Tag: Zen Multispeciality Hospital

A Steep Rise in The Cases of Arterial Thrombosis in Post-Covid Patients
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A Steep Rise in The Cases of Arterial Thrombosis in Post-Covid Patients

Aug 11, 2021 by Rekha Nair 0 Comments #arterial thrombotic events, #COVID-19, #Dr. Rahul Sheth, #Interventional Radiologist, #post-Covid patients, #Zen Multispeciality Hospital

Mumbai: There is increasing evidence of the association between COVID-19 and arterial thrombotic events as many post-Covid patients have suffered from limb and life-threatening blood clots in the arteries of the legs. The arterial thrombosis induced owing to COVID-19 infection is characterized by dire outcomes, strikingly increased rates of amputation and death. Timely follow-up, early detection of symptoms, and prompt treatment will prevent complications and the limbs can be saved from gangrene setting in and amputation.

A 46-year-old woman’s Mrs S P who is a resident of Sion, Mumbai, housewife with a past medical history of hypertension, obesity was detected to be Covid positive on March 21, 2021. She had fever with cough, her Covid pneumonia CT score was 8/25 and oxygen saturation was 92%, hence was admitted to the hospital on 27th March 2021 and needed 4 liters of oxygen She was treated with the help of steroids and Remdesivir for 6 days. She recovered well and her saturation was 98% on room air with no breathlessness. The patient was discharged on day 10 on oral steroids, antibiotics, and ecosprin in the first week of April. 9 days post-discharge, she experienced pain in the left foot. She consulted a physician who advised pain killers. But, nothing seemed to work in her favor. To her dismay, 24 hours later pain worsened. The physician referred her to an orthopaedic who advised her an arterial colour doppler, which revealed clots (thrombosis) in the main artery supplying the leg (the superficial femoral artery), with poor blood flow in the leg.

She presented to us with severe left leg pain, on examination the leg and foot were cold with the toes showing discoloration. We took her for angiography as an emergency in the night, which revealed clots in the left leg arteries. With a special catheter, we aspirated the clots and gave a clot-busting drug to dissolve the leg clots. This drug was given for 12 hours through a catheter in the leg. We repeated an angiogram which showed near total clearance of the clots. The pain disappeared with the foot now warm to the touch. The pulses in the foot were felt, and she had good toe movements.

Dr. Rahul Sheth, Interventional Radiologist, Zen Multispeciality Hospital, said, “24 patients have been treated for lower limb arterial clots. We have been able to save 17 limbs, where no amputation was required. 7 patients required some form of amputation since they presented late. Out of the 24 patients, 2 presented in the first wave, and 22 in the second wave.”

Various studies have proven that covid infection leads to clots in the arteries that are responsible for carrying oxygen-rich blood to the body from the heart, and this can be termed arterial thrombosis. it is postulated that Covid-19 increases the blood’s viscosity of the blood causing clots When the blood flow in the artery is blocked due to the clots, there is no oxygen supply to the body parts. When this affects the legs it can lead to severe leg pain, cold limbs and if untreated will progress to gangrene with amputation or removal of the limb to save the patient’s life. These blood clots can also travel all over the body and damage distant organs. ”

Dr Sheth added,” The symptoms will be noticeable sometimes during active covid or sometimes even 7 to 10 days post covid recovery.

The golden period to treat is within 24 hours after the onset of the symptoms. Any symptoms like leg pain, pain in walking, cold limbs should not be ignored and a doctor should be consulted. Examination of the affected leg and palpation of the foot pulses should be done. If the pulses are absent, then immediate admission should be done, followed by an arterial colour Doppler.

This colour doppler is like sonography for the blood vessels to detect the blockage. Then, a peripheral angiography is performed to confirm the diagnosis and decide on a treatment plan. Two main options are there; endovascular, where the clots are removed using a special catheter and a clot-busting drug is given to dissolve the clots; or surgical wherein an incision is made in the artery and the clot removed using a device. Endovascular is preferred nowadays since the clots in the small blood vessels in the leg and foot can also be cleared.

“There is no awareness regarding this condition and the patients ignore the early symptoms. Some come to the hospital in advanced stages with discolouration of skin or gangrene. The first 12 to 24 hours of symptoms are crucial blood circulation needs to be restored; ideally earlier the better. Don’t take severe leg pain or any abnormal changes in the body casually, during the post-covid period,” said Dr Sheth.

