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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)
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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


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What to Avoid When Someone is Having a Stroke?

February 2, 2018 0 32 2 minutes, 39 seconds read

Stroke is often known as a silent killer because it can happen without any warning and remains as one of the leading causes of death and disability around the world. When someone experiences a stroke, there is an immediate stop of the blood supply to the brain. The blood flow stops because a blood vessel ruptures or there is a blockage in a blood vessel. It is a deadly instance because people can have a stroke and not know about it, leading to a permanent damage in the brain. Stroke is a severe medical condition that requires immediate medical intervention. We at Max Healthcare have a dedicated centre of neurosciences and the best neurologist in Delhi for stroke treatment.

Stroke can be life-threatening and can even lead to permanent disability. There are certain essential things that a person suffering from stroke or the ones near them must follow in case of such an instance.

Here are things to avoid when someone is having a stroke:

Do not Let the patient Go to Sleep

It is important not to let the person who’s experiencing a stroke to go to sleep. People who have a stroke usually feel sleepy, and all that happens suddenly without any warning signs. Stroke treatment is time sensitive and letting a person sleep can be life-threatening. Even if the person is refusing to visit a hospital, it is important to call an ambulance and take them before any considerable damage.

Do not Drive them to the hospital

It is never advisable to drive a stroke patient to the hospital and never let the person drive themselves as stroke can impair the ability to drive safely. Always call an ambulance whenever someone is a having a stroke. Ambulances are equipped with necessary life-saving equipment, drugs and healthcare professionals who can immediately save the life of the patient. Emergency responders can start life-saving treatment as soon as they reach the patient which can help minimise damage.

Refrain from giving the patient anything to Eat or Drink

It is better to avoid eating or drinking when the person is experiencing a stroke. Since a stroke can cause muscle weakness throughout the body and can even lead to paralysis, a person suffering from a stroke can choke on food, water and have difficulty in swallowing.

Do not Give Them Any Medication

Do not self-medicate the person having a stroke. Usually, people believe that giving aspirin will help, but it does not because it is not always a blood clot that causes a stroke. It can be caused by a ruptured blood vessel and giving aspirin in such a situation will make the bleeding worse. To maximise chances of survival, it is essential to call an ambulance right away.

The points mentioned above are critical and must be followed without fail. A stroke can be deadly and life-threatening, so it is crucial never to delay in seeking medical attention. Most people will wait and observe if the symptoms will improve; however, it is one of worst things to do as it increases the chances of death or disability significantly. Remember, every second count when someone is experiencing a stroke. So, act wisely and fast!

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FAQs on Carotid Artery Disease/ Carotid Stenosis

February 1, 2018 0 214 1 minute, 13 seconds read

1. What are carotid arteries?

These are two large tubes which take blood from the heart to the brain through the neck. You can feel them pulsating in the neck if you press lightly (only one side) just away from the midline.


2. What is carotid stenosis?

Over time cholesterol may get deposited in the arteries and form a plaque which tends to block the flow of blood. As this plaque keeps getting bigger the artery may get completely blocked or occluded.

3. What are the risk factors for carotid stenosis?

High blood pressure, Cholesterol, Diabetes, Obesity and smoking are some of the risk factors.

4. Do I need to get my carotids fixed?

Dr. Chandril Chugh, Senior Consultant & Head – Interventional Neurology, Max Super Speciality Hospital, Saket, says not all carotid stenosis need procedural treatment, in fact, most don’t.  Treatment depends on a lot of factors like age, sex, risk factors and symptoms.

5. Does carotid stenosis increase my risk of stroke?

Yes, it does.

6. Can it be controlled by medicines only?

Yes, of course.

7. If I need a procedure for carotid stenosis what options do I have?

Carotid Stenting and Carotid endarterectomy (open surgery) are two options available.

8. I am scared of open surgery, what do I do?

Endovascular minimally invasive surgical options can be used to do carotid stenting.

9. How long do I have to stay in the hospital?

Stay usually lasts for about 2 days. It may change depending on the clinical condition of the patient.

