Shalby Times

SHALBY TIMES | Digital Edition | Volume 07 | August 2021

Independence from

Disease

Independence Day Special Edition

FREEDOM FROM DISEASE Battling with health issues has become a very common sentiment today, be it the most hyped communicative disease COVID -19, or non-communicative diseases like, cardiovascular, cancer, diabetes, respiratory diseases, hypertension etc. These sufferings are showing threatening growth in the numbers and become a cause of worry for medical science and individuals. Majority of people are living a morbid life. Many of them have to fight with health issues on a daily basis. With today’s lifestyle and so much increase in stress and unhealthy living, there has been a tremendous rise in diseases However, staying away from these diseases is possible with some simple changes in your lifestyle choices.

This Independence Day let’s take a healthy initiative to gain freedom from diseases and lead a healthier life. In this edition we will discuss about few diseases and their prevention.

Freedom from Covid- 19, Possible Risks and Preventions to avoid Third Wave The number of average daily cases in India has fallen to 35000 in recent days, down from the peaks of 400,000 in May and as India emerges out of a deadly second wave which was devastating, the country now began to reopen. Several states have allowed tourist and religious gatherings, people are becoming more careless towards precautions, and not following proper preventive measures, can bring the nation to a delicate phase and how people behave will largely determine the fate of the Third Wave of COVID-19.

We have been living in a nightmare called COVID-19 for the past year and a half. We've witnessed two rounds of danger and a lot of community suffering.

Scientists and experts now believe that the world is on the edge of the third wave of COVID 19. Did we learn anything from the 2 past waves?

Independence from Disease

Shalby Times | Digital Edition | Volume 07 | August 2021

Let’s see, how can we avoid the Third Wave?

According to doctors from ICMR following things could lead to the third wave: • Drop in the immunity among those who contracted the virus in the first and second waves.

• If a new variant/mutation circulates in the population, it can bypass immunity and lead to the third wave.

• New variant/ Mutation can bypass the immunity and leads 3rd wave if circulate first in the population.

• Many states are easing their restrictions and releasing lockdowns. We're seeing enormous public gatherings in various places of the country that are not following protocol.

“Delta variant” can be a matter of concern" though there is no evidence that it can cause the third wave but they also believe that scenario can change within a weak”. The virus has undergone over 12,000 mutations, and the new form could be more infectious or deadly.

The doctors from AIIMS and ICMR believe that the third wave would not be as severe as the second, but it will affect the entire country and it is likely to hit the country at the end of August 2021.

Covid Safety Protocols Shalby's health experts have provided some advice on how to avoid the third wave of the Corona Virus.

• Follow safety protocol • Frequent handwashing with soap and water or sanitizers • Get 2 doses of vaccine • Be sure to wear 2 masks and use hand • Keep senior citizens and children safer sanitizers • Stay home in case you suspect yourself contaminated with the virus • Keep at least 2 yards of distance from anyone infected • Don’t smoke and avoid any lungs weakening activities • Make sure while coughing or sneezing you have a mask or cover your mouth with a hand • Avoid social gatherings and going out of the or handkerchief house, if not needed Today, after years of independence, we are living the life of prisoners and this is not what freedom fighters expected when they were fighting for our independence. Now, it’s our turn to make our nation FREE from Corona, which can be done by taking proper precautions and creating awareness among others to get vaccinated. Before we help, we need to help ourselves as “Prevention is better than cure.” For Covid free nation we have to follow all the safety norms and get used to this new normal.

Dr. Falguni Iyer General Physician Shalby Hospitals, SG

Independence from Disease

Shalby Times | Digital Edition | Volume 07 | August 2021

Freedom from Body burden: Lifestyle Diseases The majority of people in India are living a morbid life and many of them have to fight with health issues daily. With today’s lifestyle and so much increase in stress and unhealthy living, there has been a tremendous rise in diseases like diabetes, hypertension, cancer, stroke, and many cardiac illnesses.

