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A 27-year-old pregnant woman from Mira Road, who tested positive for Covid-19, delivered a healthy baby girl at Wockhardt Hospitals. The newborn tested negative for the coronavirus and has been kept separate from her mother, who is in the isolation ward. “My team took special precautions to see that the baby girl does not come in contact with her mother, and the child was fed with special milk supplements,” said Dr Mangala Patil, obstetrician and gynaecologist at the hospital. After completing 39 weeks of pregnancy, as per the protocol, the woman got tested for Covid-19 on May 31, and on June 2 her results came back positive. She and her husband, who tested negative, were home quarantined since 26 May and were being provided food by their neighbours. “On June 3, the woman was admitted to the hospital and the baby was delivered through a Caesarean section,” said Dr Patil. “The baby’s Covid-19 test came back negative and within the next two days, the mother will be tested again. If the result turns out to be negative, then the mother and baby will be discharged,” she said. Source: https://www.hindustantimes.com/cities/baby-born-to-covid-positive-mother-in-mira-road-tests-negative/story-zf3XGqmXAf8Az7tZoTvtzI.html

In this lockdown time when everyone avoiding going out specially to hospitals. But some diseases really can not wait. Colon cancer is one such disease. 62 years male with DM , presented to emergency department of Wockhradt hospitals with severe abdominal pain and vommiting. On Immediate CT scan it was found to perforated Appendix with mass formation. Knowing this as surgical emergency, Dr Imran Shaikh ( consultant Surgical Gastro and GI Oncosurgery) patient was immediately taken to for laparoscopic surgery. Appendix was removed and all infection were drained. Patient recovered immediately in 3 days and discharged. After 7 days when his appendix Histopathology report came , it showed Mucinous type of cancer. It is extremely rare to have appendix cancer ( less than 1 %) and considering its type and acute presentation it is rarest rare case. There is no way this type of cancers diagnosed before and mostly they see on pathology report. That’s the exact reason we send all organ after surgery for testing so as to diagnose such rare scenarios. This patient has to underwent again bigger surgery which includes removal of Right half of colon and lymph node along with right paracolic peritoneum ( Surgery Name – Radical Right Hemicolectomy with Right paracolic peritonectomy). This time also patient recovered well and discharged after 7 days. This time his pathology reported to be early stage cancer with no residual disease. This is infact extremely rare case scenario of appendicular cancer presented as infection and managed well as per standard guidelines. It is important in cancer to give adequate and timely treatment so that results are better like our case.

In these challenging times when hospitals are focused in treating covid cases, other specialties are geared up in saving lives of patients with other medical illnesses at all costs. Against all odds ,with safety precautions and amidst a pandemic the medical fraternity using their clinical acumen and efficient team work are treating all types of medical and surgical cases. We would like to share some successful cases to highlight our care and services for the people. A 30 year old patient was diagnosed with acute aortic dissection. He developed chest pain and became unconscious . During the lockdown it was difficult to get medical treatment from any hospital. So patient was referred by a doctor from Boisar to Wockhardt Hospitals for further management. The patient was in a very critical condition when he arrived. He was promptly attended to by the emergency staff and was immediately shifted on ventilator  under all safety precautions in such unforeseen circumstances. It was very difficult to arrange all the disposables and expertise to save this patients life but the hospital ensured that all the necessary requirements were allocated for managing the patient. Under the expertise of Dr. Upendra Bhalerao Consultant Cardiovascular, Thoracic Surgeon and Dr. Chetan Bhambure, Consultant Cardiologist a life saving procedure was carried out. The patient underwent A COMPLEX supra major aortic surgery and a large part of his torn aorta and  aortic valve was replaced. The surgery was successful and got a second chance to live a quality life. Acute aortic dissection has a mortality rate of 60 -70 % at the best centres  the world. At Wockhardt  Hospital,Mira road the  patient  life was saved due to excellent team work by Cardiac surgeon, Cardiologist, Anaesthetist & Intensivist. Dr. Bhalerao emphasizes that “during a pandemic, emergency cardiac surgery in India will always remain a challenge. Emergency  surgeries needs to be done whatever is the effect of pandemic on the population & healthcare percusses.  Saving life is more important than considering the infectious status of these patients.” We appreciate and recognize the efforts of medical team for all the efforts for treating all our patients at the frontier. They are truly are our superheroes  in such critical times.

