Narayana Health City Performs 2 Complex Surgeries within 10 Days and Saves a Patient

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The patient is a 54 year old woman who was suffering with a heart condition and was recently diagnosed with tongue cancer

Normally these operations are done 6 weeks apart, but after proper planning the team could perform these operations 10 days apart

Team of doctors at Narayana Health City successfully performed two complex surgeries for two different life threatening conditions within a span of 10 days on a 54 year old patient from Bihar. Normally these operations are done 6 weeks apart to allow for the body to recover from the impact following a major heart operation. The patient was suffering from aortic stenosis, a condition wherein the major valve of the heart is thickened and obstructs the passage of blood out of the heart. She was also recently diagnosed with stage 2 cancer of the tongue.

Hailing from Bhagalpur, Bihar, 54 years old, Mrs. Shashi Sah’s life took a turn in April when she noticed a small lump on her tongue. As the lump was paining Shashi and her husband had shown it to a local physician in their hometown who initially thought it to be a mouth ulcer. As it did not go even after medication the family visited another doctor who suggested the patient to do a biopsy. The biopsy revealed that the lump was not an ulcer but a tumor. The family’s search for a world-class medical facility led them to Bengaluru. They reached out to another hospital in the city, but as the patient was under treatment for her heart condition for 22 years, the hospital referred the patient to Narayana Health City.

The patient was admitted under the consultation of Dr. Vijay Pillai, Senior Consultant Head & Neck Surgery – Oncology, and Dr Vivek Shetty, Consultant, Head & Neck Surgery – Oncology. The team did a thorough evaluation, and it was identified that the cancer of the tongue was in stage 2. It was an aggressive cancer and surgery was the optimal mode to cure her condition. However, in order to withstand a complex cancer resection her heart function needed to be optimal. During her workup for the heart, it was revealed that she has critical aortic stenosis and needed a valve replacement surgery to replace her damaged valve. Ideally these surgeries are staggered to let the body recover in between. However, in the case of Shashi, though her tongue cancer was in stage 2 and was currently on one side of her tongue leaving it unattended or offering her sub optimal treatment modalities like radiation/ chemotherapy would have led to the progression of her cancer to stage 4. It may lead to the cancer spreading to not only the other side of the tongue but also the lymph nodes in her neck.

Both the specialities along with the family had multiple discussions. The cardiac surgery team under Dr Devi Prasad Shetty successfully performed the valve replacement surgery. Within a week’s time the patient was healthy enough to undergo the second surgery. On the 10th day of the open heart valve replacement surgery, the head and neck cancer team under the leadership of Dr Vijay Pillai and Dr. Vivek Shetty performed the Adequate Glossectomy with neck dissection and free forearm flap reconstruction on 25th of September, 2020. They removed the tumour and reconstructed the area. The 2nd surgery was also successful.

Elaborating about the case, Dr. Varun Shetty, Consultant – Cardiac Surgery, Narayana Health City said, “The patient had a critical blockage of her aortic valve which could be problematic during her cancer surgery. Hence, it was decided to perform her heart surgery first. Her native aortic valve annulus was too small to put in an appropriately sized valve based on her body size. So, we performed a root widening procedure and implanted the appropriately sized bio prosthetic heart valve. She had an uneventful recovery from the operation and was handed over to the head and neck surgery team after 7 days.”

Speaking about the case, Dr. Vijay Pillai, Senior Consultant Head & Neck Surgery- Oncology, Narayana Health City, said, “While generally the time taken for a complex surgery as this is 7 to 8 hours, but in the case of Shashi as she had underwent a major surgery under anaesthesia very recently, exposing her again to long hours of anaesthesia was a high risk one. Further, the anticoagulant that has been used to maintain the heart functioning was also a challenge. Post our detailed discussions we did a thorough planning, identified the areas that can be fastened, developed elaborate protocol to address the possible risks. With the help of our comprehensive medical team, we performed the removal of the tumour and reconstruction of her tongue within a short span of 5 hours.”

The patient is currently doing well and she was discharged on 06th October 2020.

Sharing her joy, Ms. Anubha Sah, daughter of the patient, said, “Till the time we came to Narayana Health City we were under tremendous stress. So many negative thoughts were running in our minds. But once we met the doctors we were at ease. We knew our mother was in safe hands and they would do the best to save her. In fact, they did it as well. Despite being a difficult case with two critical conditions they managed it so well. I am so grateful to the entire team of doctors. They actually saved my life and I am deeply indebted to the doctors at Narayana Health City for this.”

The case study not only stands as an example of clinical excellence of Narayana Health City, it also showcase the capability of Narayana Health City to manage complex multi-specialty issues with ease.

About Narayana Health City, Bengaluru

Narayana Health City is located in Bommasandra, Bengaluru. It is comprised of Narayana Institute of Cardiac Sciences (NICS), a superspecialty hospital for cardiology and cardiac surgery, and Mazumdar Shaw Medical Center (MSMC), a multispecialty hospital for cancer care, neurology, neurosurgery, nephrology, urology, and advanced multidisciplinary intensive care unit (MICU).

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An actor must be thick-skinned: Kriti Kharbanda

An actor must be thick-skinned: Kriti Kharbanda

New Delhi, Oct 27 | Giving up and sitting back has never been an option for actor Kriti Kharbanda who insists that as an actor it is important to be thick-skinned in order to survive. Adding that for an actor, there are always enough people to put him/her down, but very few who will motivate, she says, “You should be your biggest cheerleader. The moment you give up on yourself, the world will refuse to help. And when one decides not to, nothing in the world can break you. Before my big hit, people would say, ‘she won’t last’. However, I refused to pay any heed to that, and focussed on the positives — there were many still willing to put money on me. Then came the life changing hit. But it happened to me only because I didn’t give up and kept going.”

