Sincere wishes for a speedy recovery - NLC India …...On the occasion of the 70th Republic Day on...
Transcript of Sincere wishes for a speedy recovery - NLC India …...On the occasion of the 70th Republic Day on...
On the occasion of the 70th Republic Day on 26.01.2019, Smt. Kanchan Rakeshkumar, President,
Sneha Opportunity Services & Neyveli Ladies Club, Smt. Devahi Thangapandian and Smt. Shanthi Vikraman,
Patrons of Neyveli Ladies Club visited NLC India Hospital, distributed fruits and sweets to the
in-patients and wished them a speedy recovery.
Sincere wishes for a speedy recovery
Vol. IX Issue V April 2019
CREATING WEALTH FOR WELLBEING
NLC INDIA
2
Dr Ratanlal Rajesh Agarwala
Orthopaedic Department
LOWER BACK PAIN
Why is lower back pain such a common problem?
What are some common causes of lower back pain?
Arthritis of the Spine
There are three major lifestyle factors that may
affect your chances of developing lower back
pain : Multiple studies have established a link
between smoking and lower back pain.
Smoking raises inflammation inside the body
and hinders the body from healing itself.
Lower Back Pain: What could it be?
Your level of physical activity can also play a
role in your lower back health. While a sedentary lifestyle could
increase your risk of developing lower back pain, so can excessive
or strenuous physical activity. Check with your doctor if you are
unsure about your ideal level of physical activity.
Arthritis of the spine — the slow degeneration of the spinal joints — is
the most frequent cause of lower back pain. All of us experience
wear and tear as we age, and it is normal for your lower back to start
acting up as you get older. As the cartilage breaks down between
the spinal joints, surrounding tissues may become inflamed. The
inflammation and the thinning of cartilage increase friction in the joints,
which may cause pain in the lower back.
Back Injuries
Do you have lower back pain? You are not alone. Anyone can
experience lower back pain at any time, even if you don’t have a prior
injury or any of the risk factors. It is not always serious and can often
get better on its own. But in some cases pain is your body’s way of
telling you that something isn’t right.
A bad fall or a car accident can cause a lower back injury. But so can
Lifestyle factors
The bottom part of your back typically has just five vertebrae — fewer
than your neck and mid-back. And these vertebrae do a lot of heavy
lifting! Your lower back is where your spine connects to your pelvis,
bearing the weight of your upper body. This area experiences a lot of
movement and stress, which may lead to wear, tear and injuries.
Obesity is also associated with several types of
chronic pain, including lower back pain.
In people with high body mass index (BMI), the
stress on the spine increases, contributing to
even more wear and tear.Lower back pain can be related to cancer. In
fact, it is one of the first symptoms of prostate
cancer when it metastasis and creates lesions. Almost any cancer can
spread to the back and some, like sarcoma, can originate in the back.
Be cautious, especially if you are experiencing other symptoms
besides lower back pain. Talk to your doctor if you have additional
symptoms or concerns.
Once you know which motion or position causes your lower back pain,
try to avoid it and see if you get better. Icing the painful spot can also
Lower back pain can radiate to other parts of the body: up or down
from its place of origin. Sometimes lower back
pain can be on one side of the back, which is
also normal. If the pain is shooting from the
lower back into one or both legs, it could be
sciatica (nerve pain), but it’s not always the
case. There are many parts in the lower back
that may cause the pain to radiate into the legs,
such as facet joints, sacroiliac joints, muscles or
inflammation of the bursa.
Herniated Discs
A herniated, or bulging, disc is a disc that has “spilled out” of its lining.
This happens most frequently in the lower back. The injured disc may
not always hurt. But even if it’s painless, its contents can press on or
irritate nearby nerves, causing pain in the lower back and other areas.
carrying a bucket up the stairs. Some back injuries can be sudden and
traumatic, and some happen slowly over time. You may think that
athletes and active people get injured the most due to their active
lifestyle. “But this is not always the case. You are just as likely to tweak
your back while bending over to pick up a sock from under the bed.
It’s the everyday tasks, like holding a child that may lead to back
injuries when done improperly.