After her shift ends at 6 pm at KJ Somaiya Hospital in Sion, Mumbai, Mini enters her two-room home on the fifth floor of a seven-storey building in Kharghar, on the outskirts of Mumbai, some 30 km from the hospital, with tentative and cautious steps. As she ensures that she doesn’t touch anything, her 15-year-old daughter watches from a distance; her mother has told her that they cannot hug each other for some days. The 48-year-old nursing superintendent has set new rules in the house; she lives alone in a separate room and her routine has also changed. She doesn’t touch anything once she walks through the building gate; her husband is there to help, pressing the lift button to take her home. Mini straightaway heads for a shower and sanitises everything she carries from outside —her uniform, cap and scarf. “Initially it was difficult for us to cope with this new lifestyle, but we don’t have any other option. Not hugging my daughter after returning from work was hard to digest,” shrugs Mini, whose responsibilities at work include delegating nurses to Covid-19 patients and making sure that the 90 nurses in her team are taking all the precautions as suggested. KJ Somaiya is one of the many hospitals doubling up as isolation and quarantine centres for Covid-19 patients. At the time of writing, the hospital had over 20 patients who tested positive; one died because of coronavirus. Mini and her team have been at it for 15 days now. “Wearing personal protective equipment (PPE) and a mask for long hours is not easy. Plus it is getting hotter by the day. My team comes crying to me with dribbles of sweat trickling down their faces. I see the exhaustion and pain in their eyes.  But we don’t have an option. I keep giving them rotational shifts so that they’re not overloaded with work.” Mini has her own moments of despair, something that she has learnt to hide when she performs her duties. “The entire team approaches me when they face any trouble; if I start crying in front of them, where will they go? On one particular day I was so stressed that I couldn’t understand what to do… I called up my mom and cried my heart out,” she says. That happened during the initial days of the pandemic when Covid-19 patients were new to the hospital staff. “I have overcome all of it now and am getting stronger each day,” she adds. As the number of deaths, new cases and those testing positive for Covid-19 burgeon by the day in Mumbai, hospitals are buckling under the virus assault. In mid-April, Mumbai Mirror reported that at least 15 hospitals, including Saifee, Wockhardt and Bhatia in Mumbai, had shut down after health staff contracted the virus. Dr Jeenam Shah, a consultant pulmonologist who would practice at these three city hospitals, describes the tribulations of those at the frontline. “PPE is in shortage, so we have to use it judiciously. Working with the suit on and ensuring that you don’t touch your face is a task in itself,” he says.  What’s more, health workers point out that it becomes uncomfortable to move one’s face in the head mask that they have to wear. Those wearing spectacles have a bigger challenge when the glasses get foggy. “And, after wearing PPE, one cannot go to the washroom or eat; if you have to use the washroom, you have to discard everything,” adds Shah. Source: https://www.forbesindia.com/article/coronavirus/warriors-on-the-frontline/58929/1

