Straight from the Heart :
The
Story of My Tryst With My Heart Ailment
|
Part-VII of VII
(the last part)
Post-Operational Recovery
____________________________________________________________
Good Bye to Kokilaben Hospital
You don't appreciate life until you get to the other side.
Like lying in a hospital bed.
Like lying in a hospital bed.
~ Fabrice
Muamba
As I have mentioned in my
earlier blog, my two daughters, Manasi and Manini, proved extremely
helpful—rather indispensable, besides my wife Debu. Manasi promptly, methodically
and very capably carried out two more tasks before my discharge from the
hospital—that given my state I could not have done myself.
Manasi cleared out the last
remaining payment, completed other necessary formalities and obtained necessary
papers that could facilitate timely discharge.
She also purchased beautiful
“Thank You” cards and chocolates and distributed them among all concerned
(doctors, nurses and attendants in the ICU and in the ward) as a very modest token of our gratitude to
them all.
In my subsequent email to my
daughters after returning home I could not help quoting Deanna Beisser: “A daughter is a miracle that never ceases to
be miraculous...full of beauty and forever beautiful...loving and caring and
truly amazing.”
Completion of all formalities
for discharge was over by about 2 pm on Tuesday, 15 July 2014, and readily
surrendering my hospital outfit and donning my shirt and trousers, I happily
moved out.
As I moved out, I re-resolved
to write about my experiences in the hospital and with my heart ailment in a
series of blogs. We all are so quick to criticise, I thought. But, when it
comes to appreciating good work, are we equally prompt? I resolved that soon
after I am in a position to sit across my PC and write, my first blog-post
would heartily acknowledge and thank all those doctors and nurses and other
staff who helped me regain a healthy heart; and put on record the excellent
services provided by Kokilaben Dhirubhai Ambani Hospital (KDAH). I am
glad I did what I resolved. This is the last in the series of those blog-posts.
Exemplary
KDAH Courtesy
I was glad to receive email acknowledgement for my first blog-post in the series from Kokilaben (KDAH) Hospital. The text of their email is reproduced below.
================================================
On 31 July 2014 12:45,
<TAA.Office@relianceada.com> wrote:
----------------------------------------------------------------------------------
Dear Mr. Puranik,
Our Dr. Vidyadhar Lad has forwarded your blog details to me about your
experience at Kokilaben Hospital.
I personally felt extremely delighted that the team led by Dr. Lad &
Dr. Sunil Wani has given you a pleasant experience at The Kokilaben Hospital.
As a team, we constantly strive to treat all our patients with the utmost
care and compassion and the highest level of quality, safety and service during
their stay.
Your words of appreciation are indeed very encouraging and will go a long
way in motivating all of us.
We wish you a healthy and joyful life at all times.
Warmest Regards
Tina Ambani
===========
____________________________________________________________
Back Home!
Back home from the hospital by
the evening of Tuesday, 15 July 2014, along with my wife Debu and elder
daughter, Manasi, I felt much relieved.
Finally, the ordeal was over! The real possibility of a far,
far worse and disastrous eventuality had I not gone in for the operation was
what had prodded me to “go and get over with it!” I knew it was a tough call,
but something that had to be taken. Besides, the ordeal had to get over some
day. And, that’s what had happened. I felt elated, and patted myself for not
having shied away from it or postponed it. It felt so light!
My wife had kept the home as clinically clean as possible to
minimise the chances of any infection.
Happy
to be Home, and in my Study
I was mighty happy to be back home, and back in my study.
With books and iPad and PC I knew I could happily sail
through the three months of recovery period.
Prescribed
Regime
The hospital, KDAH, had provided me with a set of printed
sheets detailing the prescribed regime at home: what to do and what not to do,
including what to eat, what not to eat, what medicines to take, and what
exercises to do. For exercises, walks, swimming and so on, it prescribed a
graduated regime over the next three months.
Prescribed
Food
Let food be thy medicine, and let thy medicine be food.
~ Hippocrates
True healthcare reform starts in your kitchen.
He who takes medicine and neglects to diet
wastes the skill of his doctors.
~Chinese Proverb
When diet is
wrong medicine is of no use.
When diet is correct medicine is of no need.
