TEAM OCHRI successfully treats 28-year-old male nurse with 6 system involvement
Patient’s unflinching faith on treating team helped him heal
A 28 years old male nurse by profession was admitted to Orange City Hospital & Research Institute 2 months back with c/o fever, headache and piles since 3 days with K/o Sickle cell disease. He was admitted under care of Dr. Rajesh Atal, Sr. Critical Care Physician, OCHRI. His initial investigations were suggestive of anemia and negative for malarial parasite. Inspite of antibiotics for 3-4 days, his fever and headache not subside. So Dr. Rajesh Atal advised CSF study, which was suggestive of Herpatise Encephalopathy. Dr. Vasant Dangra- Neurologist’s opinion was also sought and accordingly treatment was started. But in the meantime he started to have weakness in both lower limbs, gradually leading to paraparesis. Accordingly, physiotherapy and treatment protocol started and he was showing improvement.
He then started having loose motions and abdominal distension with fever, accordingly sigmoidoscopy was done which suggested Ulcerative proctosigmoiditis? Infective. Accordingly, treatment protocol was modified. After 10 days repeat sigmoidoscopy was done suggestive of Severe colitis. Hence diversion Ileostomy surgery was done to which he responded well and gradually fever and loose motions decreased. He was discharged on 01.06.2018 in stable condition with recovering paraplegia.
His provisional diagnosis was Sickle Cell Disease with Paraplegia (Recovering) with Urinary Retention with Necrotizing Colitis with Diversion Ileostomy with Gr II Internal Hemorrhoids with Herpatise Encephalomyelitis with related complications.
During the course of hospitalization; Dr. Nikhil Balankhe- Senior Physician, Dr. Sudhir Tomey & Dr. Yogesh Bang- Surgical Gastroenterologists, Dr. Vasant Dangra- Neurologist, and Dr. Samir Patil- Gastroenterologist also rendered their valuable services. Dr.Milind Pande- Pathologist, Dr.Nishikant Lokhande & Dr. Rima Saoji- Radiologists rendered diagnostic support while full time round the clock stationed Intensivist team consisting of Dr.Ashish Shukla, Dr.Roshan Jawdekar, Dr. Santosh Gadge, Dr. Shivam Puniyani and Dr. Akshay Burlawar provided critical care support while Dr. Anit Prakash, SMO I/c Wards, , Smt. Sindhu Rao, Smt. Kavita Gotphode Smt. Rosamma and Smt. Nisha Ashok led medical, nursing & paramedical team in ICU, wards and Operation theatre. Dr. Atul Dekate led the physiotherapy team for comprehensive physiotherapy.
This clinical stormy course highlights how complicated diseases wreaks havoc in body and medical team tries their level best to reach to a diagnosis and manage complications. Nowadays hospitals and doctors are wary of treating such patients as relatives start having doubts and create unwanted allegations and drag the name of hospital and doctors into unnecessary cases and complaints spoiling the peace of mind and goodwill occasionally even assault hospital personnel.
On this occasion Dr. Rajesh Atal stated that since this patient was himself a male nurse and thus understood the rational scientific explanations and roller coaster course of disease which affected his 4-5 organs. He stated that any physician can comprehend the complicated disease profile after perusing the cited diagnosis which affected more than 6 organ systems in body. He added that it is only because of relative’s utmost patience and unflinching faith in Orange City Hospital & Research Institute and its treating doctors; this patient was successfully treated and discharged after a prolonged 2 month stay. The relatives thanked TEAM OCHRI for the care and concern.
TEAM OCHRI conducts Free Diabetes Camp in Ballarpur
Diabetes Mellitus is a disease which can affect almost every organ system in the body, including brain, heart, kidneys, eyes, nervous system, skin and soft tissues. If uncontrolled, diabetes can lead to stroke, heart attack, kidney failure, blindness, chronic pain and amputations. -This was message given by Dr. Vina Bang to all citizens who came to attend the Diabetes Camp recently organised by Orange City Hospital & Research Institute at Ballarpur under aegis of Shivani Mahila Mandal, Ballarpur Area Welfare committee & Ballarpur Area Hospital- Western Coalfields Limited.
