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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

Spine Surgery

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Advancement in Brain and Spine Surgery

May 7, 2020 0 5 minutes, 45 seconds read

“Doctor, you have to operate on my friend Ashwini,” requested a visitor in my OPD. Then he said, “You don’t recognize me, do you? You operated on me ten years back.” I recognized him then and felt happy and surprised to see him.

This person had come to me ten years back. At that time he was a young boy lying in a stretcher, not able to walk, sit or stand, not able to swallow food, not able to speak clearly, and breathing with difficulty. His MRI showed a tumor in the junction of the brain and spinal cord. I removed the tumour by operation and he started improving from day one after surgery. By the time he was discharged from the hospital on the seventh day after operation, he had started sitting up and even eating some food. Now here he was, running a business, and doing well in life.

Unnecessary Fears

There is a misconception in the minds of many people and even doctors that if an operation is done on the brain or the spinal cord, the patient will develop some mental problem or lose his memory or become unable to speak or get paralysed etc. Many people even give examples of their relatives who had undergone operations and become disabled in some way. However, they do not tell the disease for which an operation was done. Let me tell you that many times brain operation is done as a last-ditch effort to save the life of a very severely injured brain and such patients may be saved but they may not become normal. Same is true for spinal cord injury patients. This does not mean that the operation should be blamed. It is the state in which the patient comes to the surgeon that decides the outcome of the operation.

Symptoms of Neurological Problems

Headache with vomiting, weakness of limbs i.e. paralysis, decreased vision, difficulty in walking, difficulty in memory, difficulty in speaking, decreased hearing in one ear are some symptoms which indicate involvement of nervous system. These symptoms by themselves are not a disease.  Whenever somebody comes with these symptoms and a disease affecting the nervous system is suspected then the doctor needs to investigate the patient to know the cause of the symptoms and arrive at a diagnosis of the disease.

Untreatable Diseases

There are some diseases of the nervous system that are neither treatable nor curable. These are degenerative diseases, demyelinating diseases, muscle diseases (myopathy) and some neuropathies.  For them, the only treatment is supportive treatment in form of physiotherapy and symptomatic medication.

Treatable Diseases

But there are a large number of diseases that are curable by medication or surgery. We have seen tremendous improvement in science and technology for performing operations on brain and spine during the last four decades in the world and in India. One should know that now every advancement in the world is available in India. Therefore, a large no of foreign patients are coming to India where they get world-class treatment at very affordable rate.

Today we can cure a large number of brain tumors by removing them by surgery. These patients usually present with headache which may be associated with vomitting and/or decreased or blurred vision at the peak of headache. They may have progressive weakness (paralysis) of one side of the body, may have difficulty in naming things or in speaking proper words or sentences, may have difficulty in understanding what other people are saying, may have loss of memory, may have recent onset of difficulty in wearing clothes or finding the way to their own house. Some may have so much imbalance in walking that an onlooker would think that the person was drunk. Some may have difficulty in swallowing or difficulty in hearing from one ear or progressive loss of vision.

There is a condition called trigeminal neuralgia in which a person suffers severe pain in his face. This pain occurs in episodes and is precipitated by eating, drinking and touching the face. Some patients are not able to eat food because of the pain and become very weak. We can cure trigeminal neuralgia by doing surgery.

We can also cure hemifacial spasm by surgery. It is episodic severe spasm of face in which the person winks repeatedly involuntarily. This is very embarrassing for the unfortunate individual.

We can cure paralysis caused by lumbar or cervical spondylosis, spinal cord tumors by doing surgery. These patients generally come with progressive weakness/numbness in lower limbs and/or upper limbs to the extent that they are not able to walk or and feed themselves. Other people have to help them for their day-to-day activities. In the late stage of the disease they can lose control over urine and passing of stool. The results of surgery in these patients are very gratifying and most of them improve completely. However, if surgery is delayed for a very long time then the recovery may not be complete or may take a very long time.

We can do surgery to treat epilepsy in selected cases. These are the patients who are refractory to treatment with medicines and the tests reveal a focus of spark causing the epileptic fits. This focus is removed by surgery to treat the patient.

Results of Neurosurgical Operations

The results of treatment of head injury and spinal injury are way better than what was the case thirty years back. When I joined neurosurgery training in 1977, all my friends questioned my decision as in those days neurosurgeons mainly did surgery for head injuries and only about 2 % of the patients having severe head injury could be saved. The best cases to operate were those who had chronic subdural hematoma as those could be completely cured by simple surgery. We did not have CT Scans and MRI Scans that we now have. These scans show anatomy in minute detail. We also did not have the operating microscope that we now have and which shows us all the minute vessels and nerves while doing surgery. All these sophisticated instruments make surgery very safe these days.