What does it mean if lower back pain is shooting into legs?
Can lower back pain be a sign of something
serious like cancer?
What can I do for low back pain at home?
If your lower back pain has just started, the best thing you can do is
rest and record your symptoms, times, dates and which activities
trigger the pain or make it worse or better. Take this information to your
doctor if the pain doesn’t resolve on its own. It will make diagnosing the
cause much easier.
3
help. And so can over-the-counter pain relievers
that help reduce inflammation. Just remember that
pain killers treat only the symptom — pain — and
not its cause.
When should I see a doctor if I have lower back
pain?
In many cases lower back pain stops on its own.
But if it doesn’t, here are some guidelines on when
you may want to start seeking professional help:
● If the pain lasts four weeks or longer
● If the pain keeps getting worse as time goes by
● If you are experiencing other symptoms, such as fever, major
weight loss or weight gain, loss of function or weakness in extremities,
bladder problems, etc.
Who should I see for lower back pain?
Your primary care physician knows you best and should be your first
contact for lower back pain. If he or she is unable to diagnose or treat
● Diagnosis specific exercises
● Refer to Orthopaedic & Spine Specialist
● Thorough History
● Prescription for Physiotherapy
● Surgery if needed
● Get help at our Orthopaedic OPD.
Comprehensive approach to lower back pain
The good news is that surgery is rarely needed for
lower back pain. “Only about one in ten patients
needs lower back surgery.”
● X ray and Biochemistry Tests
● Physical Examination
the issue, you may get referred to a specialist.
These specialists practice a comprehensive
approach to lower back pain, and can diagnose
and treat a variety of conditions that have lower
back pain as a symptom.
Contd. from page 2...
Blood Cell Counts
Red Blood Cells are the oxygen
carrying cells using Hemoglobin to
hold the oxygen until it is exchanged
for carbon dioxide. Hematocrit is a
measure of the volume of whole blood
taken up by the red blood cells and
expressed as a percent. MCV, MCH, MCV and RDW all reflect the
size, shape and contents of red cells.
White Blood Cells (WBC) represent the body’s immune system and
the various kinds of white cells have specialized functions.
Lymphocytes are mainly for defense against virus and cancer cells,
while Polymorphs are primarily defending against bacteria.
Monocytes are the second line of defense and finish the job started by
the lymphocytes and polymorphs.
They are seen in higher numbers when
there is infection or inflammation.
Basophils primarily function as clean
up for a l lergy react ions and
Eosinophils perform a service when
toxins, allergens and parasites attack.
Platelets are special cells in the blood that help form clots when repair
is necessary.
A microscopic examination is used, if indicated, to confirm suspicious
findings of the basic urine analysis.
Urine analysis
(Concluded)
The urine is analyzed to determine a number of things including how
concentrated it is through Specific Gravity, which tells us how
“heavy” it is compared to water. The pH is very important because it is
a good measure of how acidic or alkaline the tissues of the body are.
WBC Esterase tells us whether there are white blood cells in the urine
and Occult Blood indicates the
presence of blood (may be due to
menstruation). Nitrite is a sign of
infection, while Glucose in the urine may
indicate diabetes. Ketones can also
indicate diabetes, but may be due to a
low carbohydrate diet or fasting. Protein
may “leak” through the kidney and show
a possible weakness in that organ.
Bilirubin is normally eliminated through
the bile and its presence in the urine
may be an early sign of liver problems.
Urobilinogen is a by-product of intestinal
activity and may suggest a lack of proper bowel flora.
High WBC count Low WBC count
Dr Srinivas Suyam Prakash
HOD/Pathology
UNDERSTANDING A BASIC LABORATORY REPORT - III
(Continued from previous issue)
4
Ocular examination by slitlamp revealed an undulating vermiform
mass by a live worm on the temporal quadrant of left eye under bulbar
conjunctiva at the fornix with localized congestion. Rest of the ocular
examination was with in normal limits and her uncorrected visual
Abstract
Ocular zoonotic infections by filarial worms are not uncommon. Most
of them are caused by the genus Dirofilaria. The disease is zoonotic in
nature; sporadic cases of human dirofilairsis have been reported from
various parts involving eyes, face, chest wall and lung parenchyma.
