Healing intestine perforations in an extremely premature baby · 2020. 1. 18. · baby and reversal...

8
BLK Super Speciality Hospital Pusa Road, New Delhi-110005 (India) 24-Hour Helpline: 011- 3040 3040 Email: [email protected] [email protected] www.blkhospital.com Nanavati Super Speciality Hospital Swami Vivekanand Road, Vile Parle West Mumbai, Maharashtra-400056 (India) 24-Hour Helpline: +91-22-26267500 [email protected] www.nanavatihospital.org Radiant PULSE MARCH 2018 | ISSUE 24 NURTURING LIFE Healing intestine perforations in an extremely premature baby LIFE SAVING DECISIONS Preventing future Cancer risks with Prophylactic Surgery Special Issue

Transcript of Healing intestine perforations in an extremely premature baby · 2020. 1. 18. · baby and reversal...

Page 1: Healing intestine perforations in an extremely premature baby · 2020. 1. 18. · baby and reversal of blood flow from the placenta. Both parents were counselled regarding implications

BLK Super Speciality HospitalPusa Road, New Delhi-110005 (India)

24-Hour Helpline: 011- 3040 3040Email: [email protected]

[email protected]

Nanavati Super Speciality HospitalSwami Vivekanand Road, Vile Parle WestMumbai, Maharashtra-400056 (India)24-Hour Helpline: +91-22-26267500marketing@nanavatihospital.orgwww.nanavatihospital.org

Radiant

PULSEMARCH 2018 | ISSUE 24

NURTURING LIFE Healing intestine perforations in an extremely premature baby

LIFE SAVING DECISIONS Preventing future Cancer risks with Prophylactic Surgery

Special Issue

Page 2: Healing intestine perforations in an extremely premature baby · 2020. 1. 18. · baby and reversal of blood flow from the placenta. Both parents were counselled regarding implications

Radiant Life Care | Newsletter

03Radiant Life CareBLK, New Delhi | Nanavati, Mumbai

EDITOR-IN-CHIEF PARUL CHHABRA

CREATIVE CONCEPT PARUL CHHABRASHIKHA GIRGLA

SUNIL KUMAR

DESIGN & VISUALISATION

SUNIL KUMAR

CONTENT SHIKHA GIRGLA MAMTA SINGH

Nanavati Super Speciality HospitalMumbai, Editorial Team

PRAJAKTI SHIRSEKAR

SHYAM SHIRSEKAR

March 2018

FROM THE DIRECTOR’S DESK

Dr. Mradul KaushikDirector-

Operations and PlanningRadiant Life Care

Dear Reader, Certain situations in life stand testimony to statements like ‘Time flies’. We couldn’t help but agree as we celebrate the second anniversary edition of your newsletter Radiant Pulse. At this momentous juncture, we would like to thank you for your trust, appreciation and contributions, which have played a vast role in our journey and enabled us to come this far.

In this anniversary edition, we have hand-picked some of the most engaging pieces for you. The cover story features the case of an extremely underweight new born who had a life-threatening intestinal perforation that was treated successfully by an experienced team of Nanavati specialists against all odds. Other stories that are no less interesting include the case of a young female patient from Kazakhstan who got her facial symmetry restored with Plastic Surgery at Nanavati Super Speciality Hospital. Apart from this, there are other remarkable articles such as the one on a new technique of 3D Laparoscopic surgery for treating fibroids and uterine problems and an informative piece on brain aneurysm. From our group hospital in Delhi, we have a challenging case of Giant Cell Tumours in infants, an enlightening case study on preventing future Cancer risks with Prophylactic Surgery and a useful article on various approaches to aesthetic thyroid surgery. At the recently concluded “Most Trusted Hospital Awards”, instituted by the Readers’ Digest, a part of the India Today Health Care Summit, BLK Super Speciality Hospital won multiple honours. We were conferred with the very special award for the Best Trusted Hospital in Delhi & NCR as well as multiple awards in the categories of Orthopaedics and Oncology. The editorial team shares its gratitude for all those who have contributed stories and articles and provided valuable inputs for this newsletter. The team understands the fact that without your support, it would not be possible to produce this publication which is also being circulated internationally in different countries. Please continue to support and encourage the team. You can as always share your articles and views through email: [email protected]. Stay Healthy, Stay Happy!