Don’t be afraid!

Finally, I would like to say that one should not be afraid of getting an operation done for brain or spine nowadays. Investigations have improved to such an extent that they can show exactly where the problem is located and what it is. They can guide a surgeon to plan a safe surgery. We have three-dimensional technologies available for this. We have equipment which guide us during surgery warning us about the function of the nerves. Our microscopes help us see the nerves very clearly by enlarging their size.

Anaesthesia facilities are also very advanced these days and we have high quality of intensive care units available to deal with the most difficult situations.

In short, the facilities available in India are no less than anywhere in the world.

Related Articles

Featured Doctors

Dr VK Jain - Max Hospital
Principal Director - Department of Neurosurgery at Max Hospital Delhi & NCR

Lumbar Spine Surgery Post-Operative care and Instruction

January 15, 2020 0 2 minutes, 43 seconds read

The following instructions are recommended after spine surgery to ensure a good recovery.

Activity

You may be up and about to take care of your personal needs but avoid any strenuous activity. Do not put yourself in a position where you could fall.

Do not lift more than 3.5 kg. Avoid pushing or pulling activity.

Going up and down stairs is permissible. Be sure to use the handrails and take one step at a time until comfortable. Take precautions to prevent falls and use assistance if unsure.

Avoid bending or twisting at the waist. Bend at your knees (squat) when picking up objects. Avoid sitting for longer than 45 minutes to one hour at a time. Sitting for longer periods of time may add to your discomfort. Take a 10 minute break to get up and move around or lie down before sitting again.

Exercise

Walking is the best “exercise” after surgery and you need to walk DAILY. Gradually increase the distance you walk and. You should be able to gradually increase your distance until you can walk about one mile within one to two months after surgery. Females avoid high heels for the first month after surgery.

Incision Care

Keep the incision dry for 48 hours after surgery. You do not need to apply any ointment. You do not need to keep the incision covered unless there is discharge from the incision. Contact immediately if discharge persists for more than 2 days or if you have redness or swelling around the incision.

Sutures are removed 10-12 days after surgery.

If you have fevers or chills, take your temperature with a thermometer. If you have a temperature of 101 degrees Fahrenheit or 38.3 degrees Celsius or higher, contact immediately.

Bathing

You may SHOWER and get the incision wet after 48 hours. Avoid scrubbing your incision site. Do NOT soak the incision; so avoid baths, hot tubs or swimming for 1 month after surgery. It is normal for the incision site to itch, but avoid scratching.

Driving

Do not drive for the first two weeks. You may ride in an automobile for short distances as tolerated.

Pain Medication

You will be given a prescription for pain medication when you are discharged from the hospital. You may take the pain medication with a snack or meal if stomach upset occurs.

Sexual Intercourse

Sexual intercourse may be resumed at any time as tolerated. Go slowly and avoid painful positions.

Diet

Eat a healthy, well balanced diet and avoid extra calories. You may have a decreased appetite after surgery.

Constipation

You may be constipated after your surgery, so increase your intake of fiber (fruits and vegetables) and fluid (unless instructed otherwise). You may use your choice of over-the-counter laxatives (such as Looz, Dulcolax, Cremaffin or Milk of Magnesia). If you do not have a bowel movement, use an over- the-counter enema. If you are still unable to have a bowel movement, or have nausea, vomiting or abdominal bloating, contact your family doctor for instructions.

Smoking

You should not smoke after surgery. Smoking decreases the rate of skin and bone healing. Smoking also interferes with the effectiveness of your pain medication.

Follow-up Visit

You will need a post-operative appointment on 10th day and follow-up at 3 to 4 weeks after surgery. You will also be seen at 3 months after surgery.

