Tag: Max Hospital

Minimally invasive surgery in the brain saves life of a 28 year old female with tennis ball size tumor

Doctors at Max Hospital Gurugram successfully removed a tennis ball-sized tumour from the head of a 28-year-old young female, who had been persistently complaining of severe headache for over two months. Pertaining to the size and hard to access location of the tumour, doctors made use of the minimally invasive endoscopic transnasal trans-sphenoidal (TNTS) method to access the tumour through her nose. The patient was not only cured completely but her functional and aesthetic outcomes have also been preserved.

While headache seems to be a common complaint attributed to daily life stress, noise pollution, and /or an underlying medical ailment, the persistent headache should seldom be ignored. Since the patient was having severe intermittent headaches for over two months, made a visit to Max Hospital Gurugram. Upon examination, doctors found a tennis ball-sized tumour in the head.

“The non-cancerous tumour was almost the size of a tennis ball and located at the pituitary gland (which is a pea-sized gland at the base of the brain). She was suffering from a condition known as Pituitary Macroadenoma which is caused by mutations in the DNA of the cells in the pituitary gland.
While the patient upon consultation did not show any signs of nasal discharge, giddiness, visual disturbance and she showed no symptoms of hypothyroidism or hyperthyroidism, she was also opinionated by various departments including Ophthalmology, Neurosurgery, and Endocrinology, pre-operatively.” Said Dr Ravinder Gera, Director and Head of Department, ENT, Max Hospital, Gurugram

While the ophthalmological results were not suggestive of any visual field defects, brain MRI was advised that revealed a well-defined sellar (region around pituitary gland) mass lesion, that was extending into the suprasellar region (fluid-filled space between pituitary and hypothalamus gland) causing superior displacement of the optic chiasma (crossing of the two optic nerves below the brain).

“Being a young female, she was worried about the post complications of the surgery, and her quality of life. But with recent technological advancements available, we performed a transnasal trans-sphenoidal (TNTS) excision or surgical removal of pituitary macroadenoma along with the neurosurgery team under aseptic conditions using endoscopic guidance. The tumour was visualised and was removed completely. The patient has improved post-surgery and resumed normal day-to-day functions.” Added Dr Gera

Max Hospital, Shalimar Bagh exclusive Nephrology OPD at Tulip Hospital

One of the leading healthcare providers in the country, Max Super Specialty Hospital, Shalimar Bagh, New Delhi today, launched its exclusive OPD services for Nephrology in Sonipat.

The OPDs will be conducted at Tulip Hospital, Sonipat and will be available to patients every Tuesday & Friday from 1pm to 3pm. The launch will make sure that patients are able to book regular appointments for consultation and routine follow-ups related to their kidney and/or overall renal health. Doctors from Max Hospital Shalimar Bagh will also be conducting a hemodialysis, launched by nephroplus for the regional patients.

The launch event was addressed by Dr. Manoj Arora, Principal Consultant & Head, Nephrology and Kidney Transplant Medicine, Dr Yogesh Chhabra, Senior Consultant, Nephrology and Kidney Transplant Medicine, Max Super Specialty Hospital, Shalimar Bagh. With the introduction of these services, patients wouldn’t need to travel to other cities especially for undergoing hemodialysis and instead visit OPDs for regular quality medical services.

At the launch, Dr. Manoj Arora, Principal Consultant & Head, Nephrology and Kidney Transplant Medicine, Max Super Specialty Hospital, Shalimar Bagh, said, “There are various factors due to which there is a rise in a number of individuals being detected with chronic kidney diseases such as Diabetes Mellitus, Hypertension, Kidney Stones etc. Therefore, our goal is to ensure efficient management of the disease and the availability of specialised medical help in their neighbourhood. Through the launch of this dialysis centre and Nephrology OPD services in Sonipat, the unit would like to extend its medical help and support to the patients here in the city and nearby regions. Offering quality healthcare services along with cutting-edge technology, Max Hospital, Shalimar Bagh is already a chosen tertiary care facility for patients from this region.”

