Kidney Transplant in Delhi, India

Introduction:

Kidney transplantation or renal transplantation is the organ transplant of a kidney into a patient with end-stage renal disease. Kidney transplantation is typically classified as deceased-donor (formerly known as cadaveric) or living-donor transplantation depending on the source of the donor organ. Living-donor renal transplants are further characterized as genetically related (living-related) or non-related (living-unrelated) transplants, depending on whether a biological relationship exists between the donor and recipient.

The decision to have a kidney transplant is an important one. A kidney transplant is not a cure for kidney disease. The decision to have a kidney transplant will mean that you are willing to make a life-long commitment to take care of yourself and your new kidney.

What is a Kidney?

In humans, the kidneys are two small organs located near the vertebral column at the small of the back. The left kidney lies a little higher than the right kidney. They are bean-shaped, about 4 in. (10 cm) long and about 21/2 in. (6.4 cm) wide.

The kidneys have a couple of different functions. The main purpose of the kidney is to separate urea, mineral salts, toxins, and other waste products from the blood. The kidneys also conserve water, salts, and electrolytes.

Although humans are born with two kidneys, it is possible for a person to survive with only one. This is because each kidney is packed with renal tissue, which is more than enough for daily use and is quite capable of carrying out the necessary functions all on its own.

What is Kidney Transplantation?

Kidney transplantation is a surgical operation in which the surgeon places a healthy kidney from another person into your body. The donated kidney does the work that your two failed kidneys used to do.

The surgeon places the new kidney inside your lower abdomen and connects the artery and vein of the new kidney to your artery and vein. Your blood flows through the donated kidney, which makes urine, just like your own kidneys did when they were healthy. The new kidney may start working right away or may take up to a few weeks to make urine.

Why is a Kidney Transplantation Necessary?

When a person has 'RENAL FAILURE', the kidneys do not properly filter harmful waste products; as a result, excess wastes and chemicals start to accumulate in the blood. When this happens, a dangerous accumulation of waste products can occur, causing a condition known as uremia.

Patients with irreversible renal failure have two options of treatment:

§  Dialysis, where the waste products from the blood are removed artificially

§  Kidney transplantation

Symptoms of Kidney Failure:

The symptoms of kidney failure vary widely by cause of the kidney failure, severity of the condition, and the other body systems that are affected. Most people have no symptoms at all in the early stages of the disease, because the kidneys are able to compensate so well for the early impairments in the their function. Others have symptoms that are mild, subtle, or vague. Common symptoms of kidney failure and end-stage renal disease include the following:

§  Puffiness, swelling of arms and legs

§  Shortness of breath due to fluid collection in the lungs

§  Dehydration

§  Feeling of thirst

§  Rapid heart rate

§  Urinating less than usual

§  Urinary problems - Frequency, urgency

§  Bleeding - Due to impaired clotting, from any site

§  Easy bruising

§  Fatigue

§  Confusion

§  Nausea, vomiting

§  Loss of appetite

§  Pain - In the muscles, joints, flanks, chest

§  Bone pain or fractures

§  Itching

§  Pale skin (from anemia)

Causes of Kidney Failure:

Following is a list of causes or underlying conditions that could possibly cause Kidney failure includes:

Causes of acute kidney failure

§  Hemorrhage

§  Internal bleeding

§  Shock

§  Heart attack

§  Acute pancreatitis

§  Heat exhaustion

§  Acute nephritis

§  Urinary obstruction 

Causes of chronic kidney failure:

§  Hypertension)

§  Glomerulonephritis

§  Polycystic kidney disease 

§  Chronic nephritis (type of Nephritis)

§  Urinary stones

Urinary tumor

The cost of a kidney transplant surgery ranges from INR 5,00,000 to 7,00,000 in Indian hospitals, depending on the procedure to be carried out and the availability of kidney donor.

Medical Loans for Surgery and Treatment

The cost of medical treatment and surgery in the country has inflated drastically in last few years and medical expenses are often unexpected and stressful in various ways. Millions of middle-class families came face to face with the harsh Indian reality where arranging money for expensive medical operations during emergency proves to be quite a difficult and stressful task. Very few Indians have health insurance and a quality healthcare comes at a premium.

It is at times like these, Medical Loans comes to the rescue. Medical loan for surgery or any other expensive treatment is basically a personal loan which can be used for sudden medical emergencies and whose interest rates are dependent on parameters like where you work, your salary bracket, your city and much more.  It is important to perceive that personal medical loans are a boon for patients as it has several advantages. Medical Loans being unsecured, do not require any collateral or deposit while assuring that you get quality medical care without delay.