C O N T E N T S

LIFE SAVING DECISIONS by Dr. Kapil Kumar

4

A COMFORTABLE CHOICEby Dr. Rajesh Modi

9

MINUS THE SCARby Dr. Vivek Aggarwal

11

EDITORIAL JOURNEY

BLK & NANAVATI IN NEWS

14-15

BRAIN ANEURYSMby Dr. Rajan Shah

5

SAVING FACE VALUEby Dr. Anil Murarka &

Dr. Arun Sharma

8

EVENTS AND ACTIVITIES

12-13

NURTURING LIFEby Dr. Hiren Doshi, Dr. Pankaj R. Shroff& Dr. Suresh Birajdar

6-7

NIP AT THE BUDby Dr. Prashant Jain

10

Special Issue

Page 3: Healing intestine perforations in an extremely premature baby · 2020. 1. 18. · baby and reversal of blood flow from the placenta. Both parents were counselled regarding implications

Radiant Life Care | Newsletter

05Radiant Life CareBLK, New Delhi | Nanavati, Mumbai

March 2018

“Unfortunately aneurysm is not uncommon in the general

population. Statistically two to three of 100 people

may harbour an aneurysm. But fortunate part is that most brain aneurysms do

not rupture to create health problems, only about 1 in 200

aneurysm rupture to cause bleeding in the brain.”

Prophylactic Surgery is a preventive surgery to remove organs or glands from the body which have high risk of developing Cancer in future.

THE CASE

Mrs. Archana Devi, a 40-year old lady from Delhi, was a carrier of BRCA1 Cancer gene and was at high risk of developing Cancer associated complications. BRCA are human genes that produce Tumour suppressor proteins. When these genes mutate, protein product is either not produced or does not function correctly. This can damage the DNA and may lead to cancer. Upon inspection, both her ovaries showed vascular proliferation. Final diagnosis indicated subcutaneous mastectomy specimen on the right side with focal stromal fibrosis. Further, uterus with bilateral Salpingo - oophorectomy specimen was also found.

THE PROCEDURE

She underwent Prophylactic Surgery for breast and ovaries at BLK Cancer Centre as a preventive measure to beat life threatening Breast and Ovarian Cancer which might have developed at a later stage because of its mutated BRCA genes.

THE RESULT

After the procedure, Mrs. Archana Devi was at a lower risk of developing Breast and Ovarian Cancer and associated complications. Motivated by Mrs. Archana Devi’s case, another lady with similar situation also underwent Laparoscopic B/L Salpingo-oopherectomy + Prophylactic left simple Mastectomy to prevent herself from any future Cancer development.

DISCUSSION

According to experts, women with the BRCA mutations have upto 50% greater chance of developing Breast and Ovarian Cancer. In most cases, the Cancer is well advanced before doctors, or patients, even know about it but by then it is too late. Centres of Excellence such as BLK Cancer Centre are working towards offering end-to-end solution to save women from deadly diseases with genetic screening, and preventive measures such as Prophylactic Surgery. Increased awareness, easy access and genetic screening have made it possible to identify the disease at an early stage and adopt possible preventive measures. Leading Hollywood Actress, Angelina Jolie, had undergone Prophylactic Surgery to reduce the risk of Ovarian and Breast Cancer. Her decision inspired and empowered thousands of women to come forward and take important health decisions.

Life Saving Decisions Preventing future Cancer risks with Prophylactic Surgery

“We are getting large number of patients for BRCA

screening and some of the positive cases are opting for Prophylactic Surgery which

indicates increased awareness among women about

the threat of Cancer and preventive options available

for them.”

− Dr. Kapil Kumar

Dr. Rajan Shah

Director & Head Department of NeurosurgeryNanavati Super Speciality Hospital, Mumbai

Brain AneurysmMost important things to know about it

Dr. Kapil Kumar

Director − BLK Cancer Centre & HOD − Surgical OncologyBLK Cancer CentreBLK Super Speciality Hospital, New Delhi

A brain aneurysm is a weakness in the wall of one or more of the brain’s blood vessels. This is mainly developed due to the thinning of artery walls. The leak or rupture in the aneurysm could prove fatal since it leaks the blood in the skull, on the surface or within the brain, termed as brain haemorrhage.