While the symptoms may vary in their severity from person to person, prevention plays a pivotal role, as treating a CKD patient is more expensive than preventing the disease altogether or curbing it in the initial stages. As, many people in the initial stages of inception of a renal ailment often ignore the symptoms like weight loss and poor appetite, swollen ankles, feet or hands, puffiness under the eyes, shortness of breath, tiredness, blood in urine, an increased need to urinate, particularly at night, difficulty sleeping, dry and itchy skin and other symptoms of CKD.

“Regular health check-ups for screening of such conditions in the early phase are a must as this will not only help reduce the financial burden on the patient but also on the society, as a whole, especially Diabetic and Hypertensive patients. People don’t pay attention to their kidney problems. Slowly and steadily the population of tier 2-3 cities are falling prey to kidney diseases. Regular dialysis is a psychological and financial burden on the family hence I suggest all who is having kidney problem or having problem in the family must get checked and opt for transplants. Life after transplant is much better than dialysis.” Said Dr Yogesh Chhabra, Senior Consultant, Nephrology and Kidney Transplant Medicine, Max Super Specialty Hospital, Shalimar Bagh.

It is estimated that patients with end-stage kidney diseases going for kidney transplantation are very less in numbers, due to a lack of awareness of facts and myths associated with a kidney transplant.

“We are really happy to have collaborated with one of the best Nephrology and kidney transplant centres in the country and strive to raise awareness about kidney-related issues. Our OPDs will offer consultation and encourage people to lead a healthy lifestyle as well as provide access to the best of technology. This OPD is going to be a valuable addition to the healthcare infrastructure of Sonipat by providing world-class treatment solutions to patients in the city right at their doorsteps. Our services will include all consultations and investigations and provide a comprehensive line of treatment.” Said Dr. Anurag Arora and Dr Anupama Sethi, Founders of Tulip Hospital.

With the significant rise in the incidences of renal failure, this is a substantial step taken by Max Healthcare towards ensuring that such patients in the region have easy and speedy access to quality healthcare services.

Passion gets new wings – 40-year-old female airlines captain battles breast cancer, ready for take off

A 40-year-old, young female Airlines Captain (Mrs. Sudha Bengani), detected with early-stage breast cancer successfully underwent breast conservation surgery followed by chemotherapy at Max Hospital Gurugram and is all set for yet another take-off. Post surgically, she is medically fit (cancer-free) and has recently applied for renewal of her flying license, and is ready to pilot again.

In the meantime, while she is waiting to put on her wings, she and her spouse have been operating a cozy café known as Café Nautical mile which is gathering rave reviews over the net. No prize for guessing why a pilot chose to keep her café name as Nautical mile.

Being in such a profession that demands high levels of physical fitness due to the responsibility it carries with, the news of being detected with breast cancer, seemingly force landed her career. Attributing to her awareness, strength, and resilience, she fought back to living her dream which was seemingly on the verge of closure. Being self-aware, she was apt to undergo diagnosis and caught it at an early stage to face adversity with grit.

Over the last decade, even though there is a rise in the incidence of breast cancer, but with awareness, access and changing paradigms in cancer care, the mortality rate has come down gradually.

“On the occasion of World Breast Cancer Awareness Month, we aim to bring about the real-life risk of breast cancer to the forefront and wish to get each one of us talking and get the spotlight on breast cancer. It is the most common cancer in Indian females. The age of onset had gotten younger over the last two decades, however, still we continue to have patients who have chosen to ignore a growing lump in their breasts and or were simply not aware. A lump in the breast, maybe cancer, but the sooner you get it to, the early stage it would be and lesser would be the treatment required. Above all, you will continue to have a healthy life and live your dreams.” Said Dr Bhuvan Chugh, Consultant-Medical Oncology, Max Hospital, Gurugram

Globally, 7% of the population under the age of 40 years is suffering from breast cancer, whereas in India, the rate is double i.e., 15%. And out of which 1% of the patients are male, which put together has the highest count of breast cancer patients from India globally. Apart from being hereditary, many other risk factors like sedentary lifestyle, bingeing on alcohol, smoking, increasing obesity among youngsters, stress and poor dietary intake have been attributed to increase in the incidences of breast cancer among the young Indian women.

