Dr. Aravindan Selvaraj, MBBS, MS Ortho, D Ortho (London), FRCS (Ireland), FRCS Ortho (UK/Ireland) Executive Director & Chief Orthopaedic Surgeon
CT Robot Guided Interventions @ Kauvery Hospital
Dr. Iyappan Ponnuswamy MD, FRCR, Chief Radiologist
We are happy to announce the installation of a new CT guided robot in our hospital. CT guided robotic positioning system helps in fast and accurate tumor targeting and tool placement for interventions like biopsy, FNAC, pain management, drainage and tumor ablation.
It can be used for targeting and tool placement in deep seated lesions requiring orbital or crano-caudal angulation or a combination of both. It helps to reduce the number of needle punctures, check scans, procedure time, patient pain and radiation exposure.
Advantages of Robot Guided Procedures:
• Precision for small sized lesions
• Time saving
• Reduction in radiation exposure
• Better patient compliance since procedures can be done in different positions
• Reduced number of passes during biopsy
• Low risk of non target biopsies
• Low complication rate
• Pain interventions like facet joint injection, selective nerve root block.
• Image guided biopsy of Liver, Kidney, Pancreas, Vertebra, Retroperitoneal nodes
• Image guided FNAC
• RF Ablation for Liver, Lung, Renal Cancer and osteiod osteoma of bone
• Alcohol Ablation like celiac plexus ablation
• Drainage Procedures like deep seated intra abdominal abscess drainage
• Fiducial Marker placement for radiotherapy
Ask The Doctor
Doctor, how does diabetes affect my kidneys and what are the consequences?
When a diabetic patient has raised blood glucose (sugar) levels, it causes certain chemicals in the kidneys to also rise. Consequently, this causes the glomeruli (filtering mechanism) in your kidney(s), to leak. Albumin, a necessary requirement for your body to stay healthy, leaks into the urine. The high blood sugar levels can also cause the protein present in the glomeruli to bond together. The linking of the proteins triggers a process known as ‘scarring’, which is also called glomerulosclerosis.
With time, as the scarring tissue increases, it progressively replaces the healthy kidney tissue causing the kidneys to become dysfunctional. The kidneys become less able to filter the toxic wastes and extra fluids from the blood, and gradually fail, resulting in an end-stage-kidney failure.
The first indication that you have developed diabetic kidney disease is when the albumin that has leaked into your urine is between 30 to 300mg / day. If left untreated, the microalbuminuria could develop into proteinuria. Proteinuria is the stage, where the albumin leak into the urine is beyond 300mg and is irreversible. It is also an indication the kidney has reached the end-stage and that it is failing.
Swelling in parts of the body like your hands, feet, ankles or face and the large amount of protein leak in your urine are the first symptoms to look for.
Doctor, what does hypoglycemia mean and why should I be cautious?
Hypoglycemia is when the sugar levels in your blood are low and there is not enough sugar for your body to burn as energy.
Some of the symptoms you may experience could be any of these or a combination of them.
Disoriented or confused
Palpitations and / or racing pulse
Trembling or feeling shaky
Skin develops a pallor
If left untreated you could experience any one of the following conditions or a combination of them.
A numbness in your mouth and tongue
Unable to concentrate
Have bad dreams or nightmares
Become comatose / unconscious
It can happen for several reasons, such as, your diet, the amount of exercise or activity you have had or because of the medications you take. Generally, when the blood sugar level drops to around 70 mg / dl, you will feel the symptoms of hypoglycemia. When the symptoms occur, it is important to note the time at which it occurs, what you ate, what activities you did that day and the amount of medication you took. It is also important to consult your doctor, so that your doctor can adjust your medication or tweak the amount of activity or direct you to a nutritionist, who can help you with the right diet.
Reversal of Unstable Angina
A 40 year old male patient was diagnosed with “Unstable Angina”, several years ago.