In the present era, when MRIs and CT scans are available easily, aneurysms are often detected during brain imaging ie MRI of the brain done for multiple conditions essentially headaches, brain injury or giddiness. The symptoms of brain aneurysm when it ruptures primarily are severe headache, the other symptoms could also be a stiff neck, seizure activity, altered sensorium, focal weakness.

The rupture of the aneurysm can cause disaster in the patients. Statistically, 20-25% patients do not reach the hospital to receive treatment. 50-60% patients who reach hospitals either succumb or are left with severe disability and need significant help even in going through their daily lives. One third of the patients can go back to their profession. It is thus, important to identify the aneurysms which need to be treated before they rupture. It would not be right to treat all the aneurysms, as the treatment obviously would have inherent risk during the procedure averaging 2-3% (including risk to life or neurological dysfunction), which may not be conducive.

The risk factors for rupture is the size, shape and location of the aneurysm and history of ruptures of aneurysm in close family tree. Smoking, hypertension too increases the risk.

The identification of the aneurysm could be on MRI, CT ANGIO or 4 vessel Angiography of the brain. The treatment of the aneurysm means obliteration of the aneurysm i.e cutting the aneurysm from the circulation. There are two options available. It can be filled with titanium coils to prevent bleeding. This is done by inserting a catheter through the groin artery and reaching the place. Other option is surgical clipping which is done by opening the skull and reaching the aneurysm and placing a clip at the neck of the aneurysm and cutting it off the circulation. Both the procedures obviously would have their advantages and risk factors. It goes without saying we need to tailor make a treatment for each aneurysm. This decision is based on the technical data of the aneurysm, like the size of the neck/ location /age of the patient. The opinion of the concerned doctor should be sought for further treatment plan.

Page 4: Healing intestine perforations in an extremely premature baby · 2020. 1. 18. · baby and reversal of blood flow from the placenta. Both parents were counselled regarding implications

07Radiant Life CareBLK, New Delhi | Nanavati, Mumbai

Radiant Life Care | Newsletter March 2018

“A multidisciplinary team of experts,

Neonatologist, Paediatric Surgeon, Paediatric Ultrasonologist and

efficient nursing staff are essential for improved survival in extremely

small babies.”

Dr. Suresh Birajdar

Joint Director PICU & NICUConsultant Paediatrician and NeonatologistNanavati Super Speciality Hospital, Mumbai

Nurturing LifeHealing intestine perforations in an extremely premature baby

Gastrointestinal perforations in neonates is a challenging condition with associated mortality reported anywhere between 17-60%. Necrotizing Enterocolitis is the most common cause of intestinal perforation in neonates followed by spontaneous perforations and mechanical obstruction of the gut.

THE CASEHere’s a case of an extremely low birth weight infant who had intestinal perforation on the third day post-delivery that was treated successfully. During the seventh month of pregnancy, the Gynaecologist noted a problem in the baby’s growth inside the womb. The baby was not getting enough blood supply through placenta and was experiencing utero-placental insufficiency. This resulted in poor growth of the baby and reversal of blood flow from the placenta. Both parents were counselled regarding implications of growth failure in the baby which could result in significant damage including non-survival (death) of the baby in utero. After consulting with specialists, the family decided to go ahead with an early delivery.

THE PROCEDUREThe baby boy was delivered by emergency caesarian section at Nanavati Super Speciality Hospital. He weighed just 900 grams and had to be admitted to neonatal intensive care unit. After birth, he required intubation and mechanical ventilation. He was administered surfactant for lung maturity, kept nil per orally and started on intravenous fluid with parenteral nutrition.

On the second day, the baby showed abdomen distension. X-ray revealed that he had air under diaphragm indicating intestinal perforation. The surgical team inserted a peritoneal drain that decompressed his bowel loops. He needed two surgeries in the following week to seal two perforations that had occurred in his small intestine. An ileostomy was performed for gut recovery and future feeding.

To rest the sick intestines, the baby was not given feeds for a week after surgery and was managed on intravenous nutrition of glucose, proteins and lipids administered via PICC (peripherally inserted central venous catheter). Very little amount of breast milk feeds (1 ml every 4 hours) was introduced in the third week through an orogastric feeding tube. Gradually his feeds were increased and eventually intravenous nutrition was stopped when he was 33 days old. The next two months continued with breast-milk feeding and it’s fortification with calcium, vitamin D, iron and multiple vitamins and minerals to catch up with the poor growth. Eventually, at the end of the fourth month, the infant had doubled his birth weight to 1.8 kgs. He underwent his third surgery to successfully re-anastomosis his intestines and close the ileostomy. The premature lungs of the baby, received CPAP (pressurized mixture of air and oxygen through a nasal tubing) support and oxygen for the first seven weeks. The baby also received laser therapy to treat Retinopathy a not so common complication of prematurity.