However, staying away from these diseases is possible with some simple changes in our lifestyle. As we all know that prevention is better than cure, we all should adopt a healthy lifestyle to prevent these diseases.

Regular to remove toxins from body and burn out extra calories and fat, to stay away from exercises: mental stress and other diseases Healthy Healthy diet - by avoiding junk food, aerated drinks and by consumption of diet: healthy home cooked foods including more of fruits, vegetables, salads, dry fruits, green tea, yogurt and garlic which boosts our immunity and make us feel fresh and healthy Preventive at periodic intervals especially to screen for diabetes, hypertension, cancer, heart Health disease and osteoporosis. Preliminary health check-up detects many diseases at Check-ups: an early stage so that necessary steps can be taken to prevent morbidity and mortality. Patients can be cured within less time and without much stress and pain.

Reducing stress:

mental as well as unnecessary physical stress can prevent many avoidable illnesses

Why a Preventive Health Check-Up? Preventive health checkups are very crucial as you can detect the disease and causes at an early stage which helps you take the right action on time. If your condition will be detected earlier and you take immediate treatment, your suffering will be reduced, the curing time will be reduced, and medical expenditure will be less. Even if you have a family history of specific health conditions, a precautionary medical health checkup helps you to keep the disease away for a longer time. With expert healthcare and a healthy lifestyle, you may even avoid the disease completely.

With expert healthcare today and by adopting a healthy lifestyle, we can avoid many diseases completely. Say no to diseases and say yes to a healthy life should be our motto to get independence from diseases. Best time to get the health check up is when you don’t need one.

Dr. Urvi Maheshwari Md Physician Shalby Hospitals, Zynova- Mumbai

Independence from Disease

Shalby Times | Digital Edition | Volume 07 | August 2021

Book your Health check up with Shalby Hospitals now:

UNITS

PHONE NUMBER

SG Krishna Naroda Jabalpur Indore Jaipur

+91 99249 53400 +91 95120 49760 +91 95120 49876 +91 95758 01200 +91 91744 00170 +91 96240 43300

Independence from Disease

UNITS

Zynova Surat Mohali Vijay Vapi

PHONE NUMBER

+91 85914 01294 +91 95120 48594 +91 87250 40372 +91 96015 54586 +91 99243 96330

Shalby Times | Digital Edition | Volume 07 | August 2021

Freedom from Body burden: Lifestyle Diseases Independence is a state of being self-aware of not dependent on anything in particular. We don't often realize that how dependent we are. We buy sickness primarily as a result of our dependence on a non-healthy lifestyle. We must recognize and adopt a healthy lifestyle, which is rather easy to achieve, and adopt the concept of “Survival of the fittest” Staying away from these diseases is possible with some simple changes in our lifestyle. As we all know that prevention is better than cure, we all should adopt a healthy lifestyle to prevent these diseases.

We can achieve it with the following points: Quit Smoking:

Smoking and drinking are some of the major causes of lifestyle diseases and they are very injurious to an individual’s health.

Regular Exercise:

For at least 30 minutes every day: To remove toxins from the body and burn out extra calories and fat, to stay away from mental stress and other diseases. Ex. Brisk walking, Jogging, Skipping, Hiking, Playing badminton/Tennis/Football, etc.

Healthy food:

Low salt, sweet & fat, high amount of fruit, Salad, vegetables, milk, egg, Dry fruits like- Almond, Pista, walnut, etc.

Have good Quality sleep is essential as it can lead you to stay at a healthy weight. Lower your sleep of risk for serious health problems like diabetes and heart disease. Reduce stress 6-7 Hours: and improve your mood. Think more clearly and do better in school and at work.

Stress Release:

By spending time with family & friends, by meditation/yoga, by going for outing & enjoying the nature, Recreational activities/hobbies

Follow Wear a good face mask, sanitize hands, and keep social distancing. Get COVID-19 vaccination done, it will protect you from COVID infection as well as protect your preventive mental peace, financial aspects & family members. guidelines:

Dr. Amit Gupta Sr. Cardiologist.