CASE REPORT
A 47 year-old lady presented with complaints of severe pain over left
orbital region and irritation of left eye since last two hours on
3rd January 2019 around 3.30 pm to the EYE OPD, NLC India
Hospital. History of travel from her native place from Pollachi 10 days
back where she gave history of contact with pets like dogs and cats in
her farm. She also mentioned that she had injury of an insect (vellai E)
in her left eye which recently migrated after Kerala rains.
We report a case of subconjunctival dirofilariasis in a 47 year old
female who had foreign body sensation and severe pain in left eye.
Thus early diagnosis and treatment in this patient helped in preventing
various serious ophthalmic complications.
Condition of eye on 1st Post op day Condition of eye on 3rd Post op day Condition of eye on 7th Post op day
acuity was 6/6 in both eyes.
The haematological and biochemical test results were normal and
no microfilaremia was seen in blood smears. When the worm was
coiled the patient was asymptomatic and when it started moving it had
produced immense intolerable pain.
Patient was reviewed every week for a month. She was started on
tapering topical Antibiotic steroid eye drops to treat the allergic
reactions produced by the dirofilarial worm.
Surgical removal of the worm was carried out immediately under
topical anaesthesia. Symptoms resolved immediately following the
surgical removal of the worm.
Grossly the worm was intact on extraction, without damaging its
structures a whitish motile worm of 20 cms in length by 0.5 mm in
breadth was removed and preserved in 10% formalin for identification.
Ocular Dirofilariasis may progress to serious consequences like
damaged vision, floaters, glaucoma, retinal detachment, vitreous
opacity, loss of visual acuity and even blindness.
This case was diagnosed much earlier in the disease process even
before the complications occurred and was treated and relieved of
pain within one hour of diagnosis at our NLC India Hospital.
Dirofilarial worm preserved in 10% formalin container
Surgical removal under topical anaesthesia
Dirofilarial worm seen in conjunctiva (Pre op)
OCULAR DIROFILARIASIS
Dr Rathnakumar
Ophthalmology Department
The event was witnessed by Shri S.R. Sekar, CGM/TA, Dr. M.K. Jha,
CGS/Medical i/c, Dr. Venmal Devi, CMO/Medical and also incharge of
Laundry Unit, Doctors, Para Medical Staff and employees of Medical
Branch.
Shri R. Vikraman, Director/HR, NLCIL commissioned an automatic
and a semi automatic heavy duty washing machines at the laundry
unit of NLC India Hospital on 23.02.2019. These automated
equipments, with a capacity of 25 kg each, purchased at a cost of
Rs.12.50 lakh replaced the 15 years old manual washing machines.
Shri R. Vikraman, Director/HR, NLCIL inaugurated the Electronic Token
System facility at the Pharmacy of NLC India Hospital on 23.02.2019.
The new facility, installed at a cost of Rs.1.50 lakh enabled to streamline
the crowd in the pharmacy and to speed up the drugs disbursement.
This facility also gives a great relief to both pharmacists and patients
as the waiting time is considerably reduced in the counters.
Dr. M.K. Jha, CGS/Medical i/c and Dr. J. Ilango, ACMO, Incharge of
Pharmacy, Pharmacists and employees of NLC India Hospital
witnessed the event. After commissioning the new facility, Director/HR
gave valuable suggestions to improve the drug issuing system.
While NLCIL observed Swachhta Pakhwada (Clean India Fortnight)
between 16.08.2018 and 31.08.2018, NLC India Hospital also
observed it in an effective manner. An exclusive Committee was
constituted by Dr. M.K. Jha, CGS/Medical i/c, and the event was
organised in a systematic way. Apart from cleaning activities in
Hospital premises and school areas, the NLC India Hospital team
created awareness on cleanliness among general public, students of
Neyveli Township and nearby villages in a planned manner.
NLCIL is encouraging the units / factories / offices that are
well-maintained, by presenting awards and this time, significantly,
the team NLC India Hospital won a special award and a certificate
of appreciation in the offices category. Shri V. Thangapandian,
Director/Power and Smt. Devahi Thangapandian presented the
special award and certificate to Dr. M.K. Jha, CGS/Medical i/c and
the team NLC India Hospital during the Republic Day Celebrations at
Neyveli on 26.01.2019.