THE RESULTThe baby made a healthy recovery and weighed around 2 kgs during discharge. The parents were advised for follow-up visits with his Paediatrician and in the first follow-up, his screening tests for hearing, vision and brain came in normal.

DISCUSSION

Even in seemingly healthy pregnancy, regular visits to the Obstetrician and serial ultrasound are recommended. Although rare, intestinal perforations can occur in babies who have extremely low birth weight with in-utero deprivation of nutrition due to placental issues. It needs very high index of clinical suspicion with presence of signs such as abdominal distension, bilious aspirates from feeding tube and failure to pass meconium. On routine frontal film of x-ray of abdomen, the perforation may not be picked up. A lateral decubitus film is useful in this situation as the free gas can be picked up in this view more easily. Perforation of intestines can be fatal unless clinically suspected, diagnosed immediately and treated promptly. Occasionally, a baby could have multiple perforations that need to be diagnosed with imaging studies and treated during Laparotomy.

Providing nutrition including proteins and fats through intravenous route is essential in the recovery of these babies while their gut is recuperating from the damage. Breast milk is the most ideal diet for these babies once they are started on feeds.

Lateral decubitus x-ray showing free air due to perforation of intestine

Dr. Pankaj R. ShroffSr. Consultant, Paediatric SurgeryNanavati Super Speciality Hospital, Mumbai

Dr. Hiren DoshiDirector − PICU & NICUNanavati Super Speciality Hospital, Mumbai

Page 5: Healing intestine perforations in an extremely premature baby · 2020. 1. 18. · baby and reversal of blood flow from the placenta. Both parents were counselled regarding implications

09Radiant Life CareBLK, New Delhi | Nanavati, Mumbai

Radiant Life Care | Newsletter March 2018

Facial asymmetry is a very common facial problem. The advancement of technology and rapid prototyping has made treatment of facial asymmetry more sophisticated and convenient to achieve better facial symmetry.

THE CASE

A 26-year old female patient from Kazakhstan visited BLK Centre for Plastic & Cosmetic Surgery to correct her facial asymmetry and unequal jaw lines. Her facial deformity had been present since birth. Earlier, she had undergone camouflage procedure for the deformity using biofillers (liquid silicone) in Kazakhstan.

THE PROCEDURE

Examination of the patient revealed that the deformity is at the level of bone with the left side slightly smaller and higher than that of the right side. CT scan revealed facial asymmetry with mild hypoplasia of the left side of mandible. Using rapid prototyping protocol, files were used to create the 3D model of the facial skeleton on a computer. The right or the unaffected side was mirrored on to the left side to create a template to match both sides. This template was then used to fabricate a customised 3D printed titanium implant which was fabricated and imported from Belgium. The titanium implant was inserted and fixed using screws under general anaesthesia to correct facial symmetry.

DISCUSSION

A range of facial deformities may occur and it is important to analyse the problem and identify the origin of the problem. Some deformities may present themselves only at the level of soft tissues and may be amenable to correction by soft tissue augmentation procedures like placement of fillers or fat. Others may originate at the level of bone. These may be camouflaged by some soft tissue procedures, however, the ideal way to deal with these deformities is to address them at the underlying bony level. 3D printed implants is the best option to correct such facial deformities with negligible errors and best possible results.

Saving Face ValueFacial symmetry restored with Plastic Surgery

A Comfortable ChoiceDay Care Surgery of Hysterectomy and Myomectomy

Dr. Rajesh Modi, a Gynaecologist and Endoscopic surgeon, is a pioneer in 3D Laparoscopic surgery for fibroids and uterine problems that require either a Myomectomy (fibroid removal) or a Hysterectomy (uterus removal). He has refined the technique and made it a day care procedure. Some aspects of day care surgery are discussed below.

Day Care Hysterectomy and Myomectomy surgeryIn a day care surgery, the patients get admitted in the morning, undergoes a Laparoscopic Hysterectomy or Myomectomy procedure and gets discharged within 24 hours after a comfortable recovery.

