Dengue Discussions

Dear Friends,

few days back I had posted a discussion thread about Dengue in Bangaloredengue. Here is the summary of the discussion. Also click this link which gives you detailed information about causes, symptoms and precautions to be taken.

Please contact doctor if you ever doubt you are feeling ill. This post is just to alarm you about Dengue and request you to take all measures to keep your family safe.

Causes

  1. Lot of people use a plate under the flower pot to prevent water from leaking and soiling of floor. It is a clean water source best for dengue mosquitoes. They also showed me new eggs ready to become lethal dengue mosquitoes. Place was quickly fumigated. Some other places that they looked for:
  2. A little bit of water leftover in a mug/bucket etc for days 
  3. Little bit of rain water that gets stuck near slider doors etc
  4. Basically, any clean source of static water kept for days is what dengue mosquito loves.
  5. If you are working from home, you are at higher risk as dengue mosquitoes are found during day time. 

Precautions

  1. Start using mosquito repellants during day time also as Dengue causing mosquitoes are active during day time
  2. You have to put a drop of Citronella Oil in each room of your house to ward off mosquitoes.
  3. Remove all source of stagnant water where mosquitoes can breed

Hospitals in Bangalore

  1. the hospitals should have platelet separation facility
  2. Fortis Bannerghatta Road has this facility.
  3. Manipal Hospital – Dr.Col Holla
  4. Rotary blood bank, Thippasandra
  5. Columbia Asia Yashwantpur has this facility
  6. Columbia Asia Hebbal does not have platelet separation facility

Symptoms

  • High fever, intense head ache, pain behind eyes, muscle and joint pain, loss of appetite, vomiting, diarrhea, skin rashes
  • If the platelet count shows a trend of falling rapidly, please do not delay admitting in a hospital, preferably a hospital with a blood bank attached. Though I am not a doctor, but as a matter of caution also keep a check on Creatinine level in the Kidneys and SPGO  and SPGT  ( liver function tests) enzyme levels. In my friend’s case these enzyme levels had gone up to 16,000 as against a upper limit of 65 and 40.
  • Adequate hydration of the patient is the key to recovery.

blood

    • It is correct that for platelets, the type of blood group is immaterial. Any group donor can give blood to the Blood Bank except persons who have diabetes or any other chronic disease. The Bank extracts platelets form the blood and the platelets are transfused to the patient.
    • Platelet count is important if it is going to sub 15000 range (Sub 10000 mark, internal body bleeding and organ failures start). That is why doctors ask to donate platelet for emergency purposes. Hence should be monitored cautiously.
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Best Surgeon for Hernia Problem

Dr.Mohan Das of Raghavendra Nursing Home, Shimoga, Karnataka, India is the best surgeon I have seen for hernia related problems.

From our past experience we were quite disappointed with major hospitals both in Bangalore and Mysore. Hence even though my mother was diagnosed with Hernia almost six months back we were hesitating to go for surgery. This is when my sister’s sister in law underwent Hernia surgery at Raghavendra Nursing home in Shimoga. We found the doctor to be very efficient and also could see how fast our relative recovered.

Hence without any second thought we decided we should go to Dr.Mohan das. Dr. Mohan Das might be having more than 30 years of experience in surgery. He is not soft spoken, hence many patients might get fooled by his rough and tough behavior. But we took every thing positives as we were informed of his talking styles before hand. First of all he scolded my mom for postponing the surgery for so long. He said had she come earlier the Hernia growth would have been smaller and could have gone for laproscopic surgery. Now it was big and major surgery was needed.  We got more worried. But nevertheless there was no other option.

We got her admitted on November 28th and to my astonishment I realized that the Nursing home did not have elevator. Stair case on one side and sliding path on other side to move patients in stretcher. Even though the hospital is not very posh we could see that it was neatly maintained. The corridors and all the rooms were cleaned almost thrice a day. Daily bathrooms and sink were washed. I could never smell any bad odor in the hospital premises.

29th was the Surgery and I was more tensed, my mother kept herself cool and said she was not tensed. Surgery was over by 11.30am, and she was moved to the ICU, the anesthesia effect was there hence she could not feel the pain, she spoke to all of us and I was so relieved. She told me that she kept talking with doctors when surgery was going on and it was lively. Also she was carefully shifted to other bed after surgery. She did not have any problem when she was shifted from OT to ICU.

I could remember that my experience when I was shifted from OT to Ward during my C section was not so smooth, so was my sister’s experience in Fortis Bangalore.

The good thing with this hospital is doctor came daily twice even after surgery to check the health of patient, in big hospitals the surgeon hardly visits the patient after the surgery is over. He delegates all the work to juniors. We have to keep running behind the doctors and nurses.

The nursing staff was very good and efficient, they always ensured that Patient is not hurt while giving injections, and other related procedures.