The patient visited his doctor, complaining of the following symptoms:
1. Discomfort and crushing pain in the chest while at rest in the night.
2. The pain continued to be there for quite some time and did not go away.
3. He was sweating with some dizziness.
The tests that were conducted to diagnose his problem were:
1. A blood test which showed raised triglyceride level.
2. An X-ray, electrocardiogram (ECG) and echocardiogram were also performed to confirm the initial diagnosis of unstable angina.
What is Unstable Angina?
Angina is associated with coronary heart disease (narrowing of the coronary arteries due to arteriosclerosis) and is of 3 types– Stable, Unstable and Variant. The classic symptom of this disease is chest pain which is crushing or squeezing in character. This occurs because of a decrease of blood supply to the heart when the heart has a demand for an increased supply of oxygen.
Unstable angina is dangerous and requires to be immediately evaluated and treated. It is sometimes a precursor to a heart attack. With unstable angina, a heart attack can occur at any time, even when at rest. The attack can last for 30 minutes.
The patient was prescribed an oral medication to be taken 3 times a day and with time it was reduced to once a day, to be taken only at night.
Reversal of Unstable Angina
17 years later the attending physician who was evaluating the patient’s progress saw the test reports (blood tests, ECG, Echo) and was amazed to see that the patient’s coronary heart disease, had been completely reversed.
What helped reverse the Condition?
1. In addition to the single medication prescribed by the doctor, the patient was advised to change his lifestyle.
2. The lifestyle changes suggested were, avoiding stress, staying mentally relaxed and calm, eating a fat free nutritious diet and doing moderate exercise.
3. The patient adopted a strict vegetarian diet, began Yoga (breathing exercises and meditation) and walked for an hour, every day. He meticulously practiced this without fail.
4. He also made it a point to go for regular check-ups.
Today, the patient still maintains his strict regime, does not take any medication for his heart and his heart and circulatory system are in perfect health.
EVENTS OF THE PAST MONTH
Multi Speciality Camp for General Public in Tondiarpet on 24th May 2015.
Total Attendees - 300
Dr. Sabeeha - Gynaec
Dr. Vadivel Kumaran - Gastro
Dr. Thamaraiselvan - DMO
Free Cardiology Camp was organized by Tamil Nadu Thowheed Jamath in Nagore on 24th May 2015. Dr. Prem Sekar, Senior Paediatric Interventional Cardiologist and Dr. Naveen - Duty Medical Officer helped conduct free checkup for 120 people.
Free Ortho and Cardiac camp was conducted by Dr. Manivannan (Sr. Orthopaedic Surgeon) and Dr. Damodharan (Sr. Interventional Cardiologist) in Koothanallur Village, Tiruvarur District on the 17th of May 2015. Tamil Nadu Tauheed Jamaat organized the camp for the public and 170 people participated.
Paediatric Echocardiography Training ~Accelerate the learning curve-an exclusive training programme in Paediatric Echocardiography was conducted in Kauvery Hospital for 3 days by Dr.Prem Sekar MRCPI(PEDIATRICS),FRCPS(Glasgow) Interventional Paediatric Cardiologist, Dr.Prashanth Shah MS, DNB(CTVS) Sr Paediatric Cardiothoracic Surgeon-16 Peaditric Doctors from all over Tamil Nadu participated.
Kauvery Hospital celebrated Nurses Day on 12th May 2015. Nursing is such a noble profession and nurses strive to achieve the best quality of life for their patients regardless of their disease or disability.
Florence Nightingale, possibly the most influential figure in modern nursing, defined nursing in 1860 as "the act of utilizing the environment of the patient to assist him in his recovery".
Cardiac Screening Camp Monday, 15th June 2015 At Mandaveli on June 15th, a cardiac screening camp will be conducted for the MTC employees for 150 members.
Cardiac Screening Camp Friday, 26th June 2015
Dr. DARWIN'S surgical speciality clinic along with Kauvery Hospital will be conducting a cardiac screening camp for the public at Periyar Nagar.
