Thursday, April 05, 2012

Loving care of daughters and Latest Endovascular technique

CMC Saved a woman suffering from massive blood lots
In a  happy mood Mrs Amrit Kaur and family with Dr Harinder Singh Bedi
Ludhiana, 6th April, 2012 (Shalu Arora and Rector Kathuria) Mrs Amrit Kaur–a 65 year old lady - W/o S. Gurcharan Singh of Janakpuri was in a serious condition. She had developed a large clot in her left leg which was in imminent danger of getting loose and blocking her lungs. She was seen in the Emergency by Dr Harinder Singh Bedi – head of Cardio Vascular Endovascular & Thoracic Surgery at the Christian Medical College & Hospital in Ludhiana. On examination and investigation Dr Bedi found that she already had previous episodes of pulmonary embolism. As it is – she suffered from a lung disease called Interstitial Pulmonary Fibrosis for which she was already under treatment. Her lung functions were very low because of the ILD and any further pulmonary embolism would have been potentially fatal. After a thorough check up she underwent a new procedure called catheter directed thrombolysis (CDT) with a strong blood thinner – tissue plasminogen activator (TPA) . Dr Bedi explained that this clot buster is given directly into the clot so that it can dissolve the clot faster. As she already had pulmonary embolism so before the therapy – a filter called IVC filter was placed in her vein to trap any small clots and prevent them from entering the lungs. The CMC & H is one of the few centres doing endovascular surgery . Dr Bedi is trained in this specialized advanced therapy and holds Limca Book World Record on a different form of vascular surgery too .
According to Dr Bedi, chronic venous disease is quite common in India as most of our population works in the standing position, leading to pressure on the veins which dilate. It is estimated that over a lakh die due to venous disease (DVT and PE) each year is the equivalent of the disappearance of a city the size of Cambridge, Massachusetts, USA. Dr Bedi told that the Obese and elderly are at greater risk of DVT while women who take birth-control pills are 10 times more likely to develop blood clots . Long distance flights are another risk factor. Those taking multiple flights over a short period of time are also at a higher risk. This is because the risk of DVT does not go away completely after a flight is over, and the risk remains elevated for about four weeks. It is interesting to note that the famous tennis player – Serena Williams - suffered from the same condition some time back. Even the research of World Health Organisation on DVT shows that the risk of developing venous thromboembolism (VTE) doubles after travel lasting for over two hours. The study of the WHO Research Into Global Hazards of Travel (WRIGHT) project, which was conducted by scientists from Britain, Switzerland and Netherlands, said the risk of developing blood clots during any form of travel longer than four hours was one case for every 15 fully-booked jumbo jets.
The symptoms of DVT include pain or cramp in the calves and swelling of the leg.
DVT and PE are often silent conditions – they can occur suddenly and without symptoms. Pulmonary embolism has a very rapid and deadly progress unless detected and treated in time.
The month of March has been allocated as the DVT Awareness Month in memory of Mr David Bloom – a NBC reporter in Iraq who died of DVT. His widow Melanie Bloom has started the Coalition for Prevention of DVT. The Vascular Society of India and the Venous Association of India - of which Dr Bedi is an integral part - have been very active in this regard.
Mrs Amrit Kaur is now well – her leg is back to normal. The other members of the Heart team are Dr A Joseph, Dr S Garg, Dr Melchi, Dr Paul, Dr Deepak, Dr Vaishu, Dr Sarah and Dr Amrutha. Dr Avinash Kumar – Asst Prof Radiology – helped with the Radiology part of the therapy.
Dr Bedi was especially impressed with the loving care given to Mrs Amrit Kaur by her husband and 5 daughters . Both Mrs Amrit Kaur and Sardar Gurcharan Singh were of the firm opinion that daughters are as good or even better than sons.
Dr AG Thomas – Director of CMC - told that CMC was one of the very few Institutes in the region dealing with the successful management of this disease entity.

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