“Diagnosing for breast cancer among younger women (<40 years) is difficult as the tissues being denser than older women. And by the time the lump starts to show persistent symptoms, the tumor reaches an advanced stage, where it proliferates aggressively and less likely to responds to treatment. With the recent advancements in the cancer care treatment, mortality and morbidity rates among breast cancer patients have curbed down. Based on the stage and grade of the tumor, the doctor may prescribe combination of treatments including surgery, chemotherapy, Radiation Therapy, Hormonal Therapy or Targeted Medications.” Added Dr Chugh

There is a dire need to create awareness among masses to get most breast cancers detectable at early stages, as most women with breast cancer arrive after metastasis (when the tumor has spread to other body parts). In metastatic or advanced stages of cancer, it isn’t completely curable, and the treatment aims to achieve remission (where the tumor shrinks or disappears).

Doctors reconstruct wind pipe & food pipe to save life of 22-year-old dying man

Doctors at Max Hospital, Vaishali successfully saved the life of 22-year-old Mohammad Irfan who was brutally injured in a road accident with completely split wind pipe and food pipe. Even the minutest delay in intervention would have costed him his life since his oxygen levels were severely low. Conducting a marathon surgery for 6 hours, his trachea (wind pipe) and oesophagus (food pipe) were meticulously reconstructed to give him a new lease of life.

Irfan, who is a resident of Amroha is a healthcare worker, who after completing his emergency room shift in the morning left the hospital around 8:30 AM. While riding back to his home he suddenly got entangled in a thin calibre rope hanging across the street and fell down with excruciating pain in the neck and breathlessness. Passer-by, rushed him to a local hospital where he was provided with first aid. Owing to the severe injury and deteriorating condition, he was referred to Max Hospital Vaishali and was shifted immediately.

Upon arrival at Max Hospital Vaishali, even though the patient was maintaining saturation, but was unable to talk. He underwent an emergency CT scan at the referring hospital which revealed a complete tracheal transection (splitting up of wind pipe into two) with both ends wide apart, which is a very rare injury and life-threatening condition due to complete loss of ventilation.

“Such severe tracheal injuries are usually fatal and many patients never make it to the hospital. But since his split wind pipe formed a pseudo passage of tissue tunnel, maintaining minor ventilation to the lungs, he was lucky to reach the Operating room on time. He was stabilized and taken for surgery at around 9 PM. Since the food pipe was also vertically injured for around 8-10 cm, though blood vessels were intact, the food pipe was repaired first and thereafter the wind pipe was repaired meticulously. The duration of the entire surgery was around 6 hours. The alternate pipes for food and air were also put in simultaneously to let the repair heal. The patient was bought to consciousness and shifted to ICU thereafter. He was shifted to normal room after two days in ICU.” Said Dr Pramoj Jindal, Director – Thoracic Surgery, Max Hospital, Vaishali.

Post operatively the patient was monitored closely and after a week, video bronchoscopy revealed that the repair was fine, and was discharged to home next day.

One of the major reasons that Irfan’s life was saved is due to the improved territorial connectivity that he was able to reach a well-equipped hospital (Max Hospital Vaishali) in a much shorter time.

Successful management requires emergent evacuation of the injured to a trauma care centre for stabilisation and a quick, safe and efficient transfer to a centre where definitive surgical management (tracheal reconstruction in this case) can be undertaken at the earliest. This rare case exemplifies the successful management of airway trauma where each step was carried out in the recommended manner leading to a successful outcome.

“The patient who is recovering well, is under speech therapy and regular training to get his voice back. While looking at the entire situation, the patient may take another 2-3 months to get his voice back and regular swallowing pattern, but something of a very insignificant time, seeing him alive and healthy.” He added

Max Hospital Patparganj, New Delhi extends vaccination centre in Meerut

Meerut : Citing to cover all the Indians for COVID Vaccination, one of north India’s leading healthcare providers, Max Hospital, Patparganj, New Delhi has extended their geographical expansion to accelerate the Country’s largest Vaccination drive of the century in Meerut now. People in Meerut above the age of 18 years can now avail the vaccination facilities in their vicinity without any hassle.

Providing a simpler and safer procedure the vaccination is now available at Saket Sports Complex and Max Medcentre, Shop no 1 and 2, Pratham Sthal, S2S Square Mall, Meerut. While walk-in facilities are not available currently to avoid unnecessary gathering and crowd, people can register and book their slots as per their convenience through online portal, www.cowin.gov.in.