Grand Opening of Ortho Geriatrics Department Friday, 26th June 2015 at 6.30 pm
Kauvery Hospital is launching an unique department called the “Department of Ortho Geriatrics". This is the age of vast medical advancement, an age where we live longer and healthier lives. Yet, aging brings with it several cardiac and neurological problems, as also orthopaedic issues like osteoporosis and osteoarthritis. Kauvery Hospital takes great satisfaction/pride in launching the Department of Orthogeriatrics, a well-established concept in the western world, but the first of its kind in India. Headed by our senior orthopaedician and geriatrician, this initiative is dedicated to providing comprehensive orthopaedic care for senior citizens.
The Orthogeriatric services would focus on the aging population and their risk of fractures and falls, coupled with other complexities.
The launch will be held at Dhakshinamoorthy Hall , P.S Matriculation School, Mylapore, Chennai. The launch will be followed by a Musical event called Fire and Ash.
A selfie competetion for senior citizens will be conducted and two best pictures will be awarded "Sweet 60 Health Card" worth Rs.5999/- each.
Patient's Story: My heart beats again!
On Tuesday the 19th May around 6 p.m. while walking in the building premises, I developed a severe and unbearable chest pain and was also profusely sweating - all symptoms matching a massive heart attack. Having heard about the high standards of Kauvery Hospital, my people rushed me to your hospital unmindful of the distance that we have to commute from Thiruvanmiyur to Luz Church Road that too in the evening peak traffic. I am told that we reached Kauvery Hospital by 7 p.m. just in time. Meantime, our relations who stay in the close proximity and are regular visitors to your hospital had already completed the admission formalities. Within seconds of arrival the Emergency Unit started working on a war footing and I am told within a couple of hours the operation was complete after going through all processes in the most advanced scientific method and precision accuracy, I heard a voice that said don't worry, operation has been successfully performed, heart function is normal and you will be back to normal soon. Thus I am gifted with a fresh lease of life or if you call it a second life thanks to Kauvery Hospital.
I am thoroughly impressed with the facilities and services at the hospital. The staff are some of the friendliest, most qualified people that I have ever encountered in any life. Everyone knew what needed to be done, at what time and did it with a smile and compassion. Any questions were answered quickly and with a friendly disposition. The space afforded in the CCU is magnificent. It is clean and well appointed, giving the center the best ability to serve their patients as efficiently as possible. I was incredibly impressed how the nurses and doctors are able to see so many patients without anyone feeling rushed or crowded. It is a true saying that a patient finds 50 % relief when the doctors and staff talk sweetly and in a reassuring manner. In closing, I would like to thank Kauvery Hospital Management and all professionals for treating with high reverence. And the grand finale was the Director Dr Aravindan Selvaraj himself visiting me and enquiring before getting discharged on Saturday the 23rd May! The hospitality was such that I felt as though I was checking out of a 5 star hotel - not from a hospital. Just before leaving I was given a feedback form to be filled which I completed and gave. In the form I thought there is scope to incorporate one more column (1st column) for rating "EXCELLENT" .
It is absolutely evident that your Management is not money oriented but patient concerned. Really magnanimous. I was not asked for any initial deposit or progressive payments. The bill settlement was made as the last formality at the time of discharge. HOW MANY HOSPITALS follow this kind attitude towards patience? On the contrary some of the hospitals talk in terms of advance payment before admitting even when a critical case is fighting for life. May the Great name of Kauvery Hospital spread globally.
A HUMBLE SUGGESTION
I understand Kauvery chain has many hospitals in Trichy apart from the one in Luz Church road. Why not explore the possibility of setting up 1 more in South Chennai?
And the following suggestion may look silly; but the patients will remember life long. At the time of discharge, a good number of left out tablets are handed over to be continued as per prescription. In order to ensure that the patients would not miss or skip any drugs it would be a nice gesture from the Hospital if a weekly planner plastic pills box is given. You may gift or load the cost in your bills and can have Kauvery Hospital logo embossed on it.
With all best wishes
(your patient recovering from treatment)
"Doctors services are really appreciable and adorable. Room services by Nurses are appreciable."