5
HOSPITAL DIARY - Q4/2018-19
New washing equipments commissioned
Electronic Token System introduced in NLC India Hospital Pharmacy
Clean efforts brings commendation
6
NLCIL Education Dept., has organised a ‘Parents Counselling Programme’ for the parents of +2 students at NLCIL Boys’ Higher
Secondary School, Block-10, Neyveli on 29.01.2019. Dr.S.Narmadha, an eminent counselling Psychologist from Neyveli addressed about
200 parents. Shri R.Mohan, CGM/HR (CSR, Education, Sports & Culture), Shri S.Vinayagamoorthy, DGM/Education and
Smt. M.Rajeswari, Headmistress of the School also spoke on the occasion.
PARENTS COUNSELLING PROGRAMME
One day Clinical Workshop on Arrhythmias Date : 12.01.2019Resource Person : Dr. Jaisankar, Director & Mentor, Cardiology and Electrophysiology StudyMIOT Hospital, Chennai
Recent Advances in Programmatic Management of Tuberculosis
Date : 09.03.2019Resource Person : Dr. R. Pajanivel
Professor & HOD, Pulmonology Department, Mahatma Gandhi Medical College &
Research Institute, Puducherry
Methods of Ventilation : Invasive & Non-Invasive
Date : 15.03.2019
Resource Person : Dr. Ali Hasan Faiz Karnam,
Incharge of Emergency Medicine,
PIMS, Puducherry
CONTINUING MEDICALEDUCATION PROGRAMMES
In-house credit hours one day
workshop on Infection Control in
Health Care facilities for Nurses
Date : 04.01.2019
Resource Persons : Mrs. P. Vasanthi,
Mrs. G. Malarvizhi, Associate Professors
& Mrs. D. Vanitha, Asst. Professor,
OPR Nursing College, Vadalur
CONTINUING EDUCATION PROGRAMMESFOR PARAMEDICALS
Work Culture pertaining to
Hospital Change Management
Date : 05.02.2019
Resource Person : Shri Harish Kumar,
Reputed Trainer from Erode
Special Training Programme on
Universal Precaution & Infection
Control for Clinical Lab Technicians
Date : 05.03.2019
Resource Person : Dr. Rachna Williams
Technical Expert, Technical Support Unit
TANSCAS, Chennai
7
Special Lecture on
Universal Precautions &
Infections Control for Nurses
Date : 13.03.2019
Resource Person : Dr. Rachna Williams,
Technical Expert, Technical Support Unit
TANSACS, Chennai
During the last quarter of 2018-19 (January to March 2019), NLC India Hospital had organised 4 medical camps in the peripheral villages with the
approval of Dr. Kala, Joint Director, Health Services, Cuddalore, Government of Tamil Nadu. In all the four camps, Doctors of various
Departments of NLC India Hospital viz., General Medicine, Eye, ENT, Pediatric, Maternity, Chest Clinic, Skin and Dental screened the patients
and distributed medicines. In all the camps, hearing aids were presented to beneficiaries.
At Indira Nagar : About 300 people from the locality of B1 and B2
Block Rehabilitation Centres benefitted at the comprehensive medical
camp held at Government Higher Secondary School premises, Indira
Nagar on 20.01.2019. Dr. M.K. Jha, Chief General Superintendent/
Medical and Shri Sivakumar, ADGM, Land Acquisition Department
inaugurated the camp.
At Oomangalam : The 4th Comprehensive Medical Camp was
organised by Team NLC India Hospital at Government Higher
Secondary School premises, Oomangalam on 27.01.2019.
Shri Samidoss, HM of the school and Dr. Packiya Mary Jerome,
DGS/Medical, NLC India Hospital inaugurated the camp, in which
around 450 people were benefitted.
