Pathological Hazard! Patient wakes up at Post-Mortem

Medic-ALL (10:13:2015) via AFP

A homeless Indian man who had been pronounced dead woke up on an autopsy table, shocking hospital staff who were about to begin a post-mortem, authorities said Tuesday.

Police in Mumbai said they found the man, who has not been named, unconscious and suffering from multiple infections on Sunday morning and took him to the local hospital.

A doctor at the Lokmanya Tilak Municipal General Hospital certified the man as dead and sent the body for autopsy, Ashok Dudhe, Mumbai Police deputy commissioner told AFP.

"As the autopsy was about to begin, the man awoke triggering chaos after which the doctors rushed to the room. Then they snatched the death certificate from my staff and tore it up," Dudhe said.

The Dean of the Hospital,  Dr Suleman Merchant said the police forced the error by asking doctors to examine the man on the road outside the hospital, because they were busy with security arrangements for a visit by Prime Minister Narendra Modi.
"They forced my doctor to examine the patient on the roadside as they wanted to rush back to the prime minister's security duty," Merchant said.

"Had the police allowed my staff to take the man indoors, they might have been able to do a better job," he said.
The man is being treated in the hospital for severe malnutrition, suspected alcoholism and substance abuse, Merchant said.
"He is delirious still and we are trying to stabilise him. Let's hope the damage from his past can be tackled," the dean said.
Police officer Dudhe called the suggestion police were responsible for the mix-up "ridiculous" and said the hospital was "trying to cover up their negligence".

The police have finished an internal enquiry into the incident and a report has been sent to the commissioner's office, he added.

Mumbai's police are regularly faced with unclaimed dead bodies and media reports have suggested mortuaries are running out of space to hold the corpses.

Source:AFP 

Medic-ALL.Inc 2015!

POLIO; The "PAN' and the "PAIN

Medic-ALL (09:01:2015) DISEASES

Just a few years ago “P-A-I-N’ was the acronym popularly used among medical students to recall the countries where Polio was endemic, but that changed a couple of years ago when the “I” which referred to the nation with the 2^nd largest population in the world, India, left the likes of Pakistan, Afghanistan and Nigeria (P-A-N) on the list of countries that have never stopped Polio.

                              Nigeria aims to follow in the footsteps of India through increased government 

                              commitment and stakeholders support. Source: Global Polio Eradication Initiative website

It had been a much-anticipated moment as the World Health Organization notified the national authorities in India on 25 February 2012 that the country was officially removed from the list of countries with active transmission of endemic polio. This came weeks after India marked 12 months in which no Indian child had been paralyzed by polio. India has not seen a case since a 2-year-old girl in the state of West Bengal developed paralysis on 13 January 2011.

It is interesting to note that, as recent as 2009, India had the highest burden of polio cases in the world (741), more than the three other endemic countries combined. But the government resorted to extraordinary measures to reach children with the vaccine so much that the Polio eradication efforts became a most widely-recognized brand in India, with a Bollywood megastar as its public face.

Polio remains endemic in three countries – Afghanistan, Nigeria and Pakistan. Until poliovirus transmission is interrupted in these countries, all countries remain at risk of importation of polio, especially vulnerable countries.......CONTINUE READING HERE

Medic-ALL. Inc 2015

India Performs First Fetal Heart Surgery!

Medic-ALL (01:11:2014)

A team of 12 specialists  led by K. Nageshwar Rao, chief pediatric cardiologist at  Care Hospital in Hyderabad performed India’s first successful fetal heart surgery. The baby in the womb of a 25-year old Sirisha was diagnosed with  severe aortic valve obstruction that was causing failure of blood supply sue to interrupted pumping of left ventricle. It was also resulting in further damage in the form of leakage of mitral valve and shrinkage of left sided heart chambers.

The surgery was performed in the 27th week of pregnancy after a failed attempt at 26 weeks due to unfavourable fetal positioning. The blockage according to Dr. Rao , is said to have been reduced from 99percent to 60percent which is sufficient to allow normal development of the left ventricle.Further surgery such as balloon dilatation may however be carried out after birth.

The history of fetal heart surgery dates back to April 1981, when the  first human open fetal heart surgery was carried out in the University of California , San Francisco under the direction of Dr Michael Harrison following extensive research with animal models by him and his research colleagues.

Ref: The Healthsite

         Iseeindia website

          Wikipedia