OCHRI which has the distinction of being ranked 1st best hospital in Nagpur City as per The Week-Nielsen National survey 2017 and ranked 1st in NMC Zonal hygiene survey 2018 pursues its social objectives with a missionary zeal.
Recently a public awareness lecture and free camp was organised in Ballarpur wherein all patients were examined and their blood sugar and HB1Ac were checked. Dr. Vina Bang, Physician, Diabetologist & Geriatric Medicine Specialist, Shri.Rajan Thakur, Sr. Asmita and Shri.Ramakrisha from OCHRI contributed their services for this camp.
Dr. Pramod Meshram, Chief of Medical services and AMO Incharge, Dr. Lata Meshram, Deputy MS, Dr. Rawale Reddy, Dr. Kishore, Dr. Pawan Kumar, Dr. Mrs.Rajitha and Sr. Ancy from Ballarpur WCL Area Hospital along with all members of Shivani Mahila Mandal led by Smt.Singh and Smt.Reddy worked hard for success of this camp.
Highlighting the need to sensitize public about the ramifications of Diabetes; Dr. Anup Marar- OCHRI Director quotes David Suzuki who had stated that “The medical literature tells us that the most effective ways to reduce the risk of heart disease, cancer, stroke, diabetes, Alzheimer’s, and many more problems are through healthy diet and exercise. Our bodies have evolved to move, yet we now use the energy in oil instead of muscles to do our work. “He added that worldwide the incidence of diabetes has increased proportionately with the per capita consumption of sugar.
Civil Judge, Nagpur District Court
PP Swami Sadguru Sant
Swaminarayan Mandir, Nagpur
Presentation on VAC – NPWT
Technique held at OCHRI
NPWT promotes wound healing– Dr.Rewanwar
Recently, a clinical Presentation on “VAC – NPWT” was held at Orange City Hospital & Research Institute as part of Continual Medical Education and to make medical staff aware about care of wound. Dr. Darshan Rewanwar– OCHRI Plastic Surgeon delivered an interactive presentation on this topic. Procedure of using VAC Machine was also demonstrated by him.
At the outset Dr. Deepak Dongre- OCHRI SMO I/c Academics introduced the faculty and highlighted that, “OCHRI regularly organizes Clinical Meetings, Nursing Education programs, Seminars, Workshops and Case Presentations for Doctors and Nursing staff working in health care sector under the name and style of “SIDDHI”. This helps medical brethren to stay updated with the new information. Healthcare is constantly evolving field and hence such updates are necessary.”
On this occasion Dr. Darshan Rewanwar told that, “Negative-Pressure Wound Therapy (NPWT) is a therapeutic technique using a vacuum dressing to promote healing in acute or chronic wounds and enhance healing of second- and third-degree burns. The therapy involves the controlled application of sub-atmospheric pressure to the local wound environment, using a sealed wound dressing connected to a vacuum pump. The use of this technique in wound management in OCHRI increased dramatically in this decade. NPWT appears to be even useful for diabetic ulcers, Bed Sores and management of the open abdomen surgery.” Dr. Rewanwar further added that, “NPWT promotes wound healing by applying a vacuum through a special sealed dressing. The continued vacuum draws out fluid from the wound and increases blood flow to the area. The vacuum may be applied continuously or intermittently, depending on the type of wound being treated and the clinical objectives.”
Dr. Mohan Shendre, Dr. Anit Prakash, Dr. Noorul Amin, Dr. Usha Gawande, Ms. Jessy Abraham, Nursing I/c, Ms. Rahel Patrange, Ms. Shincy Jenson, Infection Control Nurses, Ms. Sindhu Rao, Ms. Nisha, Ms. Kumari Shaji, Ms. Savita Shende, Ms. Rosamma Raju, Ms. Sunita Patil, Ms. Preethi Joseph, Ms. Mary Chako, Ms. Kavita Bodile, Ms. Deepali Kawwal, WSS and large number of doctors and nursing staff were present on this occasion. Shri. Prashant Tichkule and Shri. Pankaj Wankhede worked hard for the success of this program.
It is added that OCHRI Plastic & Burns Surgery Division which has the distinction of being attached with Central India’s only Skin Bank caters to patients suffering from Burns, Bed sores and diabetic ulcers etc who are referred from various hospitals across central India.