“While the country is fighting the Covid pandemic, vaccination is the sole resource for developing safety amongst citizens, and we appeal to the public to support the Government of India in fastening the vaccination drive. We stand firm with the Government of India in this vaccination drive since it is the only pathway towards the victory of mankind over the disease & history has proved it beyond doubt. We also extend out complete proactive support to fasten the vaccination drive and reach every nook and corner in tier II & III cities as well.” Said Dr. Pinak Moudgil, Senior Vice President, Max Hospital, Patparganj, New Delhi.

People registering online need to follow the precautionary norms including social distancing double masking and present at the centre on time. Patients currently having COVID infection or made a recent recovery also need to consult their doctors before getting vaccinated. As always, Max Healthcare has taken yet another patient-centric step which will not only help in promoting the number of people getting vaccinated.

Treat Pain like a disease, not like a symptom

By Dr Amod Manocha, Senior Consultant & Head, Pain Management Services, Max Hospital, Saket

Amid the COVID era, people have been conscious about their overall health and wellness. Yet there is a dire need to raise awareness about preventing lifestyle ailments that contributes a major burden on the healthcare sector in the country.

It is believed that persistent pain beyond 3-6 months period can lead to changes in the nervous system which can be responsible for continuing pain even when the original cause of pain is removed. This is the rationale behind the recommendation for early treatment. Chronic pain conditions are amongst the leading causes of disability as even mild joint pain can have a debilitating impact on mobility and quality of life. Poor pain control is not only associated with suffering but also affects one’s functional ability, mood and quality of life.

The complexities of pain and the fact that surgery or pills cannot resolve all pain issues has been long recognised. After all it is the pain which brings a patient to the hospital whether it’s a slipped disc or a cancer hiding deep inside the tummy, so why should the treatment of pain be a second priority. It is time chronic pain is managed as a disease and not as a symptom. In certain situations where the root cause cannot be removed the emphasis shifts to management of pain and prevention of flare up episodes. Like diabetes and high blood pressure, pain therapy needs to be adjusted from time to time. The concept of pain management is not well appreciated by many and in quest for a cure the suffering is often prolonged.

Increasing emphasis on the quality of life is challenging the medical fraternity to improvise and keep pace with community expectations. A number of new drugs and interventional options for pain treatment have been developed in the last few years.

Besides medications, new interventions such as radiofrequency treatment for knee, hip and shoulder pain offer advantages in terms of being minimally invasive day care procedures without any prolonged rehabilitation requirements and with the potential of offering long lasting pain.

Hi-tech intervention cures young bank officer suffering from brain tumor

New Delhi: Mr Sharma, a young bank employee was successfully cured, after being diagnosed with a benign (non-cancerous) tumor in his brain with the assistance of advanced microsurgical procedure at Max Hospital Saket. The patient who used to have intense and frequent headaches suddenly lost the ability to speak and got bed ridden due to weakness in his right side of the body.

Assuming this to be a general weakness and would go away with some medications had delayed the diagnosis for almost 15 days. Upon consultation at Max Hospital, Saket, where the MRI of the brain revealed a benign tumor, he and his family were left in utter shock and horrified about the condition.

While a common myth persists in the minds that any surgical procedure of the brain mostly leaves people with permanent paralysis or in a vegetative state. He and his family were counselled about the latest minimally invasive intervention procedures and hi-tech equipment, which has zero risk and are highly safe procedures.

“Our team decided to perform a microsurgical intervention making use of the navigation technique for precisely targeting the tumor. With latest advancements made in the field of neurosurgery and interventions in the recent decades, surgeries have become completely safer and risk-free. The patient successfully underwent the procedure and made a swift recovery. He was completely cured and did not have any complications as noted before the surgery. Since the procedure was done in a minimally invasive manner, the functional and aesthetic outcomes were preserved.” Said Dr VK Jain, Senior Director, Neurosurgery, Max Hospital, Saket.

Within a span of one month, Mr Sharma had joined back to his bank job and feels better as earlier. Latest generation MRI scans have the potential to accurately position the site of tumor in the brain. Further with the assistance of Functional MRI(f-MRI) even the functional areas of the brain can be traced with accuracy without affecting the adjoining healthy cells.