“I was incapacitated due to severe foot pain, and unable to do my daily activities with ease. I couldn’t walk, stand or even access the washroom. I am fortunate to receive prompt treatment at Zen hospital wherein the doctors saved my limb and amputation too. I want to urge other patients like me to be careful and avoid delaying treatment. I am thankful to the doctors for giving me a new lease of life, and I have resumed my daily routine. I walk on my own and there is no leg pain now,” concluded patient Mrs. S P

A Surge in Gastric Problems Bloating, Gas, Acidity and Indigestion During the Moist Months: Caution Doctors
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A Surge in Gastric Problems Bloating, Gas, Acidity and Indigestion During the Moist Months: Caution Doctors

Jul 27, 2021 by Rekha Nair 0 Comments #Apollo Spectra Hospital, #Director and Gastroenterologist, #Dr. Keyur Sheth, #Dr. Roy Patankar, #Gastroenterologist, #Mumbai, #Zen Multispeciality Hospital

Mumbai: – Monsoon is often pleasing! But it also brings along a host of diseases, infections, and allergies. The digestive system is attacked during the rainy season and gastric problems such as acidity, bloating, indigestion, gastroenteritis, ulcers and gastroesophageal Reflux Disease (GERD) are some of the common problems that people encounter. It is the need of the hour to stick to a well-balanced diet, exercise daily, avoid junk, spicy and oily food, and drink boiled water.

Monsoon is synonymous with gastric problems. The digestive system and immunity take a major hit during these moist months. “We have always seen surge of patients with stomach, intestine and liver infections during rainy season. Patients have suddenly increased due to infections through food and water.

Globally, Infectious GI Disease and dehydration remain leading causes of mortality, responsible for an estimated 4,50,000 annual Deaths. More than 1000 patients come to the hospital every month for treatment of gastric problems. Eating heavy foods can slow down the digestion process inviting problems like bloating, gas, acidity, and indigestion. Eating chat or having juice from the streets can lead to a stomach infection as the water used to prepare it may contain bacteria. Even drinking water from other sources apart from the sealed bottles and water purifiers will make you fall sick and you may suffer from diarrhoea. Avoid fizzy drinks as they reduce enzyme activity and lead to mineral loss by weakening the digestive system. Say NO dairy products like milk as they take time to digest and are heavy on the gut,” said Dr. Keyur Sheth, Gastroenterologist, Apollo Spectra Hospital, Mumbai.

The humid weather during the rainy season makes the entire digestive system sluggish. Consumption of contaminated food with bacteria, toxins, and parasites is unpalatable for the digestive system. This may lead to gastroenteritis that is an infection of the bowel also known as food poisoning or the tummy bug. Many patients complain of vomiting, nausea, gases, chronic constipation, ulcerative colitis, gastritis, and gut sensitivity issues. GI issues considerable high. Almost we are seeing around 15 patients every day with irregular sleep and diet.” Dr Roy Patankar, Director and Gastroenterologist, Zen Multispeciality Hospital.

“Here are some vital tips to ensure smooth working of the digestive system during monsoon. “Avoid eating seafood as the water gets contaminated during monsoon and eating fish can cause cholera or diarrhoea. Do not eat cut fruits from the roadside as they can be contaminated with bacteria. Avoid green leafy vegetables as they will be loaded with germs, eat in moderation, opt for lighter foods that are gut-friendly and can be easily digested. Include ginger and lemon in the diet to enhance digestion and immunity,” said Dr Sheth.

“Eat a lot of probiotics like yogurt or buttermilk as they contain good bacteria that act on our digestive system and support the immune system. Drink a lot of water to flush out toxins from the body and improve digestion. Eat steamed or boiled vegetables instead of the raw ones as the latter ones will be jam-packed with bacteria and viruses making it worse for your gut. Do not eat refined sugar as it may cause inflammation and upset the gut flora balance, say NO to fried and oily foods that cause, acidity and bloating. Do not lie immediately after eating food as you may suffer from acidity, too much stress is bad for your digestive system so stay stress-free and exercise at home on a daily basis,” concluded Dr Patankar.

International Women’s Day, Zen Multispeciality Hospital, Chembur, Mumbai
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Zen Multispecialty Hospital Organised Free Health Check-up Camps For more than 80 women officers including COVID suffered working for Mumbai Police

Mar 10, 2021 by Neel Achary 0 Comments #Chembur, #International Women’s Day, #Mumbai, #Zen Multispeciality Hospital

Mumbai: On the occasion Of International Women’s Day, Zen Multispeciality Hospital, Chembur, Mumbai, organized a health-check-up camp exclusively for women police. More than 80 women officers participated in the medical camp. They were offered various blood investigations to rule out heart, kidney, and liver ailments and for covid suffered officer’s pulmonary function test was carried. The event was followed by talks on various common and gynaecology-related issues by Gynaecologists with physician and chest physician. The event was attended by more than 80 women officers, Shri Sanjay Darade, Additional commissioner of Police, East Region, Mumbai, DCP Krushnakant Upadhyay, zone 6, ACP Firoz Bagwan, Chembur division, and Sr PI Shalini Sharma, Chembur Police station.

