I retired from the medical profession about 5 years ago. I was mostly at home, taking care of simple household work and reading. I developed knee pains and hypertension for which I was under medications. About 8 months back I developed severe headaches, palpitations and was found to have very high blood pressure. I consulted Dr Raghava Raju, Cardiologist at CARE Hospitals. He started treating me with drugs and regular check-ups. The response was slow and I had sudden fluctuations in blood pressure and restlessness. He advised me to attend yoga therapy along with medication and, upon his advice, I met Mrs Padmaja, the yoga therapist. She, with her gentle talk and manners inspired me, taught me how to perform various yoga practices. Keeping in view my age and physical condition, she made me do exercises which can be done without much difficulty.
Within 15-20 days my BP was well under control and was indeed stable. I started sleeping well, feeling good both mentally and physically. I developed a good rapport and friendship with the teacher and fellow participants. We all are of the same age and feel like a family. I am attending classes for the last 4 months and intend to do so for a long time. I advise my friends and relatives to practice yoga. Being a doctor I realized that in addition to medication, yoga practice helps in treatment of diseases.
When I was first referred for yoga therapy by my doctor, I was apprehensive about performing the exercises, given my age and health condition. However the yoga therapist Ms Padmaja explained to me the general benefits of yoga and the customised sessions for each individual based on his/her specific medical condition. It was also reassuring for me that the Yoga unit was part of CARE Hospital and located within the hospital premises, so I could take medical help in the event of any problem; but I never had any problems at the therapy sessions or during practice at home.
After an initial assessment, the yoga training started with simple physical movements and breathing exercises along with awareness of my breathing and meditation. Initially I had aches and pain when I stretched my legs, shoulder and back. However with the motivation, guidance and encouragement of Ms Padmaja, I continued the exercises. The asanas were taught in a graded manner commensurate with my ability and capacity. Within a few days itself, I began to feel relief from the pains, not only while doing yoga but throughout the day. I regained a considerable amount of flexibility in my joints.
Another progress was in my breathing. On the first day, I had to take two deep breaths to raise one hand above my head. Now, with one breath, I am able to perform complex movements. I am able to perform many day to day tasks by synchronising the breathing awareness with the physical movements. I also notice improvement in my balance during some postures.
The gradual progress from simple to complex Yoga asanas has improved my self-confidence and endurance to take up the challenge of doing more. It was very inspiring to watch the active participation and involvement of my new friends at Yoga, some of whom are senior to me in age. The ambience, social learning, clear instructions and personalised training by Ms Padmaja also contributed considerably to my developing a sustained interest in yoga. I enjoy practising yoga at home too.
The combination of the medical treatment by my doctors and the yoga therapy is providing me a sense of well-being and peace of mind. Ms Anuradha J
Little Kurimila Jessi, a 17 month old baby, had learned to take her first steps just a few months earlier, when she was run over by a school bus on 17th September 2015, while playing outside her hut on a street in Warangal.
Kurimila suffered massive life-threatening injuries and had little hope of survival. Her parents couldn’t afford the huge expense of the multiple surgeries she would need. Even if she lived, her chances of being able to walk again were negligible.
Not giving up hope, her distraught parents rushed her to a nearby hospital where she was given first aid. They brought her to Hyderabad in search of advanced medical care.
But every hospital they approached (almost 10) refused to treat the little girl… The case was simply too challenging, the risk of mortality too high and the family clearly could not afford the high costs of treatment.
When they came to CARE Banjara, astonishingly, the little fighter was conscious and coherent. Her right lower limb was crushed and she had extensive pelvic injuries (open book fracture of the pelvic bones). There was also severe loss of tissue near her vagina and anus. She had to be operated upon immediately and would require the expertise of doctors from several specialties. She faced the possibility of an above knee amputation or even death.
Initially, Dr PC Gupta, along with the Anesthesia team and ER physicians stabilised and managed the child. Subsequently, Dr K Rama Raju, Urologist, Dr MA Saleem, General Surgeon and Dr Praveen Mereddy, Orthopedic Surgeon operated on her. The child’s vaginal walls – anterior and posterior – were torn, exposing the bladder, anal sphincter and the rectum. Doctors needed to repair the area and prevent it from becoming infected. The vaginal layers were sutured by Dr Rama Raju and Dr MA Saleem to reconstruct the genitalia. To enable the tissues to stay together without any disruption, Dr Mereddy repaired the unstable pelvic bone and the other fractures. Dr Rama Raju performed a delicate vesicostomy, wherein the child’s urinary passage was temporarily diverted to enable the genital injuries to heal.