Shalby Hospitals, Jaipur

Independence from Disease

Shalby Times | Digital Edition | Volume 07 | August 2021

Breast Cancer in India

Among all kinds of cancers, breast cancer has become a major health concern across India, especially in metropolitan cities like Delhi, Bangalore, and Chennai as it accounts for more than a fourth of all female cancers. Here is all you need to know about it:

Curable & Preventable As with many other illnesses, cancer can be caused by a variety of circumstances, and the majority of cancers are the consequence of exposure to a lifestyles factors. While some of these causes cannot be changed, but it is crucial to note that one-third of breast cancer cases can be avoided by reducing behavioral and dietary risks. While up to 10% of breast cancers could be hereditary, over 90% are related to lifestyle factors like obesity, alcohol consumption, smoking unhealthy diet, exposure to feminine hormones (estrogen), late menopause, and reproductive history.

The non-modifiable factors of breast cancer include age, cancer-causing substances, weakened immune system, and genetics. Some people are born with genetically inherited cancer genes. This does not mean developing cancer is guaranteed, but it makes the disease more likely. In India, women are affected at younger age (40-42 yrs) as compared to an average of 55-60 years of age in the West. Hence, awareness of breast cancer, its symptoms, early detection, regular self-breast examination, the importance of early diagnosis, and prompt treatment remains essential. “If any lump is detected anytime one must see an Oncologist to determine the nature of the lump. Several types of cancers can be identified early which helps improve the chances of successful treatment outcomes. There are cost-effective tests that help detect colorectal, breast, cervical, and oral cancers early, and further tests are being developed for other cancers. Check with your specialist doctors for guidance on these tests and screenings.

Dr Priyanshu Consultant Medical Oncology HospitalMBBS, MD (Internal Medicine), DM (Medical Oncology -AIIMS Delhi ).

Shalby Hospitals, Mohali

Independence from Disease

Shalby Times | Digital Edition | Volume 07 | August 2021

Q&A with Dr Priyanshu about Brest Cancer: What is Breast cancer?

Breast cancer is a type of cancer that starts in the breast. Cancer starts when cells begin to grow out of control. It is the most common cancer in females worldwide.

Is early detection for Breast cancer possible?

Breast cancer is sometimes found after symptoms appear, but many women with breast cancer have no symptoms. Therefore, regular breast cancer screening is so important.

Different tests can be used to look for and diagnose breast cancer. The most common and easily available test is breast mammography, which is inexpensive and easily available. If your doctor finds an area of concern on a mammogram, you will need more tests to know for sure if it is cancer.

Are people aware? In general, do fresh patients seem to have some surface-level knowledge about the condition?

Most of our patients do not have much knowledge about cancer. Most are scared; some even think there is no point in taking treatment because they think it is incurable. Most of them believe what people around them tell them.

Are there any common myths about cancer?

The most common myth is that cancer is not curable or that it means a death sentence. This is wrong as cancer is curable in early stages; even in advanced stages a patient can have a long and good quality of life. Some other myths are like eating sugar can lead to cancer spread; cancer is a contagious disease and can spread from person to person.

What challenges do you face every day as an oncologist?

The foremost challenge is to convince patients to undergo the required tests and adhere to treatment protocols. Another major challenge is to get timely treatment and not go for alternative medication which has no proven efficacy in cancer treatment.

Has the lockdown posed any challenge for the patients being treated for cancer? (If yes, how are you dealing with these fresh challenges?

Yes COVID 19 has posed several challenges in care of cancer patients. The foremost is to protect cancer patients from COVID 19. For that we encourage routine measures like masks, social distancing etc and minimizing hospital visits through tele consultation. We advise all cancer patients who are not on chemotherapy and in remission to get vaccinated. We also recommend them to immediately report to us in case of fever, cough, or any other symptoms suggestive of COVID 19.

Independence from Disease

Shalby Times | Digital Edition | Volume 07 | August 2021

Has there been any technological breakthrough for treating cancer in recent years?