Mumbai: In a life-saving procedure, doctors from Wockhardt Hospital, Mira Road, pulled out a 1.5-inch bottle cap from a 7-month-old baby’s throat. Baby Jeet (name changed) suddenly encountered breathlessness and choked after swallowing the foreign body (FB). Baby Jeet (name changed), a resident of Mira Road suddenly developed difficulty in breathing and choked. The baby cried haplessly. His parents panicked and immediately rushed him to a local doctor who referred the patient to Wockhardt Hospital, Mira Road. Dr Neepa Vellimuttam , ENT surgeon at Wockhardt Hospital, Mira Road, said, “The patient reached the emergency department, the baby’s CT Scan revealed that there was a foreign body (FB) lodged in the oropharynx (the part of the throat at the back of the mouth behind the oral cavity), and hypopharynx which is the bottom part of the pharynx (throat), occluding the airway.” The baby was immediately shifted to Paediatric Intensive Care Unit under Dr Ankit Gupta . After carrying out a few other tests, the baby was taken to the operation theatre where the baby underwent rigid bronchoscopy procedure. Foreign body aspiration is accidental and sudden with a high mortality rate. It is a life-threatening condition and needs timely intervention. Dr Neepa explained, “Rigid bronchoscopy is a procedure for removal of foreign body in an emergency situation. The rigid bronchoscope is also known as an open tube bronchoscope, open tube, straight bronchoscope, or ventilating bronchoscope, and is a rigid, straight, hollow metal tube that is available in several sizes. Through this traditional method, access to the patient’s airway was gained with the help of optical forceps and camera to pull out the object, and we were surprised to see a plastic bottle cap measuring 1.5 inch.” The procedure was performed under general anaesthesia and lasted for about 5 minutes. The baby was out of danger, shifted in the general ward, and discharged the next day. The baby has started accepting feeds now. “The baby choked and was crying continuously. We were clueless about the sudden change in his behaviour. Fortunately, the baby received a prompt treatment at Wockhardt Hospital. We thank the doctors for helping our baby breathe freely again. We are happy to see our baby pain-free.” Patient father Raman Kumar (name changed). Source: https://medicaldialogues.in/ent/cases/wockhardt-doctors-remove-15-inch-bottle-cap-stuck-in-an-infants-throat-63202

Novo Technique” a method developed by Dr Jayesh Sonje, Wockhardt Hospitals, Nashik, enables to perform successful Knee transplant in just 25 minutes with just a 15 cm incision. The surgery can be done on elderly patients who are suffering from severe joint pain. Arthritis increase with age and affects weight bearing joint Arthritis cause weakness in the bones .Elderly patient s are affected the post. The benefits of this surgery are seen in the young as well as old. Prior precautions are taken prior to the surgery. It also gives a sense of comfort other patient as the post-operative management is short and recovery is faster than regular surgery. Post- operative drugs given to the elderly for pain and infection is less causing fewer side effects to kidney and liver. The technique involves a smaller incision as compared to the conventional surgery therefore reducing blood loss and early healing. Dr Sonje said “It takes only 30 to 40 minutes for a surgery on one knee. It requires fewer instruments. Main Benefits of surgery:

An 18-year-old student from Ghana having a massive brain tumour successfully operated by Dr. Mazda Turel, Neuro Spine Surgeon, Wockhardt Hospitals, Mumbai Central. The patient underwent an extremely challenging cranioplasty surgery and excision of the tumour that lasted for 8 hours. He is able to walk, speak and balance himself, and will resume his studies soon. Life was beautiful until Jude Mensah, 18-year-old from Ghana was jolted out of his normal life as he suddenly encountered a headache and loss of speech, following a convulsion. He would also vomit occasionally, and ultimately got gradually paralyzed on this right side. On consulting various medicos in Ghana, it was revealed that Jude suffered from a benign brain tumour 2 years ago and his health was deteriorating as the tumour was gradually increasing in size. He was also losing vision due to raised intracranial pressure. But due to the complexity of the surgery, no one was willing to operate on him in Africa. That is when Jude’s brother’s Jonnathan decided to take the matter into his hands, and researched the hospitals across Europe and Asia. And that is how the family came to know about Wockhardt Hospitals, Mumbai Central. Dr. Mazda Turel, Neuro Spine Surgeon, Wockhardt Hospitals, Mumbai Central, said, ‘The patient underwent removal of the tumour via a very difficult operation. The tumour was extremely vascular and we lost around 2 litres of blood. The surgery lasted for about 8 hours, and we were able to remove the tumour completely. After the removal of the tumour, his normal fluid pathways were restored. Post-operatively, he recovered slowly and steadily.’ The patient was discharged 2 weeks later. A teary-eyed patient Jude Mensah stated, ‘Prior to the surgery, I wasn’t able to concentrate on my studies. I am perusing College and aspire to become successful in life. But, my brain tumour was an obstacle in my journey towards fulfilling my dream. And after I was paralyzed, my movements were completely restricted. I thank doctors at Wockhardt Hospitals for helping me get back on track. Now, I can walk without support, speak and balance myself. I am taking physiotherapy, and I am hoping to resume studies soon. I am sure that I will pass with flying colors.’ Big congratulations to Dr. Mazda Turel as well as Nursing and Technician team members of Wockhardt Hospitals, Mumbai Central who proved “Life wins’’. Source:https://m.dailyhunt.in/news/india/english/welthi-epaper-welthi/wockhardt+hospital+gives+a+fresh+lease+of+life+to+an+18+year+old+college+student+from+ghana+suffering+from+brain+tumour+and+was+also+losing+vision+too-newsid-163473326

