for falls. Furthermore, fatigue may worsen. With fatigue, wheelchair dependence may increase and so the risk of encountering UTIs. 

Keeping the above things in mind, during pregnancy, women need regular and close monitoring to keep track of the condition and overall health of the baby. They may also require recurrent prenatal visits. Though, no standard treatment modifies the course of MS; there are medicines such as steroids and anti-inflammatory drugs that may help. 

During pregnancy, rehabilitation and supportive treatment become especially important. Rehabilitation differs depending on the symptoms, but may help in: 

  • Performing everyday activities
  • Getting the family involved
  • Being independent
  • Using canes, walkers and other assistive devices
  • Enhancing motor skills
  • Refining communication skills in those having trouble speaking caused by weakness or lack of coordination between face and tongue muscles
  • Dealing with bowel or bladder incontinence

Will There Be Any Complications in Breastfeeding?

Multiple Sclerosis does not carry any obstacle in breastfeeding. However, because it is still not clear whether disease-modifying drugs are passed in breast milk, most neurologists advise not to resume therapy until the time someone is breastfeeding. However, there is always an option to resume therapy and formula-feed the baby. Neither of them is right or wrong, as in the end only the mother can decide what is best for them and the baby.

The Role of Neurologist While Pregnant

The neurologist plays a significant role when someone is trying to conceive and that during pregnancy. They also have an opinion about therapy options that will work well in having a smooth pregnancy and prevent relapse after the delivery. Thus, the need of seeking consultation from the best neurologist in Gurgaon. Furthermore, some neurologists also prescribe intravenous immunoglobulin (IVIG) immediately after childbirth to significantly reduce the risk of postpartum relapse. On the other hand, some neurologists may recommend one or several doses of intravenous corticosteroids for the same purpose. 

 

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Dr. Himanshu Agarwal

Dr. Himanshu Agarwal
Consultant – Interventional Neurology
Dr. Himanshu Agarwal - Max Hospital
Memberships: 
  • Society of Therapeutic Neurointervention (STNI)
  • Indian Society of Neuroradiology (ISNR)
  • Indian Radiological and Imaging Association (IRIA)
     
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PROFESSIONAL JOURNEY

Work Experience: 
  • Consultant, Interventional Neurology, Max Saket
  • Ex. Associate Consultant, INR, Max Saket
  • Ex. Assistant Professor, INR, AIIMS, New Delhi
  • Ex. Senior Resident, INR, AIIMS, New Delhi
     
Education & Training: 
  • DM, AIIMS, New Delhi
  • MD, GSVM Medical College
  • MBBS, SN Medical College
     
Awards Information: 
  • Gold Medal from President of India for best student in post graduation
  • PGME topper in entire state
  • First prize in health awareness video competition
  • Honors in various subjects in MBBS
  • Published multiple papers in International and National journals, including largest series of Vein of Galen Aneurysmal Malformation from India
     
Speciality Interest: 
  • Diagnostic cerebral and spinal angiography
  • Acute stroke  Mechanical Thrombectomy
  • Intracranial Aneurysms
  • Cranial and Spinal AVM;s
  • Cranial and Spinal DAVF
  • Carotico-cavernous fistulas
  • Parent vessel occlusion
  • Carotid Stenting
  • Head and Neck Tumor embolisation
  • Balloon test occlusion
  • Petrosal sinus sampling
  • Venous sinus thrombectomy
  • Intra-arterial chemotherapy for Retinoblastomas
  • Brain and Spine Imaging 
  • CT guided Spinal Interventions
     
Duration Of OPD: 

   Max Super Speciality Hospital, Saket

  • Mon to Fri : 11 am – 4 pm
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