With the aim of easing the accessibility of medical facility; Credihealth - the no. 1 medical assistance provider in India, has introduced a platform for easy access to medical loans. It has coalesced with leading financial institutions like banks and NBFCs to make the process of seeking a loan for treating medical conditions efficient and convenient. The strenuous task of taking loan has become simpler as the user can visit the website of Credihealth and avail loans in the range of INR 30,000 to INR 50 lakhs for duration of 6 months to 48 months

To accomplish the goal of making healthcare accessible and affordable, it has ensured that those in need get the much-needed financial assistance at a very competitive price.  

Credihealth launches medical loan facilities

Credihealth, a medical assistance company, has launched a medical loan facility on its platform, partnering with banks, NBFCs and fintech players like Rubique. Users can now apply for medical loans via Credihealth and make paperless in-principal transactions to avail loans ranging from Rs 30,000 to Rs 50 lakh for a tenure starting from six months to 48 months.

The tie-up gives it access to Rubique's technology platform, network of over 65 financial institution tie-ups, and strong distribution across 29 cities.

Credihealth expects reaching out to a much larger audience with its unique healthcare proposition through the partnership and will also benefit from fulfilment support enabled through Rubique's fulfilment centres. For its future tie-ups as well, it is focused on teaming up with only those financial services players who are highly transparent and give loans at attractive and fair rates.

Ravi Virmani, founder and MD, Credihealth, commented, "In our country, there is an imperative need to not only get quality healthcare but also financial means to get access to these facilities easily and on time. In fact, medical loans is one area which is yet to penetrate the Indian healthcare market as a majority of patients are either paying in cash or doing top-ups to pay their medical bills. But there are a large number of patients who are is in dire need of medical treatment and have no medical funds at all. In order to fulfil this need, Credihealth is making it convenient for patients to pay their medical bills through an EMI model. We are also leveraging our superior network of service providers and procurement supply chain to reduce the overall cost of care in the ecosystem."

Read All News - http://timesofindia.indiatimes.com/topic/Credihealth

Apollo Hospitals to add over 2,000 beds in next three-year expansion plan

Company plans speciality beds for cardiology & cancer, will expand to new cities

After crossing a target of 10,000 beds capacity, Apollo Hospitals is gearing for the next stage of an expansion plan that would see an addition of around 2,000 beds. The hospital chain is in the final stage of its current three-year expansion plan, which targeted to add 2,500 beds.

"I think Apollo doesn't sleep. It works round the clock and we are completing the three-year plan of adding 2,500 beds now, which will be completed with the proton centre. But we will have another three-year plan. We need more beds because of the huge problem of NCDs (non-communicable diseases)," said Prathap C Reddy, executive chairman, Apollo Hospitals Group.

In the next stage, the company would have speciality beds for cardiology and cancer, would expand to other cities where it does not have the presence and also to increase the beds in cities where it is already present in, he said.

"Investment for the present expansion is completely covered. When it comes for the next expansion, people are willing to give us money, they trust us," added Reddy. He was speaking on the sidelines of launching Apollo Memory and Apollo Headache and Migraine Clinics, set up in its hospital in Chennai.

Read full News go on- .business-standard.com

Sugar may be the new cholesterol!

AHMEDABAD: Leading cardiologists from across Delhi and India debated how 'sugar might be the new cholesterol' for people at risk of heart disease, as any excess amount consumed is converted to fat! Dr G R Kane, a senior cardiologist from Hinduja Hospital, said that while people are mindful of the fact that consuming high-fat food may increase cholesterol levels, there is little awareness about the adverse impact of eating excess sugar. "Sugar is still associated with diabetes but it gets directly converted to fat. There needs to be awareness about consuming sugar in moderation," Kane said.

Read Full News Sources- Times of India

Sugar and many other controversial factors affecting heart health and cardiac disease treatment were discussed by experts at 'national debate' 2017 which revived a similar exercise undertaken by leading physicians of Gujarat — Dr Harshad Gandhi, Dr Jyotindra Bhatt, and Dr Premal Thakore — in the late 1980s and early 1990s. The debate was revived by course co-ordinators, cardiologists Dr Sameer Dani, Dr Sunil Thanvi, and Dr Rashmit Pandya.

Study settles debate over head position following stroke

New Delhi, 22nd June 2017: Stroke or Brain Attack is the leading cause of death and disability in the world. A trial involving more than 11,000 patients has revealed sitting up or lying flat after a stroke makes no difference to their recovery.

The research led by The George Institute for Global Health set out to discover if the bed position of people with the most common form of stroke, (acute ischemic) reduced death or disability.

Some studies had indicated lying flat may improve recovery by increasing blood flow in the main arteries to the brain, but there were fears it also raised the risks of pneumonia.

The worldwide results published in the New England Journal of Medicine found the position of a patient’s head does not affect outcomes.