Cardiac and Intensive care Team at Wockhardt Hospitals, Mira Road, successfully treated a businessman who collapsed on the road after having chest pain. He suffered from cardiac arrest during his course in hospital. The patient was given Cardio-Pulmonary Resuscitation (CPR) and cardiac massage for 10 minutes to revive him. A challenging coronary artery bypass surgery was performed timely, gave him a fresh lease of life. Life was smooth until, Mr. Dilip Shah, a 70-year-old businessman based in Bhayander felt acutely unwell while walking on road. He developed acute onset chest pain and suddenly collapsed on street on December 11, 2019, and was immediately rushed to the emergency department of Wockhardt Hospitals. On evaluation, it was revealed that he had complete heart block, low blood pressure, and ECG suggested that he suffered from a major heart attack. Dr. Chetan Bhambure, consultant cardiologist, Wockhardt Hospitals, Mira Road informed ‘The patient received emergency resuscitation and was subjected to angiography. His angiography revealed a 95% block in his left main coronary He was not a suitable candidate of coronary interventional procedures (angioplasty) due to the extensive nature of the disease. Dr. Bipin Jibhkate Consultant Intensivist briefed ‘After angiography, the patient was shifted to ICU where he suffered cardiac arrest, and required multiple cardiac emergency like cardiac massage and CPR, is a life-saving technique used in medical emergencies such as cardiac arrest. He regained the rhythm and Blood Pressure after 10 minutes of CPR. The patient was stabilized in ICU taken up for coronary artery bypass surgery to improve the blood supply to his heart. Dr. Upendra Bhalerao. Consultant cardiac surgeon, Wockhardt Hospitals, Mira Road said ‘A coronary artery bypass surgery was performed on Mr. Shah. The procedure was extremely high risk and challenging, due to the critical nature of the blockages and poor heart function. After a successful heart surgery the patient has resumed his daily life without any cardiac symptoms. I thank the doctors for helping me cheat death and my condition has 100% improved,’ concluded Patient Mr. Dilip Shah.

Successful Liver transplant surgery was performed on a 50 year old women from Mumbai. It is the 1st Liver Transplant Surgery at Wockhardt Superspeciality Hospital Nagpur. The liver transplant programme was inaugurated last month at Wockhardt Hopsitals, Nagpur. Wockhardt was informed about cadaver donor from Wardha on June 4th 2018. The Liver team from Wockhardt Hospitals went to Wardha on June 5th 2018 for donor surgery. With the help of city police ‘green corridor’ was created between Wardha and Nagpur and the team lead by Dr. Anurag Shrimal, Liver transplant Surgeon, Wockhardt Hospitals in Nagpur brought the organ(Liver) to Nagpur in a short span of one hour. Donor surgery lasted for 3 hours. Meanwhile recipient Liver team lead by Dr. Gaurav Gupta, Liver transplant Surgeon had started the recipient transplant surgery. This surgery started at 7pm on 5th June and lasted till 5 am on 6th June. Big congratulations to Dr. Anurag Shrimal and Dr. Gaurav Gupta, Wockhardt Hospitals, Nagpur and clinical team members who proved “Life wins’.