It has been a year and still, the entire world continues to reel under Coronavirus. At the time when Covid cases were rising alarmingly in India, people were advised to stay at home in order to minimize the risk of catching the infection. But the cops continued to work hard and protect society by risking their lives.

Dr. Roy Patankar, Director and Gastroenterologist, Zen Multispeciality Hospital, highlighted, “Policing is stressful as it involves both physical and mental stress and irregular sleep pattern. Female cops had erratic schedules and worked in longer shifts during the pandemic by neglecting their own health and making sure that society is safe. There are many female cops who got infected with the deadly virus and were back on duty once they recover. These female cops have discharged their duties of protecting the citizens and the city. Like us, it is equally essential for cops to maintain the right body weight and exercise regularly. We take pride in serving female cops who were on toes during the Covid-19 outbreak.”

Shri Sanjay Darade, Additional Commissioner of Police, East Region, Mumbai “First of all, I wish each and every woman a Happy Women’s day and urge people to celebrate it every day. Women should be respected every day. There are many women like Rani Laxmi Bai, Annie Besant, Sarojini Naidu, Ahilyabai Holkar, Savitribai Phule, and many others have succeeded in social, political, economic and cultural aspects of life. Today, Zen Hospital is conducting health check-ups under the guidance of Dr. Patankar for female cops.

Police Inspector Sanjay Pujari Additional charge ACP East adds, “I urge all female personnel to discuss women-specific health issues with the doctor. More and more women should get benefit from this well camp. Discuss issues like cancer that is rapidly spreading among women. Women tend to neglect their health and this, in turn, gives rise to complications in the future. Female cops should resolve all your health problems before leaving the camp, do the required tests under the guidance of the doctor, and seek prompt treatment. I would like to thank Zen Hospital for coming forward and caring for the female cop’s health through this camp.”

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Know everything About Mosquito-Borne Diseases by Dr Vikrant Shah, consulting physician, intensivist and infection disease specialist, Zen Multispeciality Hospital Chembur

Sep 9, 2020 by Gouri Achary 0 Comments #Dr Vikrant Shah, #Mosquito-Borne Diseases, #Zen Multispeciality Hospital

Are you aware? Mosquito-borne diseases tend to spread by the bite of an infected mosquito. Furthermore, diseases that are spread to people via mosquitoes are namely Chikungunya, dengue fever, malarial fever and rarely seen infections like yellow fever and Zika virus disease.

Yes, you have heard it right! To top it all, monsoon has already begun and Chikungunya, dengue, and malaria will be on the rise now. Hence, it is the need of the hour to stay healthy and keep mosquito-borne diseases at bay by following all the precautions. Read on to know about this, and stay fit and fine.

Do you notice symptoms such as high-grade fever-with chills, joint pains, myelgia, headaches associated with fever then you might be suffering from dengue, malaria, or chikungunya? Mosquito-borne diseases are transmitted to people through the bite of an infected mosquito. The diseases spread by mosquitoes can be caused by a parasite which is in malarial fever and viruses in dengue and few others. Some of these agents, causing malaria, chikungunya has resulted in illnesses in people for many years and rare infection like Zika Virus have been spotted recently only. Did you know? Urbanization, travel, and population growth are the factors that have increased the potential for mosquitoes to breed and hence cause disease on a large scale.

People working outdoors, travelling to areas with mosquito-borne diseases, those people working in laboratories with infected samples from any mosquito-borne diseases, and also healthcare workers who take care of the patients who are infected with mosquito-borne diseases may get infected as transmission can occur via broken skin or even sharp injury on the body. Thus, one should be vigilant and take enough care to lead a healthy life.

Below we describe the common diseases in brief

·         Dengue fever: One may suffer from this mosquito-borne disease because of the dengue virus. One may exhibit symptoms after three to fourteen days after infection. This may include a high fever, headache, joint pain, vomiting, muscle, and joint pains, and even skin rash. The recovery period may take two to seven days. Dengue fever can develop into dengue hemorrhagic fever as well, a more severe form of the disease, which includes symptoms such as bleeding under the skin and even constant vomiting. Dengue can be treated by drinking plenty of fluids, staying hydrated, and avoiding dehydration. In case the fever doesn’t go then the patient will have to be admitted to the hospital and seek treatment.