Advantages of day care surgeryThe main aim of day care surgery is the comfortable recovery of the patient after a surgery. The concept is not just about sending the patient home but ensuring that the patient makes a complete pain-free recovery the same day and is able to walk, eat normal food, and is capable of taking care of her own needs without being dependent on others. This helps the patient to return to her home surrounding the same day. It also allows the rest of the family to resume their routine sooner. Of course, the patient always has the option of staying longer in the hospital if she wishes. But for those who are keen to be back home early, this proves very effective.

Fibroids removal by 3D Laparoscopic surgeryThe size and number of fibroids removed by Laparoscopic Surgery is individualised and depends on multiple factors of the patient. 3D Laparoscopy has many advantages that make the surgery easy. The technique for fibroid removal has also been refined further which significantly reduces the blood loss in Myomectomy and makes fibroid removal almost a bloodless surgery and very convenient. This is the reason why many Gynaecologists opt for 3D Laparoscopic Hysterectomy and Myomectomy. Other Gynaecological procedures for 3D Laparoscopic surgery include tubal block removal, recanalisation and ovarian cyst removal.

Dr. Anil Murarka

Sr. ConsultantBLK Centre for Plastic & Cosmetic SurgeryBLK Super Speciality Hospital, New Delhi

Dr. Arun Sharma

Associate ConsultantBLK Centre for Plastic & Cosmetic SurgeryBLK Super Speciality Hospital, New Delhi

Dr. Rajesh Modi

Consultant- Gynaecologist & Endoscopic SurgeryNanavati Super Speciality Hospital, Mumbai

Pre-operative image

Post-operative image

“We have been able to refine the technique of day care surgery and

improvise even further to be able to allow the

patient to be discharged on the same day after surgery, which used to take at least 24 hours.”

Page 6: Healing intestine perforations in an extremely premature baby · 2020. 1. 18. · baby and reversal of blood flow from the placenta. Both parents were counselled regarding implications

Radiant Life Care | Newsletter

11Radiant Life CareBLK, New Delhi | Nanavati, Mumbai

March 2018

Dr. Prashant Jain

Sr. ConsultantPaediatric SurgeryBLK Centre for Child HealthBLK Super SpecialityHospital, New Delhi

CECT Gastric Teratoma

Dealing with Giant Germ Cell Tumours in infantsNip at the Bud Minus the Scar

Enhancing Patients’ Satisfaction with Aesthetic Thyroid Surgery

Dr. Vivek Aggarwal

ConsultantEndocrine SurgeryBLK Super Speciality Hospital, New Delhi

The thyroid gland plays a key role in the maintenance of vital hormonal balance in the body. A swelling in thyroid gland, accompanied by a normal or abnormal hormonal profile, when detected, is therefore a source of concern, and may have to be examined to rule out malignancy and other problems like thyroid nodules and hyperthyroidism. In cases where surgery is advised, existing methods indicate an open surgery for a partial or complete excision of the gland - resulting in significant blood loss, trauma, permanent and distinct scarring.

Traditional thyroidectomies leave a visible scar in the middle of the neck. Nowadays, a variety of endoscopic surgical approaches have been in practice by surgeons. Some of these approaches are discussed here.

Endoscopic Thyroidectomy (Axillary Breast approach): Various standard endoscopic approach for thyroid surgery are now practiced by making incision site in armpit and peri areola region, which are generally covered areas and hence scar is not visible directly. Ports are placed in various combinations in armpit and anterior chest wall and peri areolar breast region to reach the neck using conventional Laparoscopic instruments. A sub platysmal working space is created and thyroid is then dissected using endoscopic instruments as done for conventional surgery with added cosmetic benefits.

Posterior auricular approach: This technique uses a potentially hidden space behind the ears and occipital hair line and is also a gasless technique. The patient lies in a supine position with the head slightly rotated away from the side of pathology. The incision is then made along the post-auricular crease extending into the occipital hairline. The SCM is dissected along its anterior border. The greater auricular nerve and external jugular vein are identified and retracted interiorly. The avascular space between the SCM and the strap muscles is developed and the working space is maintained by an external retractor. The dissection of the thyroid gland begins using endoscopic instruments in the superior pole and then proceeds inferiorly. This leaves a scar behind the hairline which is not visible easily.