The nursing team cared for Kurimila like their own child with regular administration of IV antibiotics, analgesics and fluids. Consultants monitored her round-the-clock. Post-operatively, she required the expertise of Dr Venkatesh Babu, Plastic Surgeon and his team. Against all odds, Kurimila survived with no need for an amputation. “Statistics show that in severe injury cases among children, it’s the girls who fight harder and show better recovery, as compared to the boys,” says Dr Praveen Mereddy.
“She is a miracle child!” said Dr Rama Raju. Two months later, she took her first steps again. It was a triumph of the spirit of the little girl, along with the amazing skills of all the consultants, who gave her a new lease of life. Waiving aside operating fees and costs, the CARE management shared the parents’ excitement at the miracle of a child who can walk today, despite being run over by a bus.
CARE Hospitals, Surat performed a rare surgery on an 18-month-old baby girl, weighing just 6 kg. The child, Kartikeya Dhanraj Wagh, a resident of Bhestan, Surat district, was suffering from a complex cardiac disease, since her birth. Her parents Dhanraj and Bharti had knocked on many hospitals’ doors seeking a cure for their only child.
Normally, impure blood (without oxygen) from the body goes to the right side of the heart from where it is pumped to the lungs for oxygenation. The oxygenated blood is sent back to the left side of the heart from where it is pumped to the rest of the body.
In Kartikeya’s condition, the pure blood from the lungs was not entering the heart through the normal routep; the veins from the lungs were connected to the body’s veins, which were then entering the heart. This led to the mixing of pure and impure blood in the heart. The child had cyanosis (a bluish discoloration of the skin due to low oxygen saturation of the blood) and retarded growth. To make it worse, she had a large hole in the heart. This condition is known as TAPVC or total anomalous pulmonary venous connection.
On 19th February 2016, Kartikeya underwent an extremely complex open heart surgery, performed by the cardiac team of CARE Hospitals, Surat. It was lead by Dr Kalpesh Malik, Chief Cardiac Surgeon, along with Dr Kaniyalal Patel and Dr Divya Patel, Anesthetists. The ‘Intra Cardiac Repair’ surgery was successful and the child was stable throughout.
Dr Kalpesh Malik has extensive experience in pediatric cardiology and has performed more than 1200 surgeries in Raipur under the “Mukhya Mantri Bal Hridaya Suraksha Yogana”, initiated by Dr Raman Singh, Chief Minister of Chhattisgarh. Briefing members of the press, Dr Kalpesh Malik, Chief Cardiac Surgeon said, “CARE Hospitals, Surat has all the facilities to perform pediatric cardiac surgeries. Our team is highly qualified and we are well equipped to deal with complex pediatric cardiac surgeries.”
“I wanted to let you know how very appreciative we are for all the care and support you provided to the entire family during this very difficult time. The fact that I am still here is a miracle. I know that you save a lot of lives every year, but I want to let you know that this life is forever grateful! I was diagnosed with dengue fever and septic shock. The platelet count had fallen drastically and I was kept on a ventilator with inotropic support and high-end antibiotics. I was also diagnosed with LV dysfunction and was treated for the same.
Words cannot describe how my family feels about CARE Hospitals, the doctors, nurses and all the volunteers who gave me such care. They were with my family at a time when they were scared and unsure of what would happen next. They were by our side with so much compassion. We were afraid about the medical expenses as we couldn’t afford it, but a huge thanks to the CARE management for looking after me free of cost. I have been treated like family and one of your own. I will forever remain indebted to you all for the wonderful gesture shown towards me and my family.
The service was professional, courteous and excellent throughout. Doctors and nurses giving me a warm hug to express compassion and support during my difficult moments, is an experience I have never had in any other hospital. This experience has enhanced my perception about CARE Hospitals. Thanks again for your excellent service to me and my family. My family and I will not forget what you have done for us. ”
B Rajeswari (Jr Staff Nurse) and family, CARE Vizag
Ms P Bharathi recently underwent treatment for a heart condition at CARE Hospitals. Her brother spoke of their experience with us in the video above. On a review visit later, an emotionally overwhelmed Bharathi spoke about her journey –
“I used to get fever very often and had my check-ups at Bhadrachalam. The doctor there asked me to undergo a few tests and an X-ray. I also had pain on the left side of my chest. Since I was feeding my son I thought that the pain was due to that. The doctor told me that I was anemic and prescribed a few medicines.