·         Chikungunya:  Is a viral disease transmitted to humans from infected mosquitoes. Symptoms may include fever, fatigue, joint pain, headache, muscle pain, joint swelling, and rash. In most cases, a patient’s condition will improve within a week. However, occasionally that nagging joint pain may last for months or even years. Chikungunya has some similar signs with   Zika and dengue, leading to misdiagnosis of it as the symptoms tend to overlap. Hence, a thorough diagnosis is needed for the same. Do not ignore the symptoms. Instead, seek immediate medical attention. The treatment includes drinking a lot of fluids, staying hydrated by drinking enough water, taking medications only recommended by the doctor, and following a well-balanced diet.

·         Malaria: Can be termed as a disease caused by a parasite. The parasite is transmitted to humans through the bites of infected mosquitoes. One suffering from malaria can experience symptoms like fever, chills, headache, nausea, and vomiting, muscle pain and fatigue, sweating, and headaches. Take an antimalarial drug as a precautionary measure in mosquito-prone areas. To prevent it: Accumulation of dirty water must be kept in check to prevent mosquito breeding and avoid venturing out without wearing full-sleeved clothes. Antimalarial drugs and others to manage fever can be given to the patients suffering from malaria.

Follow these preventive measures and stay fit and fine

·         Use a mosquito repellent: People tend to suffer from malaria during the rainy season. Hence, it is necessary to use mosquito repellent and wear full-sleeved clothes to avoid mosquito bites.

·         Do not walk through dirty water and do not allow the water to get stagnated around your home, as they are the breeding spots for the mosquitoes. Ensure that your children are also protected from the mosquitoes.

·         You must opt for screens on doors and windows, and do not forget to repair broken or damaged screens, right away. Keep unscreened doors and windows shut as the mosquitoes won’t be able to enter the house.

·         You must use mosquito netting over beds without fail especially if there are children at home.

·         Limit time outside around early morning or evening, when mosquitoes are most active.

·         Don’t give mosquitoes places to breed. Get rid of standing water in things like buckets and tires. Empty and clean birdbaths, dog bowls, and flowerpots at least once a week and keep your surroundings clean.

·         Stick to a well-balanced diet. Opt for colorful foods that can help improve immunity. Foods like broccoli, carrots, turmeric, and ginger can help strengthen the immune system, and can also be beneficial for the skin and hair. Likewise, turmeric is loaded with anti-inflammatory and antioxidant properties and can help you get rid of cough. Garlic can help tackle common cold as it carries cold-fighting compound known as allicin which has demonstrated antibacterial and antifungal properties. Eat foods loaded with vitamin C. Drink a lot of water and see to it that the water is boiled from time to time.

·         Do not eat stale food and avoid cross-contamination of foods. Do not eat fruits and vegetables that are kept cut for a longer time as they can get infected with bacteria. Do not eat outside or junk food during monsoon.

·         Vaccines can prevent some mosquito-borne illnesses such as dengue

Takeaway: Severe cases of mosquito-borne diseases can cause death. So, do not neglect your symptoms. Seek timely treatment and lead a healthy life.

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A 57-Year-Old Man with respiratory Failure secondary to COVID Induced Lung Fibrosis Successfully Treated at Zen Multispeciality Hospital

Sep 3, 2020 by Gouri Achary 0 Comments #Chembur, #Chest Physician, #Dr Arvind Kate, #Zen Multispeciality Hospital

Mumbai: A team headed by Dr Arvind Kate, Chest Physician, Zen Multispeciality Hospital, Chembur gives new lease of life to a 57-year-old man from Mumbai who had lung fibrosis due to COVID-19. The patient was in a respiratory failure with high oxygen requirement and his oxygenation was 80% on 15 litres of oxygen. He was treated with oxygen therapy, steroids, Pirfenidone, Bipap, and physiotherapy. The patient can do his daily activities with ease now.

Shravan Oberoi (Name changed), a resident of Chembur, encountered breathing problems in the Month of April. He visited a local doctor who gave medications but nothing seemed to do the trick. Later, his health deteriorated further and the patient was admitted to a hospital in Western Suburb, on June 2. A COVID swab was done on June 10 and he was tested positive for Coronavirus on June 12. He was treated for COVID 19. His family was constantly in touch with him via video calls and phone calls. Again, a COVID swab was done on June 22 and he was declared negative for COVID on June 24. After COVID swab turn negative patient was shifted to Zen Multispeciality Hospital for further management. On arrival to Zen he was in respiratory failure. His CT scan of chest showed extensive lung fibrosis.