Lead investigator Professor Craig Anderson of The George Institute of Global Health, Sydney said: "Many stroke specialists believe that the way the body is positioned after stroke makes a difference to their patient’s recovery. But, there was really no conclusive evidence to back this up. We know the first 24 hours of care post-stroke is crucial to recovery, so it was vital to find out if sitting up or lying down flat could make any difference."

National lead Principal Investigator Professor Jeyaraj D Pandian, Honorary Professor, the George Institute for Global Health & Head of Neurology at Christian Medical College, Ludhiana stated that "Head position does not matter so much over and above good nursing care. It does not help with recovery, with mortality or how a patient feels. However, we also found there were no significant harms associated with either lying down flat or sitting up."

The study is the largest ever randomised nursing care trial and took place at 114 hospitals in nine countries (UK, Australia, China, Taiwan, India, Sri Lanka, Chile, Brazil, Colombia).Professor Pandian added, Patients were either assigned to lie flat with their face upwards or with their head raised to at least 30 degrees during the first 24 hours after being admitted to the hospital for a stroke. They were then assessed 90 days later. From India 499 patients were enrolled from 6 stroke centers (Christian Medical College, Ludhiana; PGIMER, Chandigarh; Dr. Ramesh Superspeciality Hospitals, Guntur; SCTIMST Trivandrum and Baby Memorial Hospital, Calicut).

Professor Anderson said the results were very reassuring to lower to middle income countries, where lying flat is more commonly practiced due to the lack of motorized beds.

"What we found is that patients found lying flat somewhat uncomfortable, but it certainly didn’t make their condition any worse. Our findings suggest a review of current clinical practice guidelines is warranted," Professor Pandian added. The majority of patients who took part in the study had mild to moderate severity strokes, with an average age of 68 years.

Read Source - http://health.economictimes.indiatimes.com/news/industry/study-settles-debate-over-head-position-following-stroke/59268886

Find all Details and best neurologist from top hospitals only on Credihealth. its medical assistance Company,

Dealing with Ear Pain while Scuba Diving

Ear pain while scuba diving is a common problem encountered by almost every diver at some point; it is also called ear squeeze. The primary reason of this can be due to the difference in pressure between the ear and the outer environment. There can be many other causes and a person experiencing such sensation must see an ENT Specialist for a better diagnostic.

ENT Specialist Explain the Cause for Ear Pain While Scuba Diving

The pain occurs when the diver descends deeper underwater; it is because the water pressure on the tympanic membrane (ear drum) increases. The pain increases as the diver descend deeper as every 33 feet deeper under the water the atmospheric pressure changes by 1 atmosphere.

The eustachian tube plays a major in equalizing this pressure. Under normal circumstance, this tube opens and allows the pressure on the eardrum to balance with the water pressure outside in the sea. But if the eustachian tube does not open then due to the water pressure the eardrum is pushed inward causing inflaming and stretching of the ear canal and causing pain.

If the diver continues to descend deeper in the sea ignoring the pain, the eardrums may burst causing vomiting, nausea, and dizziness because the seawater rushes into the middle ear.

Some of the reasons why the Eustachian tube might not equalize can be attributed to things like smoking, extreme ear cleaning, allergies, respiratory infections, nasal polyps, and previous facial trauma.

Dealing with the Pain

It is essential that the diver immediately attends to the pain. The best way to treat or suspend the pain is to avoid diving for few days and consult a doctor. In the initial stage, oral decongestants and nasal spray might be administered to help with the eustachian tube and if an allergy persists then the physician may prescribe antihistamines.

Pain medication and ear drops may be advised to relieve the pain in the ear. If the eardrum is ruptured then an antibiotic might be required. Oral steroids may need to be administered if the patient is suffering from facial paralysis.

Few Tips for Easy Equalizing

Few precautionary measures can be practiced by the diver to avoid ear pain while diving and help the process of equalizing.

The diver can start the dive early and try to equalize the ear, it has been observed that chewing gum can help in the process. One must also observe a pop in the ears as it indicates that the eustachian tubes are opening.

It helps if you descend feet-first; it has been widely observed that if you descend feet-first, equalizing happens faster. Extend and look up to help your eustachian tubes open. ENT Specialists say that if you experience pain that means your tube haven’t opened and you need to stop.

Avoid the consumption of food that prompts the production of mucus; food like milk. Stay away from tobacco and alcohol as it irritates the mucus membranes and in turn increases the production of more mucus. Prevent water from going up the nose as it again increases the mucus production.

ENT Specialists Advice

This is a serious issue with diving and no diver should take it lightly. It can lead to serious damages to the nose, the ear and even the throat. It is also observed that some threat to the brain is also posed. The affected person should consult the doctor if they have experienced any of the symptoms or pain in the ear after or during diving. It is also advised that the diver takes a partner with them while going diving.