After a few days I had some swelling on my feet and my face turned pale. The doctors asked me to undergo an X-ray again and found there was fluid around the heart. They referred me to Dr Gopinath at Spandana Hospitals in Khammam district. Dr Gopinath examined my reports and further referred me to Dr Soma Raju. After reaching here (Hyderabad) Dr Soma Raju treated me and now I am completely fine like before. Dr Soma Raju has helped me a lot. We did not have enough money to return home. He even gave us Rs 5000 for our expenses. It is only because of him that I am alive today. He is like God to us. We were not willing to come here because we were afraid of the expenses. But Dr Gopinath counselled us and asked us to come here. We are really blessed.”
Mr. Chityala Chiranjeevi from Adilabad district, Telangana works as an assistant supervisor at Singareni Collieries. He was suffering from liver problems for two years. His liver had become stiff and it had two tumours.
He underwent a liver transplant surgery at CARE Hospitals, Visakhapatnam in October 2015. He and his wife spoke to us in detail about their experience with Prof. Tom Cherian, Head, Hepato Biliary Surgery and Liver Transplantation at CARE Hospitals Group. Here are a few excerpts from it:
“My liver problem began 2 years back. One day, suddenly my entire body was swollen. I had also contracted jaundice. I took treatment for one year but no one ever informed me that liver disease was such a life-threatening disease.
But when I visited Dr. Tom Cherian here, he called me and my family members and explained the criticality of the situation and that I needed a liver transplant.
Dr. Tom Cherian prepared me mentally for the surgery. He used to counsel me every time I visited him. The other staff members were also very cooperative,” Mr. Chiranjeevi said.
His wife, who can also be seen in the video remarked, “My husband’s condition improved a lot after the surgery. Before the surgery he was very sick and we were all afraid seeing his condition. But he recovered so much in just one month that we are all stunned. All this was possible only because of the support extended by Dr. Tom Cherian. CARE Hospitals truly lives up to its name. It takes good care of people!”
Damayanti Chandrakar, 56, from Raipur, Chhattisgarh had visited a physician with complaints of jaundice, pain in the abdomen and weight loss, over a one-month period. She was referred to Prof Tom Cherian, Head, Hepato Biliary Surgery and Liver Transplantation, CARE Hospitals Group for evaluation and management.
After admission and assessment, Damayanti was found to be severely hypertensive. She required oral anti-hypertensives for stabilizing her blood pressure. A biochemical investigation showed increased serum bilirubin (a measure of the severity of jaundice). Ultrasound and CT scans of the abdomen showed a malignant tumor in the common hepatic duct, with significant obstruction in the lumen and spreading to the surrounding lymph nodes.
This news was a deathblow to the patient as cholangiocarcinoma is an aggressive tumor and, if untreated, the average survival rate is around 6 months. It took almost a week for the patient and her family (her daughter is a doctor) to make up their mind and give their consent for surgery. Meanwhile, her total bilirubin had shot up 20 times the normal values. Hence, a pre-operative intervention (PTBD) was performed by an interventional radiologist in the right and left hepatic ductal system. Once the bilirubin dropped in a week’s time, she was taken for surgery.
Prof Tom Cherian and his team performed a 9-hour long operation for excision of the tumor along with the right lobe of the liver and the surrounding lymph nodes, before they joined a part of the intestine to the liver. Intra-operatively, the blood vessels supplying blood to the liver were shaved free of the tumor. An intra-operative frozen section biopsy confirmed that both the cut margins were free of the tumor.
Damayanti had a relatively uneventful post-op recovery, except for some fluctuation in her blood pressure and a partial lung collapse (mild right pleural effusion), due to build up of fluid in the lungs — a common occurrence in such surgeries. Both the issues were quickly and efficiently managed by a cross-sectional team, comprising a general physician, cardiologist, interventional radiologist and physiotherapist.
The final histopathological report confirmed it to be a hilar cholangiocarcinoma with RO resection (no evidence of microscopic disease at the cut margins). The 5-year survival rate of such a case is 45-50%, but without surgery it is zero, even with chemotherapy. The patient and the relatives were extremely relieved and thanked all the hospital staff profusely for their support and hard work throughout their hospital stay.
This is a good beginning to the CARE Hospitals’ new Department of Hepato Biliary Surgery and Liver Transplantation!
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