Dr Arvind Kate, Chest Physician, Zen Multispeciality Hospital highlighted, “Lung fibrosis can be termed as a lung disease that occurs when lung tissue becomes damaged and scarred. This thickened, stiff tissue makes it difficult for the lungs to function properly. As lung fibrosis worsens, one becomes progressively shorter of breath. When The patient was admitted, he was critical on non-invasive ventilator, oxygen therapy, and in respiratory failure on June 26 at Zen Hospital. He was treated with oxygen therapy, steroids, Pirfenidone, Bipap, and physiotherapy. His was in the ICU for 12days and his condition improved within 3 weeks and was able to do his daily chores by his own. On discharge his oxygen level was 93%. The patient was discharged on July 23 on home oxygen therapy. Post COVID lung fibrosis needs equally efficient treatment in the near future. We may get such patient with POST COVID lung fibrosis. As covid centres are geared up for covid management, non covid centre also require to be equally efficient and receptive to treat post covid lung fibrosis.”

“We panicked after my father was detected with Coronavirus and lung fibrosis. We had been informed he was critical and there were no hopes at all. Due to timely intervention by Zen Hospital, we were hopeful that my father will get back on track. We motivated him through video calling and he was determined to get well soon and come home. Thanks to the doctors who saved his life. Now, he can walk, and does his real-world activities, independently and requires oxygen therapy at home, Doctors are doing online consultation on regular basis to keep a track of my father’s health” said the patient’s son Sachin.

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60-Year-Old Man Delays Treatment Due to COVID Fear, Ends Up with Uncontrolled Diabetes and Gangrene in Left Leg

Aug 22, 2020 by Gouri Achary 0 Comments #Chembur, #Director, #Dr. Patankar, #Dr. Roy Patankar, #Mr. Pankaj Shah, #Zen Multispeciality Hospital

A 60-year-old man Mr. Pankaj Shah (Name changed) from Chembur ignored his diabetes and ended up with uncontrolled diabetes and lower left leg gangrene. The patient underwent multiple debridements with the cleaning of wound with continuous irrigation negative pressure therapy (a special type of dressing) And his leg was saved at Zen Multispeciality Hospital, Chembur. He is scheduled to undergo skin coverage of the affected leg. He’s better and happy now.

Life was smooth until the Mr. Pankaj Shah from Chembur got diabetes for more than 15 Years though sugars were well controlled and were under treatment. During the COVID-19 outbreak, he had a small leg injury which he ignored as he was worried to come out of the house due to fear of COVID. Later about one month after an injury he went to one of the local hospitals where he was advised for amputation (cutting leg to avoid further spread above the knee). The family didn’t agree and was wheeled into emergency at the Zen Multispeciality Hospital, Chembur, Mumbai. The patient was admitted on 7th July 2020 and surgery was performed on 13th July 2020.

Dr. Roy Patankar, Director, Zen Multispeciality Hospital, Chembur highlighted, “There are many cases wherein people ignore their health problems due to the fear of contracting COVID infection and land themselves in grave situations that can be even life-threatening. Owing to the pandemic, people are scared to visit the doctor, resort to self-medication, and come in an emergency due to the delay in treatment. Some may also require complex surgeries but this is entirely avoidable if one takes a prompt treatment.”

This patient too neglected his uncontrolled blood sugar levels and came with left lower leg gangrene. It occurs when blood flow to a certain area of your body is interrupted, leading to tissue decay and death. The chances of developing gangrene are higher if one has an underlying condition that can damage the blood vessels and affect blood flow, such as diabetes or hardened arteries (atherosclerosis). The patient was scheduled to undergo treatment for gangrene include surgery to remove dead tissue and salvaged his leg. He is underdressing now and will require another surgery to cover the open wound (skin grafting).”

Dr. Patankar adds, “Video consultation during these unprecedented times can be a good option but in various survival situation it is very important to visit the hospital. It can prevent one’s condition from worsening as it can update the doctor about the person’s health, and will help to determine how serious the condition is. Don’t refrain from visiting the hospital as the COVID-19 protocol is followed. The hospitals are taken measures such as practicing social distancing, wearing PPEs and masks, disinfecting surfaces and equipment, checking temperature, and limiting the number of visitors. Avoid ignoring Non-COVID illnesses and opt for timely treatment that can save your life.”

Mr. Pankaj Shah, the patient says, “Due to the fear of COVID I was avoiding to go to Hospital for the leg injury treatment. Being a diabetic patient, we have to take care of our wound but due to fear of COVID cases, I had delayed in treatment which led to cutting leg to avoid further spread above the knee. I am grateful to Dr for giving me timely treatment and save my leg. I am happy and will soon go for further treatment.”