At Perperiyan Kuppam : The 5th Comprehensive Medical Camp of
this financial year was organised at Government Higher Secondary
School Premises, Perperiyan Kuppam on 17.02.2019. Smt. Senthil
Nayagi, HM of the School and Dr. M.K. Jha, CGS/Medical i/c
inaugurated the camp. As many as 350 people benefitted through
this camp.
At Uluthoor : The 6th Comprehensive Medial Camp was organised
at the St. Anne’s Church premises, Uluthoor on 10.03.2019.
Shri R. Mohan, CGM/HR (CSR, Education, Sports & Culture),
Dr. M.K. Jha, CGS/Medical i/c, NLC India Hospital and Rev. Fr.
Sahaya Nathan, Parish Priest of the Church participated in the
inaugural function. About 350 people benefitted through this camp.
NLC INDIA HOSPITAL ORGANISES COMPREHENSIVE MEDICAL CAMPS
Medical Camps at Rajasthan
The Management of our Barsingsar Mine cum Thermal Project, Rajasthan had organised 3 medical camps during the fourth quarter of 2018-19
under Corporate Social Responsibility Activities. Doctors and paramedical staff of Occupational Health Centre, Barsingsar Project screened the
patients and distributed medicines. All the three camps were organised in the presence of Shri E. Esaikkimuthu, Project Head, Barsingsar &
Bithnok Project, Shri D. Sridharan, General Manager/Barsingsar Thermal Power Station and Senior Officials.
At Barsingsar Village : In the Medical
Camp conducted on 12.02.2019, about
570 people of the village benefitted.
Free medicines have been provided to
them.
At Swaroopdesar Village : The Free
Medical Camp was organised on 25.02.2019
in which free medical treatments/medicines
have been provided to 570 people of the
locality.
At Lalamdesar Village : The camp was
organised on 11.03.2019 in which 410
people from in and around the village
were benefitted. Doctors Screened the
patients and provided free medicines.
NLC Tamilnadu Power Limited
(NTPL), one of our Subsidiary
Company at Thoothukudi had
conducted a Free Eye camp at
NTPL Township for the general
public, in Association with District
Blindness Control Society (DBCS),
Thoothukudi on 17.02.2019.
Shri V. Thangapandian, Director/
NTPL organises Free Eye Camp at Thoothukudi :
Power, NLCIL inaugurated the
eye camp in the presence of
Shri Shajee John, Chief Executive
Officer/NTPL. 181 persons were
benefitted. Out of which, 11 persons
were recommended and identified
for the Surgical Treatments and
66 persons were recommended for
Spectacles with various vision
errors.
MEDICAL CAMPS ORGANISED IN OUTSIDE PROJECTS
Annua l Med ica l Examina t ion
programme for Special Children of
Sneha School for the academic year
2 0 1 8 - 1 9 w a s c o n d u c t e d o n
26.02.2019 in SNEHA School.
A team of specialist doctors from
NLC India Hospital, comprising of
P h y s i c i a n s , P a e d i a t r i c i a n s ,
Dermatologist, Ophthalmologist, ENT
and Dental surgeons
a n d P s y c h i a t r i s t
screened children to
a s s e s s t h e m f o r
h e a l t h p r o b l e m s
pertaining to their
specialty domains.
Health records were
updated with findings
o f med ica l examina t i on and
recommendations of doctors for
compliance by parents in terms of
seeking early medical intervention in
the case of children diagnosed with
problems.
Smt . Kanchan Rakeshkumar,
President SNEHA Opportunity
Services Society, graced the occasion
a n d i n q u i r e d t h e
doctors about health
status of each child and
requested the doctors
to treat the children in
NLC India Hospital
who are diagnosed with
c h r o n i c m e d i c a l
conditions.
SNEHA School – the trail blazing institution sets benchmark in
rehabilitation programme for mentally challenged children (Special
Children) for similar schools in the Cuddalore District to adopt its
best practices. In terms of promoting sports among special children
which is gaining momentum in recent times, SNEHA took the
initiative to conduct a District level sports meet jointly with the
Sports Development Centre of
NLCIL and the NLC India Hospital on
20.02.2019 at the Bharathi Stadium.
