Posts Tagged ‘surgery’
Hospitals are also source of infection, some times more deadly than the disease.
Please read my post on this.
Prevention of Hospital infection .
From methacillin resistant staph (MRSA) to Clostridium difficile (C. diff), we now know that these infections can be prevented through rigorous precautions and awareness. Here are 12 steps you can take to reduce your risk of hospital infections.
1. Ask hospital staff and visitors (very important!) to wash their hands before treating you.
Alcohol based hand cleaners should be at every bedside. Make sure it is used.
2. Make sure the Doctor or nurse wipes the stethoscope with alcohol before examining you.
3. Ask your surgeon about his/her infection rate. He should know the answer for the
procedure being performed.
4. Beginning 3-5 days before surgery, shower or bathe daily with chlorhexidine soap. You can
buy it over the counter.
5. Ask your surgeon to have you tested for MRSA one week before your surgery. It is a
simple test with a nasal swab.
6. Stop smoking well in advance of surgery. Smokers are 3X as likely to develop surgical site infections.
7. Remind your doctor that you may need an antibiotic one hour before the first incision. (this depends upon the type of surgery but is a critical time period)
8. Do not shave the surgical site. Razors can cause small nicks in the skin and allow infection.
9. Avoid putting food or utensils on furniture or hospital bed sheets.
10. Ask your doctor about monitoring your glucose levels continuously during and after
surgery, especially cardiac surgery. Tight glucose control helps patients resist infection.
11. If possible avoid a urinary tract catheter. (This is not always possible but be aware)
12. Make sure your IV is inserted under clean conditions and changed every 3-4 days.
Infection control is every one’s responsibility. I know it is hard to question a caregiver when you are the patient, but these infections are absolutely preventable and we can’t afford to make excuses for not doing the right thing. The evidence is clear. Now we need to make sure everyone adheres to them.”
Understanding how infections spread, you can prepare ahead of time by packing some items that will help you fend off those germs.
Must-have items include:
- Antiseptic wipes and sprays will help you kill germs on surfaces. Don’t be afraid to wipe down everything you or your patient-loved-one will touch, or be touched by. Telephones, TV remotes, bedside tables, bed rails, bathroom surfaces, bathroom door handles, chairs and others. Spray pillows and bed linens. The most effective wipes and sprays contain bleach which is necessary to kill some of the most dangerous germs.
- Make yourself a sign using neon posterboard and a permanent marker that says “PLEASE WASH YOUR HANDS before touching me.” Then hang it in a prominent place in your hospital room, preferably just above your head so every caregiver will see it.
- A germ-filtering mask might come in handy if your roommate begins coughing. Find masks at your local pharmacy. Be sure they are the germ-filtering kind and don’t let someone else open the package if they haven’t already washed their hands.
- Be Safe Hospital Infections MRSA C.Diff (ramanan50.wordpress.com)
- Hospital super bug is almost wiped out as trust steps up fight (manchestereveningnews.co.uk)
The cost could be even lower if the Corporate are not greedy.
The lower cost is due to weak Indian Rupee and by Indian Standards the cost is still unreachable for the Middle and lower Income Groups.
Please check the above information.
There are some Government Hospitals, like the GH, Chennai.
But they may not have the Five Star atmosphere.
Or KMC, Chennai.
There is of course the question of bureaucracy and indifference.
If only the staff there were to be more dedicated, they can give a run for the money for the Corporate Hospitals
There are some Hospitals in India,which charge less than the cost mentioned here, but the do not have the PR and Marketing set up, nor do they have Glib talkers .
Leading hospitals have a success rate of between 98% to 99% for heart surgery in India, higher than most hospitals worldwide Benchmarking the biggest hospital for heart surgery in India with the finest hospitals in the USA provides a very favourable comparison: the Indian hospital performed 2.5 times the number of adult heart surgeries performed at Cleveland Clinic, USA, and 2.5 times the number of paediatric heart surgeries conducted at Children’s Hospital, Boston, USA.”
Cost of Heart Surgery in India.
The cost of heart surgery in India is perhaps the lowest in the world Some comparisons show that patients in the USA can save 90 per cent of the treatment cost by having their heart surgery in India. The cost of heart treatment in India is also very much cheaper compared with Thailand, Singapore, etc which also attract medical tourists.
Benefits of Having Heart Surgery in India.
Hospitals in India have a success rate of between 98 to 99% for heart surgery in India
Heart surgery in India is performed by cardiac surgeons of great experience, in terms of both number of surgeries, diversity of procedures and complexity of heart conditions
This experience is built on top of the outstanding academic qualifications of heart surgeons in India.
After medical school and internship at hospitals in India, many cardiac surgeons in India proceed to have super specialisation and world-class training at the best institutions in the UK, USA etc.
Many heart surgeons in India also have work experience in institutions as reputed as Cleveland Clinic, Harvard, etc
India’s hospitals have world-class cardiac catheterisation labs for diagnosis of heart diseases and performance of angiograms and angioplasties They also have state-of-the-art operation theatres that enable safe and successful heart surgery in India.”