Push ‘Code White’ for seizures and strokesThe new medical protocol adopted by Wockhardt Hospitals in Mumbai Central for brain-related emergencies has already saved ten lives in the past one month | Lata.Mishra@timesgroup.comTWEETS @lata_MIRROR Two months ago, when 40-yearold Kuldeep Datey was brought to the emergency room at Wockhardt Hospitals in Mumbai, doctors immediately pushed the ‘Code White’ button. Within a minute, a team comprising a neurologist, a neuro-intensivist and a radiologist were by Datey’s side. They rushed him to the procedure room and within an hour a clot was removed. From not responding at all to talking to procedure room staff, the change in Datey was next to miraculous. If there had been a delay in deciding the line of treatment, he could have suffered a permanent stroke-related disability. Realising the inevitability of permanent disability and/or death arising out of brainrelated medical problems, Wockhardt Hospitals is the first in India to start “brain resuscitation” services in the first critical hour of medical emergencies. A common practice across the world, the Emergency Neurological Life Support (ENLS) protocol is still a new subject in India. Giving it the importance it deserves, Dr Shirish Hastak, Director, Neurology and Stroke Services at Wockhardt, came up with the ‘Code White’ emergency measure. What is Code White? Started at Wockhardt six months ago, ‘Code White’ is a metaphoric alert button pushed by a team of five doctors and 16 nurses in the hospital’s emergency section. Trained to identify neurological emergencies, the moment they initiate ‘Code White’, a brain resuscitation team reaches the emergency room within 5 minutes; within 15 minutes, an MRI is done for a conclusive diagnosis. According to Dr Hastak, who has worked with various city hospitals, in cases of acute stroke an MRI should ideally be done within 30 minutes “but I have often seen that we lose time in mobilising help”. In these past six months, the hospital has successfully saved 50 lives, 10 in the past one month alone; while five were general brainrelated cases, the other five were clearly stroke cases. One of them was 47-year-old banker Yogesh Kanade. Six months ago, he suddenly collapsed near his Saat Rasta residence. He was rushed to Wockhardt with a weak left side and a blue left hand owing to a clot in an artery. Without wasting much time, doctors at the hospital removed the clot. “There is hardly any difference in symptoms of a heart attack and a stroke. My family thought I had suffered a heart attack, but the hospital diagnosed the problem correctly and saved my life,” said Kanade. “Four out of every 10 emergency cases in the country are neurological in nature. The foremost aim of ENLS is to treat the patient as soon as possible. Just as in heart-related emergencies where heart is resuscitated, ENLS calls for brain resuscitation,” said Dr Hastak. In an artery, a clot might be compensated by other functional arteries. In a brain, even a single non-functional cell could affect a body function, and hence every second matters. All major hospitals have cardiac life support as a basic training requirement for emergency doctors and nurses. Hence, cardiac emergencies are picked up and treated rather quickly. The brain, according to Dr Hastak, is as vital an organ and needs urgent support. A five-minute seizure is quite different from a 30-minute seizure. It can create a huge difference in the morbidity and mortality of a patient. “Recently a doctor informed us that a patient passed away at home because of seizures lasting 20 minutes,” said Dr Hastak, adding that even a stroke treated at two hours is different from the one treated at six hours and can change the outcome. “Imagine a young patient paralysed by a stroke if not treated on time. If doctors use their brain on time, patients’ lives can be saved,” he concluded. Dr Shirish Hastak, Director, Neurology and Stroke Services, Wockhardt, trains staff in identifying the first crucial signs The first steps Emergency Neurological Life Support (ENLS) is a series of protocols for the first hour of a neurological emergency. ENLS is designed to help healthcare professionals improve patient care and outcomes in the most crucial time. It demonstrates a collaborative, multi-disciplinary approach and provides a consistent set of protocols, practical checklists, decision points and suggested communication for patient management. The emergencies include ischemic stroke, intra-cerebral haemorrhage, meningitis and encephalitis. Source :https://mumbaimirror.indiatimes.com/mumbai/civic/push-code-white-for-seizures-and-strokes/dr-shirish-hastak-director-neurology-and-stroke-services-wockhardt-trains-staff-in-identifying-the-first-crucial-signs-pics-satish-malavade/articleshow/64833751.cms