As the doctor accepts only one or two surgery per day he gives his full attention and time to patients. Also there is no hurry in discharging the patients. My mother was discharged after one week. She needs somebody’s help to get up from bed because of age factor and also her knee pain. Otherwise I definitely felt the recovery speed was better compared to previous surgeries she had.

I would suggest you go for Dr.Mohan das irrespective of your place of domicile. Shimoga is not very costly your relatives can stay in a nearby lodge and can take care of you.

The total fee was INR 60,200/- which included Surgery, all the medicines and special ward stay.

The Address of the Nursing home is

Sri Raghavendra Nursing Home
Laproscopy surgical center
G.A.Complex
JPN Road,First cross
Shimoga
Karnataka
India
Pin code – 577201

+91- 08182-224340

 

 

sleep Right to avoid Heart Attack

Hi Friends one of my friends forwarded this mail to me. I am sharing the same with you, as it will help everyone.

 

WHY YOUNG & HEALTHY PEOPLE GET HEART ATTACK

 

Ranjan Das, CEO and MD of SAP Indian subcontinent died after a massive cardiac arrest in Mumbai. One of the youngest CEOs, he was just 42 year old

What killed Ranjan Das and Lessons for Corporate India

A few months ago, many of us heard about the sad demise of Ranjan Das from Bandra, Mumbai. He was very active in sports, was a fitness freak and a Marathon runner. It was common to see him run on Bandra’s Carter Road . Just after Diwali, he returned home from his gym after a workout, collapsed with a massive heart attack and died.

It was certainly a wake-up call for corporate India . However, it was even more disastrous for runners amongst us. Since Ranjan was an avid marathoner ( in Feb 09, he ran Chennai Marathon at the same time some of us were running Pondicherry Marathon 180 km away ), the question came as to why an exceptionally active, athletic person succumb to heart attack at 42

Years of age.

 

Was it the stress?

 

While Ranjan had mentioned that he faced a lot of stress, that is a common element in most of our lives. We used to think that by being fit, one can conquer the bad effects Of stress.

 

The Real Reason However, everyone missed out a small line in the reports That Ranjan used to make do with 4-5 hours of sleep. This is an earlier interview of Ranjan on NDTV In the program. Well-known cardiologist on the subject of ‘Heart Disease caused by Lack of Sleep’ have distilled the key points below in the hope it will save some of our lives.

 

Some Excerpts:

 

1. Short sleep duration ( <5 or 5-6 hours ) increased risk for high BP by 350% to 500% compared to those who slept longer than 6 hours per night.

 

2. Young people ( 25-49 years of age ) are twice as likely to get high BP If they sleep less.

 

3.  Individuals who slept less than 5 hours a night had a 3-fold increased Risk of heart attacks.

 

4.  Complete and partial lack of sleep increased the blood concentrations of High sensitivity C-Reactive Protein (hs-cRP), the strongest predictor of heart attacks. Even After getting adequate sleep later, the levels stayed high!!

 

5. Just one night of sleep loss increases very toxic substances in body Such as Interleukin-6 (IL! -6), Tumour Necrosis Factor-Alpha (TNF-alpha) and C-reactive protein (cRP). They increase risks of many medical conditions, including cancer, arthritis and heart disease.

 

6. Sleeping for <=5 hours per night leads to 39% increase in heart disease.

Sleeping for <=6 hours per night leads to 18% increase in heart disease.

 

Ideal Sleep

 

In brief, sleep is composed of two stages: REM ( Rapid Eye Movement ) and Non-REM. The former helps in mental consolidation while the latter helps in physical repair and Rebuilding. During the night, you alternate between REM and non-REM stages 4-5 times.

 

The earlier part of sleep is mostly non-REM. During that period, your pituitary gland releases growth hormones that repair your body. The latter part of sleep is more and more REM type.

 

For us to be mentally alert during the day, the latter part of sleep is more important. No wonder when you wake up with an alarm clock after 5-6 hours of sleep, you are mentally irritable throughout the day (lack of REM sleep). And if you have slept for less than 5 hours, your body is in a complete physical mess ( lack of non-REM sleep ), you are tired Throughout the day, moving like a zombie and your immunity is way down.

 

Finally, as long-distance runners, you need an hour of extra sleep to repair the running related damage.

In conclusion:

 

Barring stress control, Ranjan Das did everything right: eating proper Food, exercising ( marathoning! ), maintaining proper weight. But he missed getting proper and Adequate sleep, minimum 8 hours. In our opinion, that killed him.

 

If you are not getting enough sleep ( 8 hours ), you are playing with fire, even if you have low stress.

 

Unfortunately, Ranjan Das is not alone when it comes to missing sleep. Many of us are doing exactly the same, perhaps out of ignorance. Please forward this mail to Your colleagues/friends as possible, especially those who might be Short-changing their sleep. If we can save even one young Life because of this email, we would be very happy.

 

-daya bengaluru