Using pre-fabricated buildings, stripping out air-conditioning and even training visitors to help with post-operative care, the group believes it can cut the cost of heart surgery to an astonishing 800 dollars.
“Today healthcare has got phenomenal services to offer. Almost every disease can be cured and if you can’t cure patients, you can give them meaningful life,” says company founder Devi Shetty, one of the world’s most famous heart surgeons.
“But what percentage of the people of this planet can afford it? A hundred years after the first heart surgery, less than 10 percent of the world’s population can,” he told AFP from his office in hi-tech hub Bangalore.
Already famous for his “heart factory” in Bangalore, which does the highest number of cardiac operations in the world, the latest Narayana Hrudayalaya (“Temple of the Heart”) projects are ultra low-cost facilities”
- What India can teach Sweden about healthcare (thelocal.se)
I have been critical of some Doctors who have become crass after money and for unethical practices like accepting gifts from Pharma Companies, forcing patients to take unnecessary medicines.
Many of the Corporate run hospitals are meant for Star Hotel Luxury than for patient Care.
Now emerges a shocker.
He met his Target but the patient died.
There is another case where a Doctor forced three operations on a patient, patient died.
Corporates mean profit, Profit means Sales ‘Targets”
This evil can be eradicated only by patients going to Doctors who thorough checks you up physically,does not prescribe a battery of Tests , who listens to your problem , most importantly does not work in a Corporate run Hospital, and who does not have a Fancy Title or Degree.
Ray Law, 60, died of complications two days after his prostate cancer operation at Lincoln County Hospital in February 2010.
On the day he died, a senior doctor raised serious concerns about the incident in an internal memo, saying the targets were putting patients at risk and putting “enormous and unsustainable pressure” on surgeons.
Mr Law should have been put on a high-dependency ward, according to the memo sent to hospital managers, but he ended up on a general ward due to “increasing pressures”. Despite these concerns being raised, Mr Law’s widow Kathleen was never told about them.
On Thursday night, Mrs Law told The Daily Telegraph of her “anger” at being kept in the dark and said: “I want answers.”
Her daughter Nikki Law, 35, said: “It’s absolutely despicable. I have no trust in the NHS whatsoever. We’ll definitely take legal action…
He signed a £500,000 confidentiality deal preventing him from speaking out over patient safety worries at the hospital shortly before Mr Law’s death.
On Thursday Mr Walker broke the terms of the order to claim he had come under “dangerous” pressure from NHS officials to prioritise target-hitting over emergency care. He refused to do so and was sacked. The memo, which did not identify Mr Law by name, said targets were exerting “enormous pressure” resulting in “ad hoc arrangements for surgery at short notice”. It noted: “This is not only prejudicial to ongoing patient care, but present enormous and unsustainable pressure on the operating surgeons.”
The memo said normally only “one or two” radical prostatectomies would be performed by a surgeon in a day, but that “the additional case [of Mr Law] was required due to [redacted] target pressures”.
A patient being treated at an under-fire hospital trust died after a surgeon had to carry out three “radical procedures” on the same day due to “target pressures”, a leaked letter from a doctor has claimed.
The surveyed doctors said they prescribed them to induce a “placebo effect,” to reassure patients or because patients pushed for a treatment.
“For authorities to put their heads in the sand and pretend (placebo treatments) are not being given out is not helpful,” said Jeremy Howick of Oxford University, one of the authors of the study, which was published online Wednesday in the journal PLoS One. “We need to think of ways to maximize the benefits of using placebos,” he said.
Howick and colleagues used a Web-based survey and got 783 responses. The sample was drawn from a list that included 71 percent of all doctors registered with the General Medical Council, the governing body for doctors in the U.K.
The survey asked doctors if they had ever used a true placebo, like a sugar pill or another kind of dummy treatment such as a drug not meant for the patient’s condition or a non-essential examination including blood tests and X-rays. Nearly all of the doctors — 97 percent — reported having used some kind of placebo treatment at least once, while 12 percent reported having used a fake pill.
I recall an incident in the Life of Surgeon Dr.Rangachari In Chennai Tamil Nadu,India.
Doctor Rangachari was delivering a Baby.
During the procedure, the baby’s Fingers stuck out of the womb.
While others were confused as to what to do, Rangachari picked up a Cigarette ,lighted and touched the baby’s Fingers of the baby with the glowing end of the cigarette and the fingers were withdrawn!
A routine C-section turned memorable for an Arizona doctor when his tiny patient reached out of her mother’s abdomen during delivery and grabbed his finger.
The brief moment was captured by the baby’s father, Randy Atkins, who snapped a photo that has now gone viral.
“The doctor called me over and said, ‘Hey, she’s grabbing my finger.’ So I ran over there and just grabbed the shot and I was just in awe looking at it. It was such an amazing picture,” Atkins told KTVK.
“We didn’t think we were going to get such positive feedback. We thought we would get more negative ‘that’s disgusting…’” Alicia Atkins said. “[Instead] everybody just thought it was the best thing in the world.”
Even those in the delivery room were stunned by the special moment.
“It was such an amazing photo. [Hospital staff] had possibly heard of it happening but they had never seen a photo of it,” said Atkins.