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8 Silent Signs of Brain Tumor You Should Know

January 16, 2018 0 380 2 minutes, 49 seconds read

Primary brain tumours arise from the numerous cells that form the brain and central nervous system. The most common types of adult brain tumours are gliomas which are a type of an astrocytic tumour. This tumour forms from astrocytes along with other types of glial cells, which are cells that help in keeping nerves healthy. Another most common type of adult brain tumour is a meningeal tumour. These tumours form in the meninges, which is the thin layer of tissue that covers the spinal cord and brain.

Here are 8 silent signs of a brain tumor one should know:


The occurrence of seizures or fits, particularly in those patients who do not have a medical history of fits, seizures or epilepsy is another sign of brain tumour. Approximately one-third of patients diagnosed with brain tumour report a seizure before being diagnosed with a tumour. Seizures can cause intense abnormal movements in the body of the patient, with or without the loss of consciousness. Other than that, seizures can also cause unrestrained and prolonged staring along with visual disturbance such as flashes of light.

Cognitive Decline

A brain tumour may also affect the brain’s processing speed.  If it takes longer than usual for a person to complete basic tasks, consulting a doctor is recommended. Disruption in concentration power and memory loss can be significant signs of a brain tumour.

Hearing Problems

Brain tumours can also disturb a person’s hearing ability. Some of the unusual disturbances experienced by an individual include hearing loss and a ringing sensation in the ears.


Not all types of headaches are a sign of a brain tumour. Persistent headaches which do not react to any treatments, such as over-the-counter medication are the best indicator of a brain tumour. Also, headaches which are usually severe in the morning than in the afternoon and are accompanied by vomiting or nausea, double vision, numbness or weakness alone also indicate a brain tumour.


If an individual has a brain tumour, their right or left leg or arm may not respond the way they are used to--or at all. One may also experience clumsiness in walking along with weakened muscles and frequent loss of balance.

Speech Problems

An apparent lag in speech is seen in individuals with brain tumours. For instance difficulty in naming objects, stuttering, or difficulty in grasping what others are saying are some of the key symptoms of a brain tumour.

Vision Loss

Individuals experiencing this symptom may not be aware of it at all--let alone relate it to a brain tumour. They may not even realise a difference in their visual quality until they continually meet up with accidents because of poor eyesight. This symptom is known as bitemporal hemianopsia.

Personality Changes

Individuals may also experience changes in personality. One may become more agitated or angry, acting overtly uninhibited or showing loss of shyness. A brain tumour can even alter nature as well as judgment.

Other brain tumour symptoms include extreme sensitivity towards heat or cold, altered taste perception, obesity, and hand tremors. Some types of brain tumours proliferate while other tumours grow gradually. Considering all these factors, a doctor can determine how soon the brain tumour treatment should start after the diagnosis. Timely detection, as well as a proper brain tumour treatment, can work in favour of the patient and can quicken the progress towards a tumour-free life.

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Know About the Treatment Options for Brain Tumor

December 28, 2017 0 129 5 minutes, 16 seconds read

All tumours present inside the cranium are classified as brain tumours. Tumors can manifest inside the brain or travel through the lymphatic system in the blood vessels. A brain tumour-like other tumours is a life-threatening disease.

The causes of a brain tumour and why it occurs are still unknown. There are certain inherited conditions like the Von Hippel-Lindau Syndrome, Li-Fraumeni Syndrome, Neurofibromatosis and Turcot Syndrome that increase the risk of brain tumours.

What are the Treatment Options for Brain Tumor?

When a person is diagnosed with a brain tumour, a group of specialists including Neurologists, Radiologists and Neurosurgeons assess the extent of a tumour and derive the best possible treatment options. The treatment options largely depend on various factors such as –

  • Location of a tumour
  • Size of a tumour
  • Tumor stage
  • Type of tumours


Surgery is often the preferred treatment option when it comes to curing a brain tumour. One should consult the best neuro hospitals if the patient is having a tumour in the brain. There are several techniques employed during surgery including IGS (Image Guided Surgery) which accurately maps out the location of a tumour.

However, before the surgery, depending on the location of a tumour, the doctor will determine whether it is operable or inoperable.

Operable Tumor

A tumour which can be surgically removed with minimal risk of brain damage is known as an operable tumour.

Inoperable Tumor

If a tumour is located in a place near a vital area or structure and is inaccessible by the surgeon; then this tumour is termed as inoperable. Tumors located in the brain stem and thalamus is two such examples. But we do a stereotactic biopsy in thalamic tumours.