“I would suggest to the public to not hesitate in getting the surgery done for a brain tumor from a well-established neurosurgical centre. Since delay in each and every second damages the brain cells and can potentially lead to paralysis or even mortality in the worst case.” Added Dr Jain

Brain tumour is the tenth leading cause of morbidity in India. The incidence of this deadly disease is rising and different kinds of tumours manifest at different age groups. As per the GLOBOCAN 2018 report, issued by the International Association of Cancer Registries (IARC) associated with the World Health Organization (WHO), in India over 28,000 cases of new brain tumour cases were reported annually.  Around 24,000 patients lost their lives battling this neurological ailment.

Although the prognosis of highly malignant tumors (cancerous) are not good, but with advancements in surgery, radiotherapy and chemotherapy, many patients make exceptionally good recovery.

Precision Stenting – An advanced procedure launched for the first time in India by Max Hospital Saket

While the number of cardiac ailments in India is on an exponential rise attributing to a plethora of factors, so are the advancements made in this field. Poor eating habits, sedentary lifestyle and physical inactivity, lack of awareness about the symptoms and available treatment modules are some of the most common factors influencing the rising mortality and morbidity rate in the country due to heart ailments.

Interventional cardiology that refers to the procedures done with minimally invasive percutaneous processes, is a latent field which has developed leaps and bounds in the last decade. Such interventions not only allow the patients a quicker recovery time but also reduces the hospital stay along with preserving the aesthetic and functional outcomes with efficacy. In the recent years, many patients with different facets of Cardiovascular diseases (CVD) have been highly benefited through the treatment done via interventional cardiology, and avoided a possible casualty says Dr. Balbir Singh, Chairman, Cardiac Sciences, Max Hospital, Saket.

The inception of Intervention cardiology

Since the inception of this subspecialty, technological innovations have played the most critical role in shaping and labelled it as the most cutting edge and transformative field known till today.

As a resultant of collaborations between the medical fraternity, community and technology, these developments have brought about substantial advancements in the treatment of patients with CVD, providing less-invasive alternatives and in some cases hope in the fight against disease that would have otherwise been unavailable.

The latest advancements are also helpful in determining the functional significance in some tricky situations which otherwise would be seemingly borderline, such advanced procedures not only help in treating the patients effectively, but also improves their quality of life. The initial phases saw development of coronary angioplasty and stenting which has now become a procedure which the community is confident about.

Precision Coronary Angioplasty – In collaboration with Columbia University, New York, Max Hospital, Saket, New Delhi is the first to introduce and implement the protocols of precision Coronary Angioplasty. With the available technical expertise for performing even the most complex cases, the Hospital has showcased a success rate of over 95%. Recently the Hospital treated the First Indian case using the procedure of precision angioplasty with advanced Optical Coherence Tomography (OCT) imaging technique. The patient suffered a severe heart attack due to a complex arterial blockage, which otherwise would have cost her life. but in synchronisation with the OCT technique, the precision of stenting had also improved the outcomes with a better quality of life.

With detailed information of the arteries and with a lot of in-depth understanding this advanced procedure could lead to much better outcomes in patients undergoing coronary stenting.

Structural Heart Interventions – This is one of the most attracted dimensions to have been attracted. The procedure that involves valve replacements under local anesthesia with no cut or incision marks on the body has received a lot of importance in the hospital and is an area that will add new dimensions while entering into the New year 2021.

Heart Rhythm Management (Electrophysiology) – Being the leaders in the management of Heart rhythm disorders, with several cutting-edge technological procedures and many Internationally recognised areas of work, the Cardiac Centre has cured the disease to many patients. The word cure is rare in medicine and to give cure to a difficult problem indeed does make us feel proud.

Collaboration and a combined approach to patient care are evolving on many fronts. The historic approach of providing a service independent or irrespective of what else is going on in the patient care continuum is a thing of the past. As such, the traditional relationship between patient, primary physician and subspecialist coming together and providing compassionate and comprehensive care should be the goal. Greater alignment and working more closely together will result in better patient care, greater efficiencies and ultimately take cost out of the system.