Related Articles

Featured Doctors

Dr VK Jain - Max Hospital
Principal Director - Department of Neurosurgery at Max Hospital Delhi & NCR

Dr. Priyank Uniyal

Dr. Priyank Uniyal
Consultant - Spine Surgery
Dr. Priyank Uniyal - Max Dehradun
Memberships: 
  • Member of North American Spine Society (NASS)
  • Minimal Invasive Spine Surgery and Techniques
  • Member of Association of Spine Surgeons of India (ASSI)
  • Member Missicon India
  • Member of Indian Orthopeadic Association.
Share This: 

PROFESSIONAL JOURNEY

Work Experience: 
  • International Fellow Minimally Invasive spine Surgery at Wooridul Spine Hospital, South Korea
  • Advance Spine Training at AIIMS
  • Sr. Registrar in spine Unit at North DMC Medical College & Hindu Hospital, New Delhi.
Education & Training: 
  • MBBS from Sarojni Naidu Medical College Agra
  • DNB Orthopeadics, Bangalore.
  • Fellowship Minimally Invasive Spine Surgery from Wooridul Spine Hospital, Republic of Korea.
  • Fellow American Board of Minimally Invasive Spine Surgeons (FABMISS).
  • Fellow Royal College of Surgeons of United States (FRCS)
  • Fellowship in International Pain Management (South Korea)
Awards Information: 
  • Young Surgeon Award 2018 – IMA Dehradun
  • Faculty International Spine Con 2018, Istanbul, Turkey
  • Faculty BOSC, Mumbai 2018.
  • Faculty World Spine Congress 2017, Bangkok, Thailand
  • Faculty Various Spine Conferences – National & International
  • Course Director, 1st Indo Korean Spine Conference 2017
Speciality Interest: 
  • Spine Surgery
Duration Of OPD: 

   Max Super Speciality Hospital, Dehradun

  • Mon, Wed & Fri: 11:00 am - 2:00 pm , 3:00 pm - 5:00 pm
Research & Publication: 
  • Priyank Uniyal, Gun Choi, Zoheir Hassan, Bhupesh Patel, JH Lee and Wook Ha Kim “Epiduroscopic Assisted Percutaneous Endoscopic Lumbar Discectomy”: A Technical Report J Neurological Disorders
  • Gun Choi,Priyank Uniyal, Zohier Hassan Bhupesh Patel “A New progression towards a safer Anterior Percutaneous Endoscopic Cervical Discectomy : A Technical Report”  J Spine
  • Priyank Uniyal, Gun Choi  “Percutaneous transpedicular lumbar Endoscopic discectomy- Technical report”. International Journal of Spine Surgery
  • Priyank Uniyal, Gun Choi  “Carbondioxide (CO2) Laser assisted Microscopic Spinal Surgery for ablation of High level Lumbar calcified disc osteophyte Complex - Case Report” IOSR Oct’ 16 Volume 15, Issue 11
  • Priyank Uniyal , Gun Choi  Bhupesh Patel “Prospective double blind randomized control trial for the use of inj epinephrine in infiltration fluid of lumbar endoscopy- surgeon rated visualization” Spine and Neurosurgery Nov’ 16

Dr. Ajay Popli

Dr. Ajay Popli
Senior Consultant- Minimal Access Spine Surgeon
Dr Ajay Popli
Memberships: 
  • ASSI (Association of Spinal Surgeons Of India)
  • DSS (Delhi Spine Society)
  • SDOS (South Delhi Ortho Society)
  • IOA (UK)
  • NASS
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PROFESSIONAL JOURNEY

Work Experience: 

      Dr Ajay Popli is a U.S. trained Minimally Invasive Spine Surgeon working as senior consultant in Max Super Specialty Hospital, Vaishali since 2015.

Education & Training: 
  • Fellowship in Minimally Invasive Spine Surgery from MHSI, Michigan, USA (2008-2009)
  • Orthopaedics Residency (DNB) (2004-2007) from Indian Spinal Injury Center, New Delhi
  • ECFMG, USA Certified (2001)
  • MBBS (1999) from JJMMC,  Davangere, Karnataka
Awards Information: 

      Attended Minimally Invasive spine courses in

  • NASS (North American Spine Society) Institute, Chicago, USA
  • AO Spine Course in Las Vegas, USA
  • Advanced Deputy MISS course in Miami, FL, USA
  • Advanced Zimmer MISS course  in Baltimore, USA

      Presented papers in International and National Spine conferences

      Written papers and book chapters in minimally invasive spine surgery

Speciality Interest: 

      Specialized in treatment using Minimally Invasive Techniques for

  • Prolapsed Disc (slip disc)
  • Collapse fractures
  • Fractures and dislocations of Spine
  • Lumbar stenosis
  • Spondylolisthesis
  • Cervical Radiculopathy
Duration Of OPD: 

       Max Super Speciality Hospital, Vaishali

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