What Type of Surgery Is Recommended?

The common types of surgery for brain tumours are:

Biopsy (Open or Needle Biopsy / Stereotactic Biopsy)

A biopsy is a surgical procedure that involves taking a sample in case of not a definite diagnosis and inoperable states of the tumour tissue. It is used to determine the exact type of tumour for further treatment. The sample tissue diagnosis can further be used to determine if radiation therapy/chemotherapy / Radiosurgery will be useful.

What Happens During a Biopsy?

A biopsy is carried out in the following steps:

  • Patient with a brain tumour will undergo an MRI or CT Scan to determine the exact location of tumour
  • A dose of general anaesthesia is given to the patient
  • A small ‘burr hole’ is drilled on the skull by the neurosurgeon
  • The surgeon then passes a needle through the hole to take a sample of the tumour
  • Hole is closed using stitches and patient is given steroids to help with swelling


A craniotomy is the most common type of surgery for a brain tumour. The procedure involves shaving a portion of the head, making an incision in the scalp then using an operating drill to remove a portion of the skull where a tumour is located. This enables the surgeon to remove as much tumour as possible. Once a tumour is removed, the portion of the skull which was removed is replaced, fixed with titanium plates and screws and then the scalp is stitched back.

Awake craniotomy

  • In some cases, if a patient is undergoing awake craniotomy, they will be awake to allow the neurosurgeon to map where the functions of the brain are located
  • The brain does not feel pain, and in case of an awake craniotomy the patient might be able to feel only the pulling of a tumour
  • Neurosurgeon will remove as much tumour as possible without any brain damage
  • When an entire tumour is removed, it is known as ‘total resection.
  • When only a part is removed, it is known as ‘debulking’
  • The bone flap which is removed is replaced, and the wound is closed using stitches

The Risks of Brain Surgery

No surgical process is without any risk. Brain surgery is a major surgery, and there are some extra risks involved.

The possible risks involved are as follows:

  • Bleeding in the brain
  • Weakness in some part of body (location dependent)
  • Memory problems, impaired speech, vision, or balance
  • Allergic reaction to anaesthesia
  • Stroke
  • Infection
  • Prolonged unconsciousness

Radiation Therapy

Radiation therapy is the use of high-energy x-rays which are employed to destroy tumour cells. After surgery, radiation therapy is used to stop or slow down the further growth of a tumour. In cases where surgery is not a viable option, doctor relies on radiation therapy for the treatment.

The most commonly used radiation therapy is known as external-beam radiation therapy with grade II to IV. It is given by a machine which is employed outside the body. Patients with a brain tumour must get regular radiation therapy for an effective treatment. It is scheduled for a period of time.

Types of Radiation Therapy

Conventional Radiation Therapy – The site of a tumour is determined based on anatomic landmarks and X-rays. This technique is appropriate in situations for brain metastases where the entire brain undergoes radiation therapy.

Stereotactic Radiosurgery – Stereotactic radiosurgery is a highly precise treatment that uses a single, high dose of radiation directly on a tumour.  It avoids damaging the healthy tissues.

This radiation therapy works well for a tumour that affects only a single area of the brain. Since it is a specific form of radiation therapy, it can also be used when a person has more than one metastatic brain tumour in distinct parts. There are several types of stereotactic radiosurgery equipment, including:

  • Modified Linear Accelerator – It is a machine that creates high-energy radiation by using electricity to form a stream of fast-moving subatomic particles
  • Gamma Knife – It concentrates high focused beams of gamma radiation on the tumour directly with precision
  • CyberKnife – It is a robotic device which guides the radiation to the site of a tumour in the brain


Chemotherapy is used in some cases of brain tumours (high grade) along with the treatment options mentioned above (grade II to IV). Chemotherapy requires the use of drugs to destroy tumour cells. Usually, the tumour cells left after surgery are destroyed by using chemotherapy. A patient with a brain tumour will undergo various sessions of chemotherapy set over a period.

Brian Tumor can be treated if diagnosed early. As the best neurosurgery hospital in India, we at Max Institute of Neurosciences offer a broad spectrum of services. 

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Is There Any Treatment Available for Parkinson’s Disease?