~ Ancient
Ayurvedic Proverb
Here I didn’t have to do much compromise, as my eating
habits had anyway been healthy. The only change was regular intake of healthy,
hot soup before lunch and dinner. The soup varied: from spinach to a mix of
tomato, beetroot and carrot to mixed-vegetables and so on, all tinged with
healthy spices.
An additional item was flaxseeds, which are rich in antioxidants
and contain Omega-3 fatty acids.
Prescribed
Medicines
These I have tabulated in sufficient detail below under a
separate main heading.
Hunger
Surprisingly, during the first ten days after return from
the hospital I used to feel really hungry and became a voracious eater—by my
standards. Earlier, before the operation, if I took heavy breakfast,
particularly the one which included even one egg, I would not feel much hunger
for lunch. Dinner used to be very frugal. However, after returning from
hospital, I found I could have both sumptuous breakfast and sumptuous lunch.
And, I felt hungry for dinner too.
However, after about 10 days it was back to what was normal
prior to the operation: moderate breakfast; soup followed by lunch with only 2
chapattis and a small cup of rice, vegetables, dal and curd; and very light
dinner. Of course, fruits, flaxseeds, normal-tea, green-tea and milk were the additional
items.
____________________________________________________________
Health
From the bitterness of disease man learns the sweetness of health.
Health and cheerfulness naturally beget each other.
~Joseph Addison
To insure good health: eat lightly, breathe deeply, live moderately,
cultivate cheerfulness, and maintain an interest in life.
~William Londen
A man too busy to take care of his health is like a mechanic
too busy to take care of his tools.
too busy to take care of his tools.
~Spanish Proverb
Initial
Recovery
Recovery during the first 27 days after the operation, that
is, till 5 August 2014 was rather quick.
I could take short walks without any difficulty. I also
resumed my normal reading and writing, though I could not sit long hours.
The 9-inch long vertical wound on my chest (thanks to the incision for cutting the sternum (breastbone) in the middle to allow access to the heart for the operation: details and diagrams in the previous blog-post) and the three 1-inch holes in my chest
and stomach (for the tubes inserted through them to drain blood) filled-up sufficiently to allow me to have bath after a week of
returning home; although the wound-marks were still many weeks away from
fading. Skin on the left side of the chest, from under which an artery (Left Internal Thoracic/Mammary Artery: LITA/LIMA) was
harvested, remained insensitive.
The wounds (three 1-inch cuts) on the left arm, from which
an artery (Radial Artery: RA) was harvested, took much, much longer to fill-in; and the flesh/skin
in-between the wounds remained swollen and insensitive. Initially, I had to
daily clean it after bath with the anti-bacterial solution Bactorub, then wipe
it with Betadine solution, then apply T-Bact ointment over it, followed by
Soframycin ointment over it; and then bandage it. After two weeks, bandage was no
longer necessary. Gradually, Bactorub and Betadine were dispensed with, and
only T-Bact and Soframycin ointments were applied. All these were as per the
advice of the doctors at KDAH, where I made periodic trips for a check-up.
However, one problem that came up were the skin eruptions on the arm around the
wounds. I was told that once Bactorub and Betadine, that irritated the skin,
were dispensed with, the problem would go away. But, it didn’t. Finally, my
wife Debu suggested that after I apply T-Bact and Soframycin, I also apply
Betnovate cream on and around the wounds, and wherever the eruptions appear. It
worked—the eruptions disappeared! They must have been some kind of allergy,
that subsided with Betnovate.
One irritant was the insulin-pen: having to take insulin
thrice a day. Of course, it was substituted with tablets later.
Health
suddenly deteriorates—takes a plunge!
Sickness comes on horseback but departs on foot.
~Dutch Proverb
The smooth and relatively faster recovery in my health for
full 27 days after the operation on 9 July 2014 suddenly took a drastic
downturn from 5 August 2014 onwards.
I distressingly found that I was getting tired even when
having a bath—which was NOT the case hitherto. Things began to get
progressively worse. I was becoming breathless after a short walk—that too was
a surprise reversal, after the relatively much longer walks that I had been
taking earlier. Worst was from 8 August 2014 night onwards when I found I was
unable to sleep in the night till very late. I was sitting in bed and keeping
awake till 3am to 4am trying to read something to somehow pass time. At times,
I began to get breathless even while sitting—that is, while not exerting
myself. It was like the days before the operation—only much, much worse!