The mega event was a big draw as
it attracted a larger than expected
participation of 177 children from
12 schools across Cuddalore
District. Smt. Shanti Vikraman,
Patron of Neyveli Ladies Club
flagged off the event in the presence
of Shri R. Ramesh, DGM/Sports,
NLCIL, Shri Raghava Reddy, Secretary, Sneha Opportunity Services
Smt. Kanchan Rakeshkumar, the
President SNEHA Opportunity
Services Society was behind holding
this mega event for the first time in
Neyveli which contributed to
enhancing the image of NLCIL as a
corporate citizen committed to the
cause of holistic development of special children.
and Smt. Salma Philip, Principal of Sneha School. The event featured
both athletic and team games as the children participated with flair and
flamboyance. Winners were encouraged with trophies and medals. But
the ultimate winner is the event itself as the children competed in right
spirit and were united in the goal of celebrating sports in true spirit and
in appreciation of each other’s talents. The event offered a never before
experience of enjoying camaraderie
with one another and show cased their
skills in a perfect ambience which
Bharathi Stadium offered.
A SPECIAL PAGE FOR THE SPECIAL CHILDREN
ANNUAL MEDICAL CHECKUP
SNEHA HOSTED THE DISTRICT LEVEL SPORTS MEET FOR SPECIAL CHILDREN
1. Housemates of “Anandam Illam” celebrating New Year 2019 with CMD and Directors of NLCIL and Smt. Kanchan Rakesh Kumar (01.01.2019)
2 Shri S.R. Sekhar, CGM/TA administering polio drops to a child during the 25th National Intensified Pulse Polio Programme – 2019 at Block-20, Health Centre, Neyveli. 4723 children were given Polio drops (10.03.2019).
4. Dr. S. Vijayakumari, Psychiatrist, NLC India Hospital handling a session
3. Smt. Kanchan Rakesh Kumar and the Members of Australian Team viewing the Yogasanas demonstrated by the students of Sneha school (11.01.2019)
6 Dr. S. Vijayakumari, Psychiatrist & ACMO/NLC India Hospital addressing the students of Kendriya Vidyalaya, Neyveli at the one day Workshop on ‘Substance Abuse’ (11.02.2019).
on “Health & Hygiene in Adolescence stage” at the Young Student Scientist Programme-2018 organised by Tamilnadu State Council for Science & Technology, Dept. of Higher Education, Govt. of Tamilnadu at Jawahar Science College, Neyveli (05.01.2019).
5. NLC India Pavilion which displayed the handicrafts made by Sneha Children at the Udyam Samaagam Trade Fair organised by MSME Technology Development Centre at Coimbatore (24.03.2019)
NEWS IN BRIEF
PhotoNews
NLCIL Sports Development Centre organised a Mini Marathon
“Run for Health” at Neyveli on 17.02.2019 for the cause of Good
Health and Fitness. Shri Rakesh Kumar, CMD, NLCIL flagged off
the Marathon at Bharathi Stadium in the presence of
Shri V. Anbuchelvan, Collector, Cuddalore District, Shri Nadella
Naga Maheswar Rao, Director (P&P)
and Shri Prabhakar Chowki,
Director (Mines) of NLCIL.
About 2400 Citizens from all
walks of life in all age groups
participated in the Marathon.
Along with CMD, Collector
and Directors, our Senior
O f f i c ia l s , ve te ran spor t s
personnel of NLCIL, employees,
family members, school and college
students, CISF personnel and
general public enthusiastically
participated in the event.
Shri T.D. Rajendran, a veteran
sports super senior citizen
f r o m S i v a k a s i g a v e a n
encouraging speech before the
start. After a circuitous route of
5 km, the marathon came to a finish
at the starting place. NLC India Hospital
made all the precautionary measures and sent ambulance vehicles
along with the participants. Earlier, homage was paid to the martyrs
of the terror strike in Pulwama and the run was dedicated to the
martyred CRPF Jawans.
News Letter of NLC India Hospital (for private circulation only)Published by NLC India Limited, ‘Navratna’ - A Govt. of India Enterprise, Neyveli 607 801, Tamil Nadu. Website : www.nlcindia.com
LIGNITE LIFE LINE
RUN FOR HEALTH