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About BLK Pulse

BLK Pulse encapsulates information on the hospital, its progress, and insight into some of the very complex and rare cases, on a monthly basis. All the articles and special achievement features, which have been covered in this edition, are unique in their own ways.

We will always be on the lookout for such inspiring articles, news of special achievements, significant announcements and any material that you feel will be of interest to us. Please do not hesitate to write to our editorial team at editorial@blkhospital.com.

 

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Dear Readers,

BLK has always been in the forefront of pursuing excellence not only in medical care and outcomes but also in service delivery. In this perspective, October was quite an eventful month for us as we bagged coveted awards, successfully conducted some major breakthrough surgeries and crossed milestones.

The issue features a heartening story of a Haploidentical Bone Marrow Transplant of a young boy from Delhi. This case further underlines the fact that our BMT centre is one of the fastest growing in the world. Other stories in this issue include a high risk life-saving surgery on a 58 year old elderly man wherein his limbs were eventually salvaged; a classic case of monoamniotic twins, to name a few.

Our conscious focus on international patients, uncompromising policy on quality care and service delivery has brought us laurels in the form of the prestigious Frost and Sullivan India Best Practices Award as the Medical Tourism Service Provider Company of the Year in the standalone hospital category.

Observing October as a Cancer Awareness Month, we had organized our first 'Walk-A-Mile', a cancer awareness walk which saw an overwhelming response by way of turnout of more than 1000 participants from all walks-of-life. I would like to thank each one of our partners associated with us for their contribution towards the success of this event.

And lastly, it gives me great pleasure to inform you that Dr. Anil Kumar Kansal, one of the most accomplished Neurosurgeons in the country is now on board with us as Director- Neurosurgery & Head- Neuro Spine, BLK Centre for Neurosciences.

   

 

Smoking not only makes one prone to Heart Attacks, but can also cause severe, unbearable pain in the legs. If not treated on time, it can even lead to Amputation. Doctors at BLK Super Speciality Hospital performed a life-saving surgery on a 58-year-old man, after he was advised elsewhere to have his limb amputated.

THE CASE

Patel Singh was a heavy smoker suffering from severe Peripheral Arterial Disease (PAD), a condition in which arteries supplying blood to legs or other vital organs become narrowed or blocked. The patient will experience pain in calves and thighs, which occurs initially only while walking but later ensues even at rest. This symptom is known as Claudication. In severe cases, the patient develops a bluish discolouration of the distal part of the limb or even gangrene. Once gangrene is established, a variable amputation has to be undertaken. Claudication is sometimes not recognised correctly and valuable time is lost during which the disease progresses.

A CT Angiogram usually reveals the full extent and severity of the blockages and helps in planning the surgery. In Patel's case, the abdominal aorta was totally cut off at the level of the renal arteries and other multiple blocks involving Bilateral Iliac and Superficial Femoral Arteries.

THE PROCEDURE

Due to the extensive nature of the disease in this particular patient, complex Peripheral Bypass Surgery was required. The aorta was approached retroperitoneally through a thoracoabdominal incision to access its suprarenal part. The top end of a bifurcated dacron graft was anastomosed to the aorta at the diaphragm.

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There are many types of complexities associated with certain pregnancies. One such complexity is when the embryo does not split until after the formation of amniotic sac which leads to the formation of monoamniotic twins, wherein the two babies share the same placenta.

THE CASE

As first-time parents, Mr. and Mrs. Gill were thrilled to learn on the first ultrasound that they were expecting twins. But their joy was short-lived when they learnt about the multiple risks involved with monoamniotic twins. They were also informed that this kind of pregnancy is rare and the expectant mothers in these cases are generally advised for termination by most medical facilities.

But Nidhi, the 28 year old twins' mother, was determined to go ahead with her pregnancy, and then she came across an article on 'delivery of monoamniotic twins' by Dr. Khera who had also done one such case earlier. That gave the couple new-found hope and confidence to continue the pregnancy.

Dr. Khera who monitored the pregnancy of Nidhi, mother of twins, advised the parents to be cautious, while highlighting the challenges in such pregnancy. There are chances of cord entanglement between the twins, which can lead to choking; cord compression which could stop the flow of nutrition amongst one twin and twin-to-twin transfusion syndrome (TTTS). Under TTTS, one twin receives majority of nourishment causing the other twin to become severely undernourished.

THE PROCEDURE

Nidhi was advised complete bed rest for 80-90 days to reduce the risk during her pregnancy.

   
   

 

   
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