What had happened? There was no apparent reason. I had been
taking medicines regularly, I was sticking to the prescribed diet and the
exercise regimen. I had not over-exerted. I had not even been going out to
Malls or Multiplexes or for outings. My outings were restricted to the
mandatory hospital visits to KDAH.
After a few days of the ordeal and
wait-and-see-if-the-condition-improves, my wife Debu took the initiative to
have certain blood tests done that she thought fit. The blood-test report on 11
August 2014 showed alarming drop in Haemoglobin: 7.2 against the normal range
of 13 to 17!
My wife and I panicked. My wife sent an SoS–SMS to both Dr
Lad and Dr Wani at KDAH on 11 August 2014. They gave prompt appointment
the next day morning.
Dr
Sejao to the rescue!
Dr Lad advised chest x-ray, which was promptly done in
the hospital. The x-ray didn’t reveal anything abnormal. After check-up, both
Dr Lad and Dr Wani felt my case should be examined by an expert
physician as it fell in that domain (they being surgeons), and said they would
immediately refer my case to an appropriate physician in KDAH.
I told them I already had in Dr Sejao, who had recommended
me to KDAH, an expert physician, and that I would rather consult him.
Dr Wani then and there tried contacting Dr Sejao over his mobile, but
unable to get through, sent him an SMS. As we were coming back in our car from
KDAH, I received an SMS from Dr Sejao. He was kind and prompt enough to
give me an appointment that day itself! He asked me to see him at Riddhi Vinayak Critical Care & Cardiac
Centre, SV Road, Malad-West at 4.15 pm on that day itself.
The hospital was on the way back to our home, and we had no
difficulty in reaching there by 4pm. It was raining. Dr Sejao came in time, and
called us in. Dr Sejao examined my blood-test report that we had taken along,
did his check-ups that also involved checking up chest with his stethoscope. He
didn’t seem to find an apparent problem, Then he suddenly asked me to again
climb on to the examination-bed and expose my back. He checked my back
thoroughly and repeatedly with a stethoscope. “I hear a very mild abnormal noise
in the lower right lung,” he declared. He had apparently hit upon the clue.
He prescribed a set of medicines, substituting some that I
had been taking; and advised a set of blood-tests (CBC-5, Liver Profile, Iron
Studies, Biochemistry tests, Immunology Tests, Hematology Tests and Culture
& Sensitivity, Aerobic) and Multislice
CT Scan of Chest (please see the details and the tabulated results below
under separate heads).
The test-results that became available on 13 August 2014
confirmed Dr Sejao’s suspicion—I had caught infection in the lungs leading to
all the problems. My problem had nothing to do with the heart operation or its
after-effects. To my plea that I had been taking all care, so how come the
unexpected problem occurred, he responded that I might have caught the
infection from the air, and as I had not been going out to Malls or Multiplexes
or markets, I might have caught the infection in the hospital itself when I
visited there for periodic check-ups—hospitals being the most infection-prone
places, with so many patients with varied ailments visiting it.
The antibiotics and other medicines prescribed by Dr Sejao
had dramatic effect. Within 2 days I was feeling much better; and thereafter my
condition steadily improved.
Current Health Status as on 9 October 2014
On 9 October 2014 I complete 3 months from the date of the
operation (9 July 2014), and it’s a good time to take stock.
The
Wounds Thanks to the Operation
The three 1-inch cuts on the left arm have healed. I have
been applying no medicines on them for the past one month. The cut marks are
still prominently visible, and have not faded or disappeared yet. The flesh and
skin between the first two cuts is slightly swollen and is insensitive, though
there is no pain. Left hand’s little finger is slightly insensitive.
The 9-inch wound on the chest has healed. The cut marks have
faded, but have not disappeared yet. Portion of the left chest is still
insensitive, but there is no pain now.
The spot on the right wrist through which Angiography was
done has healed, though the mark is still visible.
The spots on the back of both the hands where IV-fixtures
were put have healed.
Skin
Eruptions
One thing that had been bothering me mildly were skin
eruptions. Very small, red eruptions occurred on the hands, thighs, chest, stomach
and back from time to time. Not in large numbers, but just 2 or 3 at a time.
They pained initially for a day, then gradually disappeared. They didn’t get larger
than a millimetre across nor did any pus develop in them. They seemed like
allergy. Reaction to some medicine I have been taking? They have since decreased substantially, but have not disappeared completely.
Breathlessness
Breathlessness is completely gone.