There has been tremendous progress in cancer treatment in the last two decades. Several cancers like CML (a form of blood cancer) have become chronic diseases like Diabetes and hypertension requiring a single or all tablets a day and nearly a normal life expectancy. For advanced cancers introduction of immunotherapy has revolutionized treatment in solid cancers. Similarly targeted therapy in breast, lung cancers have improved survival by many years even in stage 4 cancers.

How does spreading awareness help in defeating cancer?

Early detection of cancer is the key to improving outcomes. Almost all cancers are curable in early stages. By cure we mean, living a normal life free of cancer. The earlier you detect cancer the better the survival. For Early detection one should be aware of common symptoms of cancer and should get evaluated early.

The second aspect is getting vaccinated: certain cancers like cervical cancer and liver cancers are preventable by vaccination.

What are the benefits of early detection of cancer?

Early detection of cancer is the key to improving outcomes. Almost all cancers are curable in early stages. Hence early diagnosis and getting the right treatment on time is the most important factor.

What are some common risk factors for Breast cancer and how to prevent them?

Increasing age, family history of breast or ovarian cancer, previous treatment using radiation therapy, physical inactivity, obesity, having the first pregnancy after age 30, not breastfeeding, and never having a full-term pregnancy can raise breast cancer risk.

Maintaining a healthy lifestyle, regular physical activity, early screening for women with a family history of breast or ovarian cancer and regular screening for all women over 45 years of age with annual mammography can help in preventing and early diagnoses of Breast cancer.

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Shalby Times | Digital Edition | Volume 07 | August 2021

FREEDOM FROM GUM INFECTION

BEFORE

Independence from Disease

AFTER

Shalby Times | Digital Edition | Volume 07 | August 2021

Celebrating Independence from diseases: Independence from Disease

Patient - Mr. Nand Kishor Gupta, 45 years old gentleman’s life came to a sudden pause in February 2021, when he was diagnosed with Ca Larynx. He had been suffering from hoarseness of voice for two weeks and had spent 1 month in misery having a series of diagnostic procedures, including a laryngoscope, PET CT, and a biopsy.

After visiting several cancer facilities, including some of the best in Jaipur, he was perplexed about his treatment options. To his astonishment, he was either informed of a lengthy waiting list or given recommendations for the finest supportive care.

Meanwhile, he came to Shalby, our team of Dr. Aseem, Dr. Kartik in Radiation, and Dr. Sudhir in Medical Oncology examined the full case, and decided to treat him with concurrent Chemo and Radiation within Radical Intent. He began speaking on his own after the half therapy. The reaction to a repeat CT scan was excellent. He completed treatment uneventfully and is now disease-free living a happy life.

He expresses his gratitude to Shalby Hospital’s Oncocare for its highly advanced medical equipment and treatment by highly qualified and experienced doctors. He was thankful to Dr. Aseem, Dr. Kartik, and Dr. Sudhir for restoring his ability to talk.

Dr. Kartik Rastogi Radiation Oncologist Shalby Hospitals, Jaipur

Shalby Times | Digital Edition | Volume 07 | August 2021

Celebrating Independence from diseases: Independence from Disease

Sarcoma Patient treated at Shalby Hospitals, SG Highway A 26 -year-old male patient came to us with a complaint of swelling in the right humerus and an inability to move the upper limb. On 02/02/2021 MRI of the right shoulder showed a Malignant lesion involving the head & proximal shaft right humerus with abnormal soft tissue proliferation, Sarcoma seems likely. On 04/02/2021 right proximal humerous for HPE showed Malignant round cell tumor, Ewings sarcoma is a possibility. IHC showed: Ewing's sarcoma.CD99, NKXX-2.2 ,CK, Fli ,ERG , CK-20: POSITIVE On 04/02/2021 PET CT Showed: Hypermetabolic lytic sclerotic lesion( approx: 63*52 mm) involving metadiphyseal region of the proximal end and marrow of adjacent shaft of right humerus , low grade hypermetabolic sub-centimeter size ( approx 11*8 mm, SUV: 2.5) right axillary lymph nodes with few of them showing preserved fatty hilum.