December 18, 2017 0 86 1 minute, 33 seconds read

Parkinson is the 2nd most common neurodegenerative disorder that causes a progressive deterioration of motor function due to a loss in dopamine-producing brain cells. Moreover, this condition can significantly cause a reduction in the movements.

In Adults, the onset of Parkinson's disease is the most common, an early onset can occur between 21-40 years of age, while the juvenile onset is less than 21 years. Dr. Manoj Khanal, Senior Consultant, Neurology, Max Super Speciality Hospital, Shalimar Bagh, says most cases are idiopathic; 5 genes are implicated (SNCA; PARK2; PARK7; LRRK2; PINK1).

What are the risk factors and its symptoms?

The risk factors include:

  • AGE (largest risk factor) more than 60 years
  • SEX (male:female)
  • Head trauma
  • Illness
  • Environmental toxins like pesticides
  • Herbicides

Main symptoms are:


Is there any diagnosis available?

For diagnosis:

1. At least two of the three major symptoms should be present (Tremor; muscle rigidity; slowness)

 2. Onset of symptoms started on one side of body

3. No secondary cause like medications; infection; stroke; metabolic cause;

4. Significant improvement with levodopa.

What is the treatment?

There is no treatment to cure the disease. The experts say that the treatment provided will only reduce the symptoms and progression of the disease. However, the most effective therapy is LEVODOPA+ CARBIDOPA, which is meant to increase the amount of dopamine in the brain. The treatment should be provided as early as possible to delay the progression of the disease.

Surgery and Deep Brain Stimulation (DBS) are meant in refractory cases. Parkinson is not a fatal disease. Those on proper medications can lead a normal life for several years. Secondary complications like pneumonia, fall-related injuries and choking can lead to death.

To manage the disease effectively, you need to:

  • Make lifestyle changes
  • Exercise Regularly
  • Physiotherapy
  • Occupational therapy
  • Speech therapy

You need to meet an expert neurologist to seek correct medical intervention.  


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STROKE: It’s a CHOICE! Don’t Call it a Disease

December 8, 2017 0 72 2 minutes, 18 seconds read

For ages we have known that prevention is better than cure, it holds true even for a Stroke. Stroke or brain attack is a lifestyle associated disease and it is entirely your choice on how you choose to prevent it.

Dr. Chandril Chugh, Head, Interventional Neurologist, Max Super Speciality Hospital, Saket,  says the majority cases of stroke are due to a sedentary lifestyle and an unhealthy diet. Also, some of us are prone to having a stroke due to genetic causes, which is a different topic altogether. Preventing a stroke is not a rocket science and it can be prevented easily.  

Know about the Stroke Prevention Strategy:

High blood pressure: The single most important thing that anyone can do to prevent stroke is to control their blood pressure. The easiest way to control blood pressure is through exercise and diet and if needed medications. Normal blood pressure is less than 120/80 mm hg and anything higher should not be ignored.

High Cholesterol:  Second amongst the usual suspects is cholesterol.  One easy way to manage cholesterol is to increase fruits and vegetables in the diet and avoid fried foods. Consuming healthy fats from nuts (almonds or walnuts), fish oils and oils like olive oils and flax seed oil is also beneficial. If the diet doesn’t work then medications can come to rescue.

High Sugar: Sugar beyond the normal values is not good for the body. It is important to realize that and eliminate or at least limit the intake of sugary foods like cold drinks, juices, cookies, biscuits, chocolates, sweets etc. One 500 ml bottle of cold drink contains about 55 gm of sugar which is equivalent to 11 teaspoons of sugar….you can aptly call it the Devil’s drink,  it’s not going to do any good to you.

Smoking: The smoke that travels through the lungs into the blood and then gets circulated throughout the body gets mixed with blood, causing the blood to become sticky and causing a stroke. Stay away from smoking. There are two kinds of people who don’t smoke: The healthy ones and the ones who are paralyzed due to stroke.

Diet: My advice for diet is simple, you can eat anything that comes out of the ground (fruits, vegetables) is white (low-fat milk) or sometimes pink (fresh fish or lean chicken).  Stay away from anything in a plastic packet or a bottle.

Exercise: A good diet with regular physical exercise is the secret to good health. If you follow this routine you will not have to worry about the first three points of the discussion.