Since last many years whenever I used to walk down from my
Ekta Bhoomi Gardens residence in Borivali-East to Shri Sai Baba Temple on the
Western Express Highway in Thakur Complex in Kandivali-East, I had to stop
in-between two to three times (it varied from day to day) for one to two minutes to catch breath. However, now I walk the distance without stopping even
once, and do not at all feel tired or breathless even upon reaching the destination!
Shri Sai Baba Temple
Five rounds at the BMC garden that I go to for a walk each
evening used to be more than enough, for I used to get tired after that. Of
course, for a fortnight before the operation, even one round required rest in-between.
Now, however, I take 10 rounds without feeling tired or breathless!
Outing
When my friend from college (IIT, Kharagpur), Akhil Chandra,
came over from Delhi on 10 September 2014 along with his wife Archana, I thought why not give a try to what I had been consciously avoiding: outings.
As a test case, we first visited Kanheri Buddhist Caves in
the National Park at Borivali-East on the afternoon of Thursday, 11 September
2014. The caves—a total of 109—are rock-cut inside the mountain. They date from
the first century BCE to the tenth century CE. The National Park Main Gate is
only 2km from my residence; and Kanheri Caves are situated deep in the jungle
about 6km from the Main Gate of the National Park. We went by car. Going up the
stairs to the main entrance gate of the caves and then going up the stairs
inside the caves complex to reach caves situated at higher levels is a steep
climb which used to be a demanding endeavour for me earlier to the operation,
for it used to make me breathless and required halts several times to catch my
breath. However, it proved to be quite manageable this time, and I didn’t feel
breathless or tired. This could only have been thanks to the operation.
My sister Poornima @Kanheri Caves in 2012
Akhil-Archana @Kanheri Caves, 11.Sept.2014
We decided for an overnight outing to Malshej Ghat located at a distance of about
140km from my residence in Borivali-East. We went there by my car (I didn’t
drive—we had employed a driver) early morning on Friday, 12 September 2014, and stayed
overnight, returning on Saturday afternoon. As my wife Debu was a little indisposed, she didn't accompany us.
Route to Malshej Ghat
If there is one spot in the world, or at least in India,
which is at its grandest during the Monsoons, especially during heavy rains, it
is Malshej Ghat! One of highlights of Malshej Ghat is the unusually fascinating
ten kilometre drive on the highway through the ghats with deep verdant valley on one side and tall,
steep rocky mountains forming a boundary on the other side, from top of which
numerous seasonal waterfalls cascade down on to the highway providing free
washing for your car as your car passes under them. Of course, since the rainy
season was almost over, the waterfalls were not that many, nor was there the
usual fog through which you had to cut through on your way up, and missing too
were the scores of picnicking groups which you normally observe dancing and
bathing in the rains and under dozens of waterfalls all along the ten-kilometre
stretch of the ghats. Akhil-Archana missed that thrill, but still felt
exhilarated with the grand spectacle of the nature presented by Malshej Ghat.
Malshej Ghat, 2012: My sister Poornima and wife Debu.
Archana, Akhil and myself (extreme right) @Malshej Ghat
Archana-Akhil @Malshej Ghat
My sojourn at Malshej Ghat, my not getting tired with the
relatively long car journey and my long walks there gave confidence to me that
I had recovered sufficiently, and I must thank Akhil-Archana for accompanying
me to that place.
Swimming
Swimming Pool & Club House in Our Building, Ekta Bhoomi Gardens
In the swimming pool in our
club in our building, I used to cross the length a maximum of 10 times (it’s a
modest-sized swimming pool), with rest after each lap, to catch my breath. I had been avoiding swimming, but I tried it out in the late evening on 24 September 2014. I could complete 10 laps with pauses after each. I would need to gradually build my stamina in swimming.
____________________________________________________________
Medicines
The best and most efficient pharmacy is within your own system.
~Robert C. Peale
KDAH-prescribed
Medicines wef 16 July 2014
With effect from 16 July 2014, the medicines that were
prescribed were as under.
