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.
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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.
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.
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.
Breast Augmentation is one of the most in-demand Cosmetic Surgery
procedures these days. It is a simple day care procedure with very less
downtime involved. Many women who have underdeveloped breasts are
coming forward to get this procedure done as this gives them confidence
in leading a normal social life. The taboo associated with this surgery is
Recently, at BLK Centre for Plastic & Cosmetic Surgery a new technique “BEAULI” was introduced to enhance the breast size using body's own tissue. This technique involves usage of high speed water jet stream to separate out fat cells from patient's own body. These fat cells are now easily extractable and can be used all around the breast tissue to give significant enhancement. BEAULI is a natural breast augmentation and enhancement procedure and has several benefits which include:
BLK has performed more than 650 Bone Marrow Transplants within a
short span of 4 years, at a success rate of over 80%, which is at par with
world’s best. The Centre attracts transplant patients not only from
India, but also from countries like Iraq, Pakistan, Afghanistan, Nigeria,
Kenya, Sudan, United Arab Emirates, Uzbekistan and Nepal. Today,
more than 50% of the patients arrive from different parts of the world.
“In recent years, there have been dramatic breakthroughs in the field of Haematology and Stem Cell Transplant, the latest being treatment through Haploidentical Transplantation technique which virtually eliminates the waiting period for people who need Bone Marrow Transplants on urgent basis. Through this procedure, even if a donor's tissues are only half identical with those of a recipient’s, it works just as well as a complete match. The donor in this case may be the recipient's parent, sibling, child or a family member,” said Dr. Choudhary.
In this transplant program, patients are first put though few days of Chemotherapy / Immunotherapy or Radiotherapy as per the condition of the patient before transplantation..
Rahul is a young IITian who was working with HCL, Bangalore when he was first diagnosed with Plasma Cell Leukaemia and had undergone Autologous Stem Cell Transplant which relapsed in just 3-4 months post transplant. The disease was very aggressive and in search of cure he had visited various hospitals in the country. Rahul was completely unaware about the treatment that would suit his condition the best. Morever, finding a donor was an even bigger challenge. All national and international registries were checked but he could not find the matching donor for transplant. Finally, he got to know about Dr. Choudhary and decided to contact him.
Dr. Choudhary suggested half-match or Haploidentical Stem Cell Transplant as a treatment option to him. In his family, only his father and sister were his half match. After a few tests and deliberations, his sister was selected as the donor. Rahul underwent the transplant procedure and much to everyone's relief, it was a success.
Six months after the surgery, Rahul is currently asymptomatic and doing fine. He has even started a group named Yoddhas which has several members who are cancer survivors. He counsels patients from all over the world about the treatment.
While the golden rule of reaching a hospital in time is well known, how
doctors attend to a stroke patient is also critical in determining the
prognosis. Often, patients are made to undergo surgery without
evaluation of other non-invasive options to bring them to normalcy, and
it is the approach that a doctor adopts that creates a difference.
A 52-year-old man was brought to BLK within 55 minutes of an onset of paralysis on his right side. At the time of admission to Emergency, the patient was not able to stand without support or hold objects with his right upper limb.
As the patient was able to reach Emergency within 4.5 hours, an urgent MRI of the Brain was done which showed blockage of main blood vessel. Patient was given a clot buster agent through the vein besides host of other non-invasive interventions. With constant monitoring and diligent care, the patient showed significant improvement.
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.
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.
Nidhi was advised complete bed rest for 80-90 days to reduce the risk during her pregnancy.