Blogs

27
Oct
2017
blog

41 year old Mr. Riyas was admitted to VPS lakeshore hospital with severe breathing difficulty, cough and low oxygen levels in blood. The duration of illness was only 3days, prior to which he was in perfect health. At admission, his oxygen level in blood was <50%, was in extreme respiratory distress and xray of chest showed severe pneumonia involving more than 90% of his lungs. He was evaluated by the pulmonologist, diagnosed to have severe viral pneumonia which was later confirmed to be H1N1 along with ARDS which is a very serious complication of pneumonia. He also had hypotension and renal failure. Critical care and nephrology team were immediately involved, was ventilated immediately on arrival, resuscitative measures including dialysis were initiated. Morbid obesity (BMI of 40) and very poor lung compliance made ventilation an extremely difficult task. Ventilating in prone position by turning his face down which is an option in such difficult cases also was tried. It was really a difficult task to turn a person like Riyas who weighed 120Kg face down without compromising ventilation and it required the efforts of several staff members. Despite these efforts, oxygenation parameters did not improve. ECMO which is a lifesaving option to bypass the lung in severe ARDS could not be initiated due to the extremely high cost involved. However, with the untiring efforts of a dedicated team of expert doctors including Pulmonologist, critical care specialists, nephrologist as well as paramedic staff and with fine tuning of ventilation parameters, medications and dialysis support,


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10
Jun
2017
blog

Dr. Abhishek Yadav, Consultant, Dept of Gastrointestinal Surgery & Liver Transplantation

“Jigar Ka Tukda” is a common aphorism in hindi to address someone who is extremely dear to us, translated to english “Jigar ” is “ Liver”, so it goes without saying how important an organ the Liver is for us. The importance can also be gauged by the fact that a person can not survive without a functioning liver beyond a few hours and unlike other essential organs like the heart, lung , kidney the liver can not be supported by machinery like dialysis machines and artificial heart pumps.

Being as important an organ as it is, many of us are ignorant about the symptoms which tell us that our “Jigar” is not working well. There are hundreds of such signs and tests that doctors can do to look at your liver functions, however below are some that you can pick up yourselves, some of these are subtle and tend to be ignored, and this is the reason why liver specialists usually see patients at an advanced stage of their disease.


08
Jun
2017
blog

Dr. Arun Oommen, Consultant Surgeon, Department of Neurosurgery
 

Brain tumor refers to formation of abnormal cells within the brain.  There are two main types of brain tumors: cancerous(


29
May
2017
blog

Dr. Roy J. Mukkada, Senior Consultant & Head, Dept. of Gastroenterology

Fatty liver and inflammatory bowel diseases were unheard two decades ago. However, both the diseases are now widely reported in the state, particularly in Kochi. The huge increase in lifestyle related diseases such as fatty liver is contributed by a paradigm shift in the food habits and sedentary lifestyle (westernization, lack of exercises) of people.


Life style related diseases have been witnessing a sharp increase in recent times and are found mainly in teens to middle aged people. The fatty liver disease witnessed 30 per cent increase compared to the previous years.Though such cases have been increasing, majority of the people are still not aware of the risks and don’t undergo evaluation and treatment on time. Fatty liver can progress to cirrhosis and liver cancer, if not diagnosed and treated on time.

Non alcoholic fatty liver disease (NAFLD/NASH) is the commonest cause of cirrhosis in people who don’t consume alcohol. Obesity, Diabetes mellitus (uncontrolled), Dyslipidemia or Hepatitis B and C infections are some of the other cause of fatty liver. Evidences have emer



25
May
2017
blog

Dr. Shawn T. Joseph, Associate Consultant, Head & Neck Surgical Oncology

“It is not just curable with this surgery, but even your quality of life will be unhampered and you will live as long as you would have, if you had not developed this disease”. As I was concluding my counseling to Eliz, the 25 year old emerging architect, who had come to me with a recent diagnosis of thyroid cancer, I saw rays of hope back in her wet eyes. She was recently married and was part of a growing firm of four young and ambitious architects. Correcting her voice which sounded broken during most parts of our discussion, she thanked me and agreed for the surgery. Now, two years later, she is disease free, has progressed in her career and life, with a will much stronger than before. As I reminisce her case and of others treated for thyroid cancer with similar outcomes, I can only thank the consistent effort put in by generations of medical scientists who have worked to bring about excellent outcomes in thyroid cancer treatment, for any disease of thyroid requiring surgery was considered doomed not long before. Present day patients of thyroid cancer and doctors who treat them owe a lot to those doctors who have fought an unrelenting battle against a disease which seemed impossible to even alleviate, if not cure, and faced s




19
May
2017
blog

Dr. Roy J. Mukkada, Senior Consultant & Head, Dept. of Gastroenterology

Inflammatory Bowel Diseases consist of Ulcerative Colitis and Crohn’s Disease. In recent years, we have seen a rise in Crohn’s disease throughout Kerala.These patients presents usually with loose motion, bleeding per rectum, weight loss, abdominal pain etc. In children, there may be a problem with weight gain. Most of the time, they will have a stunted growth. When compared with ulcerative colitis, crohn’s disease has more problems and more complications. All these has to be on regular follow up and treatment. IBD needs lifelong treatment. There are new treatment modalities now available which can fairly control the disease. The reason of increase in IBD is probably due to westernization. But there is no clear cut data regarding this.





11
Nov
2016
blog

  • A type of clarified butter
    • Made by heating butter and removing the water and caramelized milk solids
    • Leaves only butter fat
  • LACTOSE FREE – Can be used by lactose intolerant patients
  • AIDS DIGESTION – A rich source of butyric acid, which helps maintain the integrity of your intestinal walls
  • COLON HEALTH – Protect against damaging cell growth in colon



07
Nov
2016
blog

  • Rich in fiber
  • Reduce blood cholesterol
  • Reduce obesity, blood pressure
  • Prevent colon cancer
  • Rich in vitamin c excellent source of potassium.
  • Its pulp is good in copper, iron, magnesium, and phosphorus.



05
Nov
2016
blog

  • Reducing occurrences of constipation
  • Rich in iron
  • Reduces chances of blood clot formation
  • Cancer Prevention
  • Prevents certain damage to the retina
  • Build Bone Tissue
  • Mulberries can help keep skin looking smooth
  • Prevent conditions like osteoporosis or other age-related bone disorders
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