"My mother was admitted in emergency. Excellent care by the team of Doctors. My sincere thanks to Dr.K.P.S sir and his team ofcourse the entire hospital staff.Thank you so much Kauvery Hospital."
"Efficient handling of patients and timely help from the Doctors and Nurses."
"We are impressed with the team of Doctors and Nurses."
"More than the Expectation very good services, Nice Consultations. No doubts to recommend to others." - SA
"Very good experience to be in hospital.Felt peaceful like home.The days went very smoothly without any fear." - SA
"Good care taken by the Nurses especially Renuka,kasthuri.The dress code looks very pleasant for the appearance. Duty Doctor and other Doctor’s took care excellently so that we got lot of confidence." - AI
"It was good service. The Doctors and Nurses especially Mrs.Ellen took care very nicely." - HA
"Good attention given to me. Doctor’s treatment is good." - SS
"The staffs were very supportive. Thanks to all Doctors." - RT
"We are satisfied with all the hospitality. Doctor’s care is expectional." - SM
"Hospital is neat and tidy, Staffs are very caring and smiling. Pain management is ok. On the whole it wasn’t a painful experience but a pleasant one."
"We are very much thankful to the entire team of the hospital (Doctors,Nurses and billing staff) for the excellent services offered."
"Overall very good hospital. Very courteous nurses and staff. Prompt ambulance services." - NS
Foxtail Millet Vegetable Pulao
Millets are a great source of protein, fibre, calcium, Iron including minerals copper, manganese, phosphorus and magnesium. Foxtail Millet keeps the body strong and immune, and controls cholesterol and blood sugar levels.
Prep time - 30 minutes; Serves - 2
• Foxtail Millet (Tinai)- 1 cup
• Onion – 1 (medium size)
• Tomato – 1 (medium size)
• Mixed Vegetables – ¾ cup (Peas, potatoes, broccoli or cauliflower, carrots, corn, green beans, lima beans)
• Ginger Paste – ¼ tsp
• Garlic Paste – ½ tsp
• Cloves – 3 – 4
• Cinnamon sticks – 3 – 4 (small pieces)
• Cardamom – 2 – 3 (optional)
• Bay leaves – 1 (optional)
• Turmeric Powder – a pinch
• Red Chili Powder – ¼ tsp
• MTR Pulao Powder – ½ tsp or depending on spice level required
• Refined Oil (Saffola, Sunflower, etc) – 1 ½ tablespoons (If preferred Ghee can be substituted – 1 tsp)
• Salt to taste
• Water – 2 ½ cups
Fresh, finely, chopped Coriander leaves – ½ cup
1. Dice the onion finely.
2. Chop the tomato into small pieces.
3. Cut all the vegetables into small pieces (potatoes, cauliflower / broccoli, carrots, green beans).
4. Corn (use either baby corn or extract the corn from the cob – ¼ cup).
5. Add oil or ghee to a shallow wok or karai, heat on low flame.
6. Add the cinnamon pieces, cloves, cardamom and bay leaves and sauté lightly till the aroma tickles your
sense of smell.
7. Add the diced onions and sauté until it turns pink or becomes transparent.
8. Next add the chopped tomatoes and stir till all the tomato is completely mashed up.
9. Add the vegetables and sauté for 5 minutes.
10. Add the ginger, garlic paste and stir for another 3-4 minutes.
11. Add the turmeric powder, chili powder, MTR Pulao Mix powder, and salt to taste. Stir and coat the
12. Wash and add the Foxtail Millet (tinai). Stir and mix in the vegetables.
13. Add water, stir and transfer to a rice cooker to cook (if using a pressure cooker, allow the pressure to hiss for exactly 4 minutes, before switching off the stove).
14. Garnish with chopped coriander leaves.
(Serve hot with Cucumber, onion, coconut curd pachadi or just plain curd)
Kauvery Hospital | No.199, Luz Church Road, Mylapore, Chennai 600 004