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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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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
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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

Who is the Real “Hero” of Stroke Care?

November 17, 2017 0 79 3 minutes, 32 seconds read

We know more about our clothes and cars than we know about our health and body. It is astonishing that we spend more time to research about which laptop to buy, but when it comes to our own health most of us take a passive approach. This deficiency of knowledge is even more evident when it comes to dealing with emergencies.  “Ït is too late now, I am sorry!”  Unfortunately, we have heard this line more often in the real life than in films. 

The question arises, what can we do to change this? How do we tackle this deficiency? Dr. Chandril Chugh, Senior Consultant, and Head, Interventional Neurology, explains this with an example.

We had a 70-year-old female brought to the emergency room by her granddaughter for confusion and difficulty walking due to weakness on the right side. The granddaughter was sure that the symptoms had started right after the breakfast. It took them 45 minutes to drive, so they were in the hospital within the first hour of the symptoms. The patient was evaluated and head imaging was done which showed occlusion of the left middle cerebral artery (largest blood supply to the brain).

An Interventional Neurologist intervention was necessary, who recommended Mechanical Thrombectomy. The patient underwent the procedure successfully and was discharged without any deficits. The entire family was happy and satisfied with the treatment. Now my question is: who deserves the credit for this good outcome- The Interventional Neurologist, Neurologist or the emergency physician?  I personally believe that the “Hero” of this scenario is neither of the above but, the granddaughter. If she had not recognized the symptoms and brought her grandmother to the hospital in time, then we would not have been able to achieve what we did. She was aware of the stroke symptoms and took the right decision of coming to the hospital. When it comes to dealing with emergencies like Stroke or Brain attack, information and knowledge are life-saving.

Below mentioned are the important aspects of stroke diagnosis and care.

How do you recognize a stroke?

STROKE: REMEMBER THE 6 S METHOD TO DIAGNOSE STROKE

  • SUDDEN (symptoms usually start suddenly)
  • SLURRED SPEECH ( speech is not clear, as if drunk)
  • SIDE WEAK ( face, arm or leg or all three can get weak)
  • SPINNING ( VERTIGO)
  • SEVERE HEADACHE
  • SECONDS ( note the time when the symptoms start and rush to the hospital)

Can stroke be really serious?

If I were to say stroke is really bad, you will probably not believe me. Luckily, some studies have made my job easier. According to a study done by researchers in 2006 in the USA, a patient with ischemic stroke loses 190,00,00 brain cells every minute, about 14000,000,000 nerve connections are destroyed every minute and 12 km (7.5 miles) of nerve fibers are lost every minute. The end result is the patient gets paralyzed for life and becomes dependent. That's pretty scary!!!

Is there a treatment available for stroke?

Yes. The Stroke treatment depends on which kind of stroke the patient has. Up to 85 % of all strokes are ischemic (blocked blood vessel). For ischemic brain attack, there is an option of intravenous medication called tPA (recombinant tissue plasminogen activator) available which can be given to the patient within first 3 to 4.5 hours of the symptom onset. The patients who have a blockage in a large blood vessel can be offered a procedure called mechanical thrombectomy, which involves removing the blockage in the blood vessel and restoring the blood supply.  This procedure is done through a small nick in the groin and there is no open surgery involved. Recent trials have shown that patients do exceedingly well post mechanical thrombectomy and have a greater chance to live life independently.

Till what time can you do mechanical thrombectomy?

Mechanical Thrombectomy can now be offered up to 24 hours from the symptoms onset but, sooner its done better the patient does.

What is the single most important factor in stroke care?

The most important part of stroke care is not the doctor or the hospital, it’s the patient! As most of the strokes are painless, patients tend to ignore their symptoms and hence delay the treatment. If the patient and the family are aware of stroke symptoms they can reach the hospital in time and can get treated.

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Dr. Amitabh Goel

Dr. Amitabh Goel
Director – Neurosurgery, Institute of Neurosciences.
Dr. Amitabh goel
Memberships: 
  • Delhi Neurological Association ( DNAl)
  • Indian Medical Association (IMA)
  • Member of International Federation of Neuro Endoscopy (IFNE)
  • Founder member of Ghaziabad Noida Neurosciences Association (GNNA)
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PROFESSIONAL JOURNEY

Work Experience: 
  • Senior Resident (Neurosurgery) - Safdarjung Hospital, New Delhi
  • Assistant Professor (Neurosurgery) - Himalayan Institute of Medical Sciences, Jolly grant, Dehradun
  • Consultant (Neurosurgery) - Indraprastha Hospital, New Delhi
  • Senior Consultant (Neurosurgery) - Yashoda Hospital, Ghaziabad &  Metro Hospital, Noida
     
Education & Training: 
  • MBBS – L.L.R.M. Medical college, Meerut (1984)
  • M.S. (General Surgery) – L.L.R.M. Medical College, Meerut (1990)
  • M.Ch (Neurosurgery) - SGPGI, Lucknow (1993)
     
Awards Information: 
  • International Paper presented at Asia Oceania Skull Base Conference  on Endoscopic Management of Pituitary Tumours.
  • National Award for best CME by IMA Head Quarter
Speciality Interest: 
  • Complex Spinal Surgery Including Craniovertebral junction anomaly
  • Microsurgical excision of Brain Tumours
  • Neuroendoscopy especially Transnasal Endoscopic Pituitary tumours
  • Minimal Invasive Spine Surgery (MISS)
     
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The consumption of artificially sweetened beverages has seen a drastic growth in the last few decades. It has multiplied so much that you’ll often find people juggling between diet and sugary soda. A common misconception is that diet soda is a better option than the sugary ones. Ironically, not many people know that a regular consumption of artificially sweetened drinks (be it diet or sugary) drastically increases the risk of dementia and stroke. To be precise, they are hammering your brain.

Unbearable back pain in children can be a serious ailment and may require early treatment and intervention if it progressively increases or gets worse. A child of any age can witness back pain, which is accompanied by:

Is Spine Surgery is a failure?

FACT: No, spine surgery has a success rate of 92-95%. It is indicated for conditions like disc prolapse, spinal canal stenosis and spinal instability, when the symptoms and signs pertaining to above conditions match the MRI findings.

Our spine performs major functions like movement, protection, support, co-ordination and control of the entire system. Therefore, any spinal disorder requires serious intervention and should not be ignored. Dr. Sonal Gupta says, some of the most common conditions that can cause spine related diseases are stressful workflow, erratic lifestyle and environmental degradation.

Unbearable back pain in children can be a serious ailment and may require early treatment and intervention if it progressively increases or gets worse. A child of any age can witness back pain, which is accompanied by:

Our spine consists of multiple bones called vertebrae that are stacked on top of each other. In between the vertebrae there are protective circular pads called discs, which contain a softer gel-like substance. These discs are responsible for maintaining the body’s flexibility and wide range of movement.

What is Slipped Disc?

Spondylosis is a degenerative condition in which the structural integrity of the spine gradually degenerates. The common symptoms include: 
 

  • Radiating pain in the upper limbs
  • Numbness and immobility

It is usually associated with ageing and osteoporosis.

Dr. Manoj Khanal says, "TIA happens when an artery in the brain gets clogged and reopens on its own".

To check the signs of the Stroke, just remember the word “FAST”:

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