DNA

Parag Dhurke

About 75 per cent of Mumbaikars lack Vitamin D

About 75 per cent of Mumbaikars lack Vitamin D
Nikita , CNN-

Mumbai: There's no shortage of sunlight in the country and yet 75 per cent of Mumbaikars surveyed have a severe deficiency of the sunshine vitamin, Vitamin D, which our bodies produce naturally, when exposed to sunlight.

Dr Vimla Puri, Head of Dept of Lab Medicine, Hinduja Hospital said, "Its is an underlying epidemic which is very alarming, and these are the elite group of people who come to Hinduja hospital. I cant imagine what levels would be in the rural population."

It's not just this survey of 1100 Mumbaikars by PD Hinduja hospital. Studies by the Arthritis Foundation of India have found that an average of 70 per cent of urban Indians have a Vitamin D deficiency.

Many of us work in air-conditioned offices, go back to air conditioned homes and commute in air-conditioned cars. Think of it, in a sunny country like ours, we don't spend more than 30 sunscreen-free minutes in the sun.

Sunscreen may protect against harmful UV rays, but doctors say it can also block elements the body needs to produce vitamin D.

Dr Kaushal Malhan, Ortho Fortis said, "We are sitting in the sunlight today, we are getting a lot of Vitamin D, but to get adequate benefits of sunlight I need to have at least 15 per cent of my body exposed to sunlight. So if I am all covered with clothes even if they are cotton clothes the sunlight will not work. If I am sitting in a room with glass all around and even if the sunlight is coming all through the glass it will not work."

There is no substitute for a regular dose of sunlight with the lack of vitamin D being linked to bone disorders, diabetes and some cancers.

http://ibnlive.in.com/news/about-75-per-cent-of-mumbaikars-lack-vitamin-d/149602-17.html

MRI fails to support Kalmadi's dementia claim
New Delhi: The MRI report for Suresh Kalmadi, which was done at Delhi's LNJP Hospital, does not suggest that he is suffering from dementia. CNN-IBN has accessed the MRI report that claims that the former Commonwealth Games Organising Committee chief is suffering from 'diffused cerebral atrophy' instead.
According to the MRI report, the problem of Kalmadi has been diagnosed as 'diffused cerebral and cerebellar atrophy with old ischemic changes in brain parenchyma with calcified granuloma in caudothalmic groove on left side'.
But does that mean Suresh Kalmadi is suffering from dementia?
"The diagnosis of dementia is not just based on one report, but by putting in multiple reports. The clinical report of the patient, the blood work, may be sometimes the imaging report, psychological evaluation - all of these need to be combined and then we can say if the person has dementia," said Fortis Hospital, Neurologist Dr Girish Nair.
The report will be sent to the All India Institute of Medical Sciences (AIIMS) for a second opinion.
Tihar Jail authorities had earlier told newspapers that Kalmadi is suffering from dementia, a condition that leads to loss of brain function, and referred him to AIIMS.
"We are going by what Mr Kalmadi has stated. He complained of dizziness, so he was referred. We will be consulting the neurosurgeon at AIIMS and we will follow whatever course of action they recommend. The court had asked for a copy of his medical report and we have submitted it," said Tihar Jail PRO Sunil Gupta.
AIIMS doctors whom CNN-IBN has spoken to have said that it is not yet possible to identify Kalmadi's condition as dementia - the report indicates there are slight changes in the brain in less in volume but can be very normal.
The question arises now is - how will this report impact the trial in the CWG corruption cases? And more importantly, is this a ploy being used by Kalmadi to ensure that the judicial system goes soft on him?
"To prove mental incapacity to the point of saying that he was suffering from insanity and therefore not committed a crime, I don't think that is even suggested," said advocate Harish Salve.
Suresh Kalmadi's medical report that has been prepared by Delhi's LNJP hospital will now be sent to AIIMS. The report is going to be submitted to the court this week itself. The content of the final report prepared by the AIIMS will decide the way forward in the CWG trial.

http://ibnlive.in.com/news/mri-fails-to-support-kalmadis-dementia-claim/170541-3.html

Source - CNNIBN

With 5 times failed hip, Iraqi teacher gets stands uptall again post a successful revision surgery

With 5 times failed hip, Iraqi teacher gets stands uptall again post a successful revision surgery”

~Deniedof medical support abroad, Iraqi woman finds India for clinical excellence~

Setting yet another milestone in orthopedic surgery, DrSachin Bhonsle performed a complicated hip replacement revision surgery on a52 year old Iraqi lady who had undergone 6 failed hip surgeries before.

Dr Sachin Bhonsle, Consultant Orthopedic Surgeontook up a challenge to perform the 6th followed by 7th revisionputting the patient back on her feet. Sixth is a preparatory for the final revision(7th surgery).

Patient Ms Nadia, a teacher from Baghdadhad a childhood injury to her right hip which damaged the joint progressivelytill it developed arthritis. When shewas 40 years of age she decided to opt for a total hip replacement which wasperformed in her own country. The surgery did not yield good results and herjoint soon dislocated. She had to undergo second surgery to revise the socket.This surgery gave her benefit but only for two years.


In 2002 the hip developed problems onceagain and she had to have a revision surgery for the third time. This failedagain after three years.

In 2005 a fourth surgery was performed tochange the entire hip joint. She got a good pain relief after this surgery.This hip joint had loosened out by 2010 when a fifth surgery was performed tochange the joint surfaces. She did not get any benefit from this surgery.

Reasons for failure:-

Unstable joint replacement and poor soft tissue balance
Early wear and tear because off poor alignment
Loosening because of inadequate fixation in bone and suboptimal cementing
Extensive soft tissue scarring and inexistent muscles because of repeated operation in same place

Meanwhile destiny gave her a sixth chance,having suffered for so long Ms Nadia mustered the courage to rectify herproblem and decided to come down to India and get operated upon her hip onceagain.

Dr Sachin Bhonsle says “This case is a fineexample of a very complicated hip replacement operation as Nadia had undergone severalhip replacements before and those operations were failures. Bone had becomebrittle due to intense scarring and there was a major possibility of fracture.Nerve damage was possible during approaching such hips because of nerveentrapment in severe scarring. Her poorly controlled diabetes proved a furtherchallenge.”

Dr Bhonsle had to first perform the surgery(6th) to remove all the implants, bone cement and clean up the infection. Heperformed the final revision surgery (7th surgery) during 1st week of July.

“I opened up the wound and thoroughlycleaned it again. I first prepared her socket (used a cement less socket of amodern design which can last for many years) and put some bone grafts in thedepth. Then i went on to prepare the femur which proved a huge challenge. Therewere many holes and breaks in the femur. I had to use a titanium stem of greatlength to span breaks in the bone. In addition i had to strengthen the boneusing- bone grafts, titanium mesh, plates and screws. It took almost 7 hours tocomplete the procedure with satisfaction.” adds Dr Bhonsle.

The surgery was successful with anuneventful recovery and Nadia was able to walk within 48 hours of surgery. Dr.Bhonsle is very optimistic that the patient will lead a normal life and willnot require another revision in her lifetime.

“Having undergone 5 surgeries before,doctors abroad told me that a sixth correction could never be performed on myhip. I thought that I will have to lead a challenged life for the rest of the years.But like the saying goes every cloud has a silver lining! I too got hope after 12years of suffering from Dr Bhonsle who took up the challenge and cured me. AllI want to say is there is a solution to every problem, only thing is we need tohunt out for the opportunity and everything else falls in place”, says Nadiawith a comforting smile on her face.