Doctor: The last piece of stroke prevention puzzle is the doctor.

“Your brain is the Ferrari of your body, and you don’t take your Ferrari to a roadside mechanic”. Choose wisely.

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Explained - The Common Types of Tremors

December 6, 2017 0 407 3 minutes, 26 seconds read

A tremor is different from a muscle twitch or any muscle spasms. It is actually an unintended and overpowering movement of one limb or one part of the body- typically the legs, hands, face, voice, abdomen or arms. They might not be serious but in some cases, they can be an indication of a serious health disorder. This disorder can affect both women and men.

Common Causes of Tremors

  • Alcohol abuse
  • Stress
  • Too much caffeine intake
  • Muscle fatigue
  • Stroke
  • Brain injury
  • Multiple sclerosis
  • Hyperthyroidism
  • Parkinson’s Disease
  • Low blood sugar levels
  • Essential Tremor (Unknown )

What are its Symptoms?

  • Difficulty drawing or writing
  • Shaking of hands, torso, legs, head or arms
  • Shaky voice and nodding head
  • Problem carrying out tasks like holding a spoon or controlling the action of the limbs

If any of these symptoms appear repeatedly, it’s advisable to consult a specialist at Max Healthcare, the best neuro hospital in Delhi.

It is necessary to know the different types of Tremors

Tremors are divided into two main categories –

  • Resting Tremor – usually affecting the fingers or the hands, resting tremors occur when a person is resting and goes away once they begin to move around.
  • Action Tremor – tremors that occur with any voluntary movement of a muscle. Furthermore, action tremors have several sub-classifications, many of which overlap.

                Kinetic tremor – Caused by any voluntary movement like blinking of eyes and movement of the wrists

                Postural tremor -  Occurs when maintaining a position against gravity

                Isometric tremor – Occurs during a voluntary muscle contraction such as holding a dumbbell or a heavy book

                Task-specific tremor – This type occurs only when performing specific tasks like speaking or writing

                Intention tremor – Occurs when the limb is guided to move towards a specific body part and becomes worse when it gets closer to the target

Categories of Tremor

Essential Tremor

Also known as familial tremor, Essential tremor is a common movement disorder which is usually mild and may not progress. The tremor usually starts from one side of the body and slowly progresses to the other. Recent studies have connected Essential tremor with mild degeneration in the cerebellum.

Dystonic Tremor

Occurring irregularly, Dystonic tremor can be relieved by resting. This tremor usually occurs in people suffering from dystonia. This tremor can occur at any age.

Parkinsonian Tremor

Often stated as the first sign of Parkinson’s disease, Parkinsonian Tremor is a resting tremor and is common in people above the age of 60. It occurs when parts of the brain that control the movements are damaged.

Psychogenic Tremor

Also known as functional tremor, psychogenic tremor has no particular characteristic and can appear in any form of tremor. Psychogenic tremor usually starts abruptly and may affect all parts of the body in the long run.

Physiologic Tremor

A physiologic tremor is caused by a reaction to alcohol withdrawal, certain drugs, or medical conditions, such as an overactive thyroid gland or hypoglycaemia. It usually goes away after the cause of the tremor is eliminated.

Cerebellar Tremor

Controlling movement and balance of the body, the cerebellum is part of the hindbrain. A cerebellar tremor is usually caused when a tumour or any disease like multiple sclerosis damages the cerebellum. Furthermore, Cerebellar tremor can also be caused by alcoholism or overuse of any medication.

Orthostatic Tremor

An orthostatic tremor usually occurs in the legs. This is a swift, recurring muscle contraction that arises instantly after someone stands. There are no medical signs or symptoms of Orthostatic Tremor. The unsteadiness stops when the person sits, legs are lifted, or when they start taking steps.

Are there any treatment Options available?

  • Medication
  • Botox Injections
  • Brain Stimulation Surgery
  • Physical Therapy

We at Max Healthcare are proud to be labelled as the best neuro hospital in Delhi. We have an excellent panel of doctors with years of expertise in the neurology department. If you experience any of the signs and symptoms indicating any kind of tremors, immediately consult a specialist at any of our closest centres for immediate diagnosis and treatment of the condition. Remember, tremor is not life-threatening. However, it can over the time making it difficult to carry out daily tasks. 

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