On 05/05/2021 X-RAY right shoulder showed: Mixed lytic sclerotic lesion seen in the right humeral head, neck, and proximal shaft with lamellar periosteal reaction - suggestive of the neoplastic lesion (biopsy-proven Ewing sarcoma).

Patient was given 12 weeks of NACT chemotherapy till 06/05/2021. On 27/05/2021 resection of proximal humerus -pedicles cryotherapy -reverse glenois type of TSR in the cryobone. HPE Showed: Residual viable malignant round cell tumour 5% consistent with EWING'S SARCOMA. At present patient is on adjuvant chemotherapy doing well with the ability to move the right upper limb and abduction up to 90 degrees.

Dr. Bhavesh Parekh Medical Oncologist Shalby Hospitals, SG

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Celebrating Independence from diseases: Independence from Disease

Patient, who crushed her foot in a road accident, is able to walk again.

A female patient who met a vehicular accident came to Shalby Hospitals, SG in an emergency. The accident had injured her foot so badly that it was almost crushed.

All the dorsal foot tendons were cut and multiple metatarsal fractures were there.

She was immediately attended to by a team of doctors and taken for surgery. The Bone fixation, tendon, vessel, and nerve repair were done. With proper dressings and physiotherapy, the patient is now able to move her toes and walk normally again.

Dr. Hardik Dodia Plastic Surgeon SG Shalby

Shalby Times | Digital Edition | Volume 07 | August 2021

Celebrating Independence from diseases: Independence from Disease

Shalby Indore Precisely Solved My Back Pain Problem

Hi, I am Mrs. Aashi Nikhil Joshi, 32 years old. I hail from Ujjain.

I was suffering from chronic back pain and severe Sciatic Nerve Compression for the last 6-7 months. I consulted several Neuro & Spine Surgeons but with no satisfactory outcome.

We came to know about Dr. Prasad Patgaonkar at Shalby Hospitals, Indore, and in the very first meeting, we were convinced about the spine surgery as he was able to understand my problems and the way he explained the procedures to us was convincing. He recommended endoscopic surgery with the latest techniques available and we were extremely satisfied with his confidence and trusted him as he is very knowledgeable, sensitive and down to earth with the patient centric approach. The very next day we decided to undergo the surgery.

I got admitted at Shalby Hospitals, Indore and after an hour of surgery, I started walking few steps without pain which was a dream since I got in the grip of back pain. From the 3rd day of my surgery, I started feeling normal.

Shalby Times | Digital Edition | Volume 07 | August 2021

Celebrating Independence from diseases: Independence from Disease

Total Knee Replacement during the pandemic on hype.

Faith can pull people from miles away.

Dr. Vikas Jain and Shalby Hospitals, Indore is an example of this statement. I traveled around 1000 Kms for my treatment and my faith in Dr. Vikas Jain made it all happen.

Hello everyone!

My name is Mr. Sanjay Sahoo. I am a resident of Bhubaneswar, Orissa.

My mother Mrs. Sakhi Bala Sahoo has been suffering from Knee Osteoarthritis for many years. We took her to a few hospitals and doctors in Orissa and we were advised for a total knee replacement surgery. After this, we talked to Dr. Vikas Jain, who is a Joint replacement surgeon at Shalby Hospitals, Indore.

During our first meet, Dr. Vikas Jain explained to us the entire issue with her Knee joint and about the procedure being planned and also cleared the doubts very patiently. The faith we had in Dr. Vikas Jain convinced us to travel 1000 kms from Bhubaneswar to Indore to get Total knee replacement surgery for my mother's left knee. After a few checkups, he made the necessary preparations for the operation. The next day after surgery my mother was made to walk. Today it's been around a month after the operation and she is absolutely fine and can walk without any support and her knee is pain-free, a pain she was suffering from for the past 5 years.