Kharbanda who will be seen in Bejoy Nambiar’s ‘Taish’ along with Pulkit Samrat, releasing on October 29 on Zee 5, says that the director managed to bring out the best in her and the role was both challenging and intense. “It is unlike anything I have done before. ‘Taish’ has introduced me to a very different side of my acting abilities. Working on this film has taught me several things which I would like to imbibe and utilize while working on other projects too.”

Expecting that the film will precipitate more work, the actor who made her acting debut in 2009 with the Telugu film ‘Boni’ and has worked in Kannada, Hindi and Telugu language films does not really see any drastic contrasts between the industries in different regions. “It is all about the the people you work with. I have had good and bad experiences everywhere. There is never a guarantee that if you are working within a particular region or with a production house, everything will be smooth or bad. For me, it has only been about personal growth, no matter which language I have worked in. How I used to understand and respond to a situation — I wouldn’t react the way I did five years ago, considering one matures with age.”

Excited about the kind of cinema being made by a newer crop of directors working on a smaller budget and willing to experiment with narratives, the actor who starred in films like ‘Veerey Ki Wedding’ and ‘Pagalpanti’ says she is always on a lookout for roles that pose new challenges. “So many talented people coming from across the country are coming forward with novel stories. I would love to be part of those tales.”

As one witnesses major films being released on OTT platforms, Kharbanda says that while an actor would love a theatre release considering the experience it offers to audiences, in times like these, premieres on digital platforms are understandable. “Well, if theatre releases are not happening, this cannot mean that we would stop working. Also, it makes all the sense to support the producer if he decides that the future of the film is on an OTT platform.”

For someone who does not mind spending time at home, the lockdown was not really brutal. “I am glad that I managed to learn several new things during that time including playing the piano. The idea is to constantly think ahead. The lockdown taught me to prioritize my physical and mental health. We now know not to take anything for granted.”

All set to start shooting for her next film ’14 Phere’ to be directed by Devanshu Singh, Kharbanda adds, “I have also signed something else, which should be announced by the last week of November.”

(Sukant Deepak can be contacted at sukant.d@ians.in)

Source: IANS

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Bookshelf: Books that spotlight children's mental health

Bookshelf: Books that spotlight children's mental health

New Delhi, Oct 27 (IANSlife) In these unprecedented times, when isolation fatigue, gloom and the fear of losing a beloved has also come to grip children, taking care of their mental health is of paramount importance.

Here’s a list of books that address the various emotions children struggle with, and can be companions to them during the hard times.

‘The Room on the Roof’ by Ruskin Bond

A classic coming-of-age story which has held generations of readers spellbound! Rusty, a sixteen-year-old Anglo-Indian boy, is orphaned and has to live with his English guardian in the claustrophobic European part in Dehra Dun. Unhappy with the strict ways of his guardian, Rusty runs away from home to live with his Indian friends. Plunging for the first time into the dream-bright world of the bazaar, Hindu festivals and other aspects of Indian life, Rusty is enchanted, and is lost forever to the prim proprieties of the European community. Written when the author was himself seventeen, this moving story of love and friendship, with a new introduction and illustrations will be enjoyed by a whole new generation of readers.

‘Who Stole Bhaiya’s Smile?’ by Sanjana Kapur

Bhaiya does not feel like playing these days. Could it be because of his new monster friend Dukduk, who is always hanging around him. No one in the family takes Bhaiya seriously. But Chiru knows there is more than what meets the eye. A story about the lingering effects of depression. The book is illustrated by Sunaina Coelho.

‘Hearts Do Matters’ by Anita Myers

What the world needs now in these times is love. ‘Hearts Do Matter’ supports children and adults through the losses and grief in their life. It teaches us that even when loved ones cannot be with us, we can feel their presence in our hearts. The new release is a beautiful picture book about a little girl who has a very special relationship with her mother. Her mother promised she would always be with her, and she shows in the book that she kept her promise in the most loving way.

Source: IANS

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Yotta infrastructure to invest Rs 7,000 cr for data centre park in UP

Yotta infrastructure to invest Rs 7,000 cr for data centre park in UP

Mumbai, Oct 27 | Hiranandani Group subsidiary Yotta Infrastructure on Tuesday announced to invest Rs 7,000 crore to set up a 20-acre hyperscale data centre park in Greater Noida.

The company said it has received necessary approvals from the US government for the park that will house six interconnected data centre buildings offering 30,000 racks capacity and 200MW of power.

The construction for the first building will commence in December.

“Yotta’s vision to support the Digital India initiative just received a big boost with the inclusion of our northern India campus that will enable us to address India’s growing need for data sovereignty,” said Dr Niranjan Hiranandani, Co-founder and Managing Director of the Hiranandani Group.

In July, Yotta launched the world’s 2nd largest tier IV data centre in its Navi Mumbai Datacenter park.

The company has also inked an MoU with the Tamil Nadu government to set up a campus in Chennai at an investment of Rs 4,000 crore.

“We expect our NCR campus to be operational with the first building before July 2022.

“It was a very natural choice for us to look at NCR to set up our third facility after Navi Mumbai and Chennai, given the growing needs of enterprises and intentions of hyperscale cloud service providers for expanding their availability zones in this region,”: said Sunil Gupta, Co-founder and CEO of Yotta Infrastructure.

Yotta is a managed data centre service provider that designs, builds, and operates large-scale hyperdensity Data Center Parks in Navi Mumbai, Chennai and Delhi.

Source: IANS