Trans-oral Thyroidectomy: It is feasible to excise the thyroid gland through an incision in the floor of the mouth under gas insufflation. This approach seems to be technically feasible but challenging. The working space is very limited and potential infection through a relatively contaminated incision is a major concern. This procedure requires two working and one camera port.

Robotic Thyroidectomy: Since the first report of Robotic Transaxillary Thyroidectomy in 2009, Robotic Thyroidectomy has been widely performed worldwide. Theoretically, it overcomes many of the technical challenges associated with transaxillary thyroidectomy because the robot can provide a three-dimensional magnified view, seven degree of freedom and 90° articulation and can filter any hand tremors.

Germ Cell Tumours are a varied group of benign and malignant neoplasms derived from primordial germ cells. They occur in a variety of sites, both gonadal and extragonadal. Gastric teratoma is an extremely rare form of teratoma accounting for only 1% of all teratoma. The immature and malignant types are even rarer, with only 16 cases reported till date. Case of a 3-month old infant, who had a rapidly growing large abdominal mass and was diagnosed to have a grade III immature gastric teratoma, is discussed in detail below:

THE CASE

A baby boy of 3-months was brought to BLK with a rapidly growing abdominal mass in the upper abdomen. Antenatal history was normal and there was no associated history of vomiting and malena. On examination, the boy had a large nontender well-defined mass of 8x7 cm2 extending from the left hypochondrium to the right hypochondrium. Hematological profile and beta HCG level were within the normal limits while alpha feto protein level was markedly elevated. Ultrasound abdomen revealed large midline mass with solid and cystic components. Contrast enhanced tomography of the abdomen and chest revealed a large retroperitoneal heterogenous mass pushing the left kidney inferiorly and displacing the gut to the right, with no evidence of calcification. Other visceral organs were normal. There was no evidence of lymphadenopathy and ascites.

THE PROCEDURE

On surgical exploration, there was a large intraperitoneal exophytic mass of size 8x9x8 cm3 arising from the greater curvature and the posterior wall of the stomach occupying whole of the lesser sac. The Tumour was of variegated consistency with no involvement of adjacent structures and lymphadenopathy. Whole of the Tumour mass was excised along with the involved gastric wall. Stomach was repaired in two layers. Histopathological examination revealed cystic solid teratoid neoplasm with both mature and immature elements. Mature tissues consisted of squamous epithelium, small intestine, cartilage and glial tissue including choroid plexus were visualised. Immature elements consisted of primitive neuroepithelial tissue and primitive mesenchyme.

THE RESULT

Post operative period was uneventful, and AFP levels at discharge came down to 5300 ng/mL. On follow up, the AFP levels fell to 3.7 ng/mL by 6 months. The baby has been asymptomatic on regular follow up with no recurrence.

“Each technique or approach has its own

benefits and weaknesses. Currently, there is no

preferred approach and the choice between different approaches seem to be

determined by the surgeon’s own experience and the

patient’s preference.”

“Immature gastric teratomas have an excellent prognosis and are completely cured by total surgical excision with partial Gastrectomy being

enough. Children are largely asymptomatic and recurrence free following surgery, as in our case. Chemotherapy and

Radiotherapy are rarely needed and not recommended, even in

immature teratomas.”

Page 7: Healing intestine perforations in an extremely premature baby · 2020. 1. 18. · baby and reversal of blood flow from the placenta. Both parents were counselled regarding implications

Radiant Life Care | Newsletter

13Radiant Life CareBLK, New Delhi | Nanavati, Mumbai

EVENTS AND ACTIVITIESEVENTS AND ACTIVITIES

March 2018

− Left to Right

Contractual Worker of the Month − Ms. Rekha (Lady Security Guard-Swift Securitas); Doctor of the Month − Dr. Shimpi Chopra (Attending Consultant-Microbiology); Mr. Yogesh Wadhawan (General Manager, Human Resources); Employee of the Month − Mr. Chander Vir (Senior Executive-International Operations); GDA of the Month − Ms. Jyoti (Evershine Services).

BLK has won multiple honours at the ‘Most Trusted Hospital Awards’, instituted by the Readers’ Digest, a part of the India Today Group. The award ceremony was held on 17th February 2018 in Lalit Hotel, New Delhi. BLK Super Speciality Hospital bagged awards in the categories of Orthopaedics and Oncology. We were also given the very special award for the Best Trusted Hospital in Delhi & NCR. The awards were given away by Ms. Anupriya Patel − Union Minister of State for Health and Family Affair.

