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Gurugram: Doctors at Marengo Asia Hospital in Gurugram successfully treated a 30-year-old German man suffering from refractory post-traumatic stress disorder (PTSD) and dyscognitive epilepsy through a rare keyhole surgery. Refractory PTSD, accompanied by dyscognitive epilepsy, presents a complex medical challenge, where the individual experiences intrusive memories, cognitive impairment, avoidance behaviors, and difficulty in social interactions. Dr. Himanshu Champaneri, Senior Consultant Neurosurgeon at the hospital, explained that refractory PTSD occurs when standard treatments fail, leading to a cascade of associated disorders like dyscognitive epilepsy, as seen in this case. The patient's traumatic experiences, stemming from childhood abuse, led to PTSD symptoms emerging at 17, eventually complicating into dyscognitive epilepsy, which severely impacted his daily life and professional pursuits. Champaneri explained that the coexistence of refractory PTSD and dyscognitive epilepsy presents formidable challenges in both diagnosis and treatment, as each condition can exacerbate the symptoms of the other, resulting in a complex clinical scenario. Despite seeking prior medical interventions elsewhere, which initially alleviated his symptoms, the patient's condition relapsed, leading to two suicide attempts. At Marengo Asia Hospital, the medical team employed a comprehensive approach, including revisiting traumatic memories and conducting functional MRI scans, revealing heightened activity in the right amygdala, indicative of severe refractory PTSD. The keyhole surgery, performed through stereotactic radiofrequency ablation, marked a turning point, bringing about a significant improvement in the patient's condition. Champaneri emphasized the importance of a multidisciplinary approach, involving mental health professionals, neurologists, and other specialists, to address the psychiatric and neurological aspects of the disorder. Treatment strategies encompassed a combination of medication, psychotherapy, and potential interventions such as neuromodulation or lifestyle adjustments. Following the surgery, the patient experienced profound relief, entering a state of relaxation and happiness, and regaining the ability to focus on tasks previously challenging. Remarkably, he remained free from dyscognitive seizures and experienced complete alleviation of PTSD symptoms.
In a landmark achievement, doctors at the Jaslok Hospital and Research Centre in Mumbai announced the successful Total Knee Replacement (TKR) procedure on a 72-year-old American man, weighing a remarkable 193 kg. This groundbreaking surgery marks a significant milestone as the heaviest patient ever to undergo such a procedure globally. TKR stands as a transformative intervention for individuals grappling with excruciating knee pain, offering them renewed mobility and an improved quality of life. However, for overweight individuals, accessing this treatment presents formidable challenges due to heightened surgical risks and technical intricacies.
According to the surgical team, led by Dr. Rajesh Nawalkar, Senior Consultant in Orthopaedics, every patient's unique circumstances demand a tailored approach to surgery. By meticulously customizing their techniques and collaborating closely with fellow medical professionals, they successfully navigated the complexities posed by the patient's weight, culminating in a triumphant outcome. Among the foremost hurdles encountered in TKR for overweight patients are the elevated risks associated with anesthesia and the heightened potential for embolism. This underscores the importance of precision and vigilance in addressing the specific needs of each patient to ensure optimal results and minimize complications.
Furthermore, the conventional use of a tourniquet, a standard protocol in TKR surgeries, presents technical challenges due to the patient's larger thigh circumference, heightening the risk of tissue damage and post-operative complications. In response to these challenges, Dr. Nawalkar collaborated closely with instrument manufacturers to devise specialized instruments tailored to accommodate the patient's unique anatomy, thereby ensuring optimal surgical outcomes. Additionally, meticulous preoperative assessments and consultations were conducted to ascertain the patient's readiness and obtain informed consent.
Richard Koszarek, the patient, underwent the surgery on January 7, 2024, with no reported complications during the procedure. However, the path to recovery was equally crucial, with rehabilitation playing a pivotal role in achieving successful outcomes. Despite facing reluctance from numerous doctors in India and abroad due to his weight, Richard expressed gratitude to the surgical team for their unwavering commitment and skillful intervention, which enabled him to regain mobility and resume an active lifestyle.
ഹൈദരാബാദ്: മറ്റൊരു ഓൺലൈൻ തട്ടിപ്പ് കേസിൽ ഹൈദരാബാദിലെ നിസാംസ് ഇന്സ്ടിട്യൂറ്റ് ഓഫ് മെഡിക്കൽ സയൻസെസിൽ (നിംസ്) ജോലി ചെയ്യുന്ന സീനിയർ റെസിഡെന്റ് ഡോക്ടർക്ക് നഷ്ടമായത് 2.58 ലക്ഷം രൂപ. ഓ.എൽ.എക്സ് വഴി ഒരു ഇലക്ട്രിക്ക് കസേരയുടെ ഇടപാട് നടത്തുന്നതിനിടെയാണ് ഡോക്ടർക്ക് പണം നഷ്ടപ്പെട്ടത്.
ഗോരക്പൂർ (ഉത്തർ പ്രദേശ്): ഗോരക്പൂർ അംബേദ്‌കർ ക്രോസ്സിങ്ങിലെ ആശുപത്രിയിൽ ജോലി ചെയ്യുന്ന ഒരു ലേഡി ഡോക്ടർക്ക് ഒരു ഭീഷണിക്കത്ത് ലഭിച്ചു.
PTI
Published On Aug 8, 2023 at 06:30 PM IST
New Delhi: The Central Drugs Standard Control Organisation (CDSCO), along with state licensing authorities, has conducted risk-based inspections of 162 pharmaceutical firms, resulting in show cause notices issued in 143 cases, according to Union Health Minister Mansukh Mandaviya.
ഹുബ്ബള്ളി (കർണാടക): ധാർവാഡിൽ നിന്നുള്ള 45-കാരനായ ഒരു ഡോക്ടർ സൈബർ തട്ടിപ്പിന് ഇരയായി. സംഭവത്തിൽ ഡോക്ടർക്ക് നഷ്ടമായത് 1.8 കോടി രൂപയാണ്.
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