I can recommend Shalby Hospitals and Dr. Vikas Jain to every person I know. Dr. Jain is an intelligent doctor with adroit skills. His knowledge and international expertise on the subject is very commendable and it is because of this we chose to get operated by him. Coming to the hospital environment, it is very good, the facilities here are great. The staff here – is very helpful and has a favorable way.

Getting the surgery done during the Coronavirus phase was a concern for us but Dr. Jain and the Hospital team made sure of the utmost safety including blood tests and wearing Hazmat Spacesuits for the safety of my mother to prevent her from any risk during the surgery.

Seeing in retrospect, I’m glad we went ahead with the surgery as she had adequate time to recover after discharge and as a family we had more time to take care of her.

At last, I can truly say that you can contact Shalby Hospitals in Indore and they will do everything possible to help you out. Thank you Shalby, Thank you, Dr. Vikas Jain.

I am very grateful to Dr. Prasad, Dr. Ajay, and other doctors of his team.

The entire staff of Shalby Hospitals, Indore is supportive and cooperative and deserves our compliments for their exemplary services. The safety measures in the hospital are strong and comply with Non-COVID environment.

Shalby Times | Digital Edition | Volume 07 | August 2021

Celebrating Independence from diseases: Independence from Disease

Emergency treatment at Shalby

MR. RAM KUMAR AGRAWAL Rourkela, Asam Hello everyone, My Name is Ram Kumar Agrawal aged about 59 years was traveling on a pilgrimage trip to Ujjain. On the way back to my home town I found myself going through some numbness on my left hand. Till I reached Indore airport my left hand had completely stopped working. On enquiring about any medical help, I found Shalby Hospital Clinic, at Indore Airport (M.I. Room) Dr. Vivek Tiwari assisted consulted me and checking on my condition, he instructed me to immediately leave for Shalby Hospitals.

He proved to be an angel in my life and saved me from a big mishap. Before we reached the hospital, they made all the arrangements for MRI Scan and other tests which should be conducted. My medication was started as soon as I reached the hospital. I was attended by Dr. O.P. Lekhra (Neurologist) and he helped us in all possible ways to get out of the trauma faced. Every staff gave their best in assisting us and we did not feel as if we were outsiders. The ICU was fully equipped with staff and machinery and the nature of each staff was so good that we felt we are at home.

The Mediclaim team and the accounting department helped us claiming the best reimbursement we could get. I would like to thank Dr. Vivek Tiwari for being an angel in my life and saving me and would also like to thank the whole Shalby Hospital team including Dr. O.P. Lekhra for the continued support throughout our stay. I would recommend Shalby Hospital to each and everyone for the superb hospitality we received and going back all fit and fine.

Shalby Times | Digital Edition | Volume 07 | August 2021

Let’s fight against Disease together: A complete list of our specialties:

Arthroplasty / TKR & Hip Replacement

Arthroscopy – Sports Injury

Cardiology

Cardiothoracic and Vascular Surgery

Cosmetic and Aesthetic

Dental Cosmetic and Implantology

Emergency Medicine

Endocrinology – Diabetology

Endoscopy and Laparoscopy

ENT Surgery

Gastroentero Surgery

Gastroenterology

General Medicine

General Surgery

Hair Transplant

Hip Joint Replacement

Infectious Diseases

Infertility and IVF

Intensive and Critical Care

Knee Joint Replacement

Liver Transplant

Maxillofacial Surgery

Nephrology – Dialysis Kidney Transplant

Neuro Science Department

Neurosurgery

Independence from Disease

Shalby Times | Digital Edition | Volume 07 | August 2021

Let’s fight against Disease together: A complete list of our specialties:

Obesity Surgery

Obstetrics and Gynaecology

Oncology

Oncosurgery

Ophthalmology and Glaucoma

Organ Donation

Orthopaedic and Trauma

Paediatric Orthopaedics

Paediatrics and Neonatology

Pathology And Microbiology

Plastic Surgery

Pulmonology and Chest

Radiology and Imaging

Rheumatology

Trauma

Urology

Urosurgery

Independence from Disease

Shalby Times | Digital Edition | Volume 07 | August 2021