Awards and Events

Employee Recognition

Acute Care Update - III was organised by BLK Super Speciality Hospital on 18th February 2018 at Crowne Plaza, Rohini, New Delhi. It was a multi speciality event with participation of Neurosciences, Gastroenterology, Cardiac Sciences, Critical Care, Respiratory and Internal Medicine. The scope of the event covered common acute care areas from these specialities. Each topic was covered in an integrated fashion, followed by a panel discussion. The event witnessed full capacity participation of delegates which greatly contributed to lively Q&A sessions.

Dr. Mihir Bapat, Director and Dr. Amandeep Gujral, Consultant, Nanavati Institute of Spine Surgery inaugurated ‘Back to Health’ Spine Support Group Programme on 17th February 2018. The event was attended by more than 300 people including patients, general public, doctors and media. It was an interactive session wherein patients with prolonged back pain who later underwent surgery also shared their success stories. Dr. Bapat and Dr. Amandeep clarified doubts raised from the audience by answering all the queries patiently.

Nanavati Super Speciality Hospital was the Official Medical Partner for Juhu Half Marathon (4 km, 10 km, 21km). The marathon was organised with an aim to inspire people across all age groups to get active and take up sports. More than 4000 people from all walks of life participated with great enthusiasm to run for a cause which was “Your Own Health.”

Spine Support Group Programme

Juhu Half Marathon

Page 8: Healing intestine perforations in an extremely premature baby · 2020. 1. 18. · baby and reversal of blood flow from the placenta. Both parents were counselled regarding implications

Radiant Life Care | Newsletter

15Radiant Life CareBLK, New Delhi | Nanavati, Mumbai

BLK & NANAVATI in NEWSEDITORIAL JOURNEY2 successful years and counting!

March 2018

Parul ChhabraEditor-in-ChiefRadiant Pulse

“Bringing out a newsletter like the Radiant Pulse month

after month is, no doubt, a challenge but one that we have

come to enjoy. This journey so far could not have been

possible without the support of my editorial team that is

more than willing to walk the extra mile, and a management

whose encouragement and guidance have always acted like an inspiration. There

cannot be a better time than our 2nd anniversary to thank everyone who has

contributed in making this journey worthwhile, including the doctors who despite their busy schedule never fail to

contribute their articles and share their experiences that

have been the backbone of the newsletter. Here’s raising a toast to all of you for all the editions we have had and

many more that will follow”.

Shikha Girgla Creative Head, Radiant Pulse“2 years, 24 editions and counting….it all seems so surreal. The appreciation I have received over the years has always inspired me to push my boundaries. Pulse is not just a task on the desktop but is a culmination of- weeks of deliberation and rejection, days of arguments and counter arguments, endless cups of black coffee and bleak deadlines, elation and frustration. But the satisfaction of receiving the first printed copy of Pulse every month is unparalleled!”

Sunil KumarSr. Art & Visualiser, Radiant Pulse“There have been many moments of panic and restlessness during the designing and production of this newsletter. Having said that, the silver lining has always been the fact that we have managed to come out of it successfully in order to publish the monthly issues in time. There have been many invaluable learnings during these 24 editions and looking forward to many more exciting times ahead.”

Mamta SinghContent Researcher, Delhi, Radiant Pulse

“Managing the content repository for Pulse has been an arduous task. There have been months where I have

been inundated with stories but there have also been times when I have to stretch myself to meet my content

deadlines. Support of regular contributors have always helped me in formalizing the framework. Though,

the pressure is immense in delivering the newsletter month-on-month but the appreciation I receive after

every edition makes it worth the while!”

Prajakti ShirsekarContent Researcher, Mumbai, Radiant Pulse

“Our journey with Pulse started a year back and it’s been a riveting journey since then. With so many

success stories from team BLK, we initially started with lot of apprehensions, but in true sense of being

our sister concern their guidance helped us to tide over and achieve the unachievable. Pulse is an

amalgamation of synchronised efforts from 2 cities and 2 hospitals!!”

Shyam ShirsekarSenior Visualiser, Mumbai, Radiant Pulse“One year of our association with Pulse was not only dynamic but challenging. Even the smallest thing like collating the photos of contributing doctors or working on acute deadlines has been a mission. But to see the printed copy in hand is gratifying even today.”