Medicine
|
Frequency
|
Duration
|
|
T
|
Ceftum 500mg (GSK)
|
1—0—1
|
3 days
|
T
|
Pan 40mg (Alkem)
|
1—0—1 (BF)
|
3 days
|
T
|
Dolo 650mg (Micro)
|
1—1—1
|
7 days
|
T
|
Lasilactone 50mg (Sanofi-Aventis)
|
1—0—0
|
7 days
|
T
|
Ativan 1mg (Wyeth)
|
0—0—1
|
7 days
|
S
|
Syrup Cremafin Plus 2tsf (Abbot)
|
0—0—1
|
7 days
|
P
|
Diabeta Resource (Powder)
|
2—2—2
|
1 month
|
T
|
Nikoran 5 mg (Torrent)
|
1—0—1
|
Lifelong
|
T
|
Betaloc 25mg
(AstraZeneca)
|
1—0—1
|
Lifelong
|
T
|
Clopivas AP, 150mg (Cipla)
|
0—1—0
|
Lifelong
|
T
|
Storvas EZ 10mg (Ranbaxy)
|
0—0—1
|
Lifelong
|
Insulin (for Type 2
Diabetics)
|
|||
I
|
Actrapid S/C
|
16—18—0
|
|
I
|
Mixtard 30/70 S/C
|
0—0—16
|
Notation
X—X—X means {Breakfast}—{Lunch}—{Dinner}. Normally, all medicines are taken
after food, except where prescribed otherwise. 1—0—1 means 1 tablet after
breakfast, none (0) after lunch, and 1 after dinner. BF means “Before
Food”.
Medicine
|
Purpose/Remarks
|
Ceftum 500mg
|
An antibiotic for bacterial
(not viral) infection of lung, ear, throat, sinuses, skin and urinary tract.
|
Pan 40mg
|
Pan, that is, Pantoprazole is a
gastric medicine for gastro-esophageal reflux disease (GERD), a condition
that causes gastric juices to flow upward from the stomach and into the
esophagus. Reflux is also known as "heartburn", in which food
or acid from your stomach backs up into your mouth, leaving a sour or bitter
taste. It is taken before food.
|
Dolo 650mg
|
It is Paracetamol which is an analgesic
(relieves pain) and an antipyretic (prevents and alleviates fever).
|
Lasilactone 50mg
|
This helps reduce extra fluid
and salt in the body—to be passed into urine. It help stop build-up of extra
water in the body to prevent shortness of breath, feeling more tired than
usual. It contains (a)spironolactone, a potassium-sparing diuretic and
(b)furosemide, a loop diuretic.
|
Ativan 1mg
|
Also called Lorazepam, it is
meant to help you sleep. Belonging to benzodiazepines class, it relieves excessive
anxiety by slowing down the communication between the nerves in the brain/central
nervous system.
|
Syrup Cremafin Plus
|
Laxative
|
Diabeta Resource
|
Adjunct to diet for type 2
diabetics.
|
Nikoran 5 mg
|
Vasodilatory drug. It dilates
arterioles and large coronary arteries by opening the potassium channels. It
improves coronary blood flow.
|
Betaloc 25mg
|
Contains Metroprolol Tartrate
25mg. It is a beta-blocker used to prevent heart-related complications and to
also lower high blood pressure. It widens the blood vessels in the body and
helps heart beat more regularly.
|
Clopivas AP, 150mg
|
Contains Clopidogrel + Aspirin.
It inhibits platelet aggregation.
|
Storvas EZ 10mg
|
Statins. Contains Atorvastatin
+ Ezetimibe. For decrease in hepatic cholesterol levels.
|
Insulin Actrapid S/C
Mixtard 30/70 S/C
|
Taken through FlexPen
manufactured by Novo Nordisk A/S, Denmark.
|
While I took the
above medicines regularly, I found I didn’t need the laxative Cremafin Plus, so
I didn’t use it. I took Pan-40, Dolo-650 and Ativan only if required. For
example, I took Pan-40 only upon stomach upset; Dolo-650 only if the pain was
too much; and Ativan only if I could not go to sleep.
KDAH-prescribed
Medicines wef 16 July 2014
I was called for a check-up at KDAH on Friday, 18 July 2014,
when the medicines were marginally varied as under:
(Strikethrough
items (like Ceftum 500mg below) to indicate the medicine that I had
been taking before, but since discontinued.)
Medicine
|
Frequency
|
Duration
|
|
T
|
Pan 40mg (Alkem)
|
1—0—1 (BF)
|
|
T
|
Dolo 650mg (Micro)
|
1—1—1
|
|
T
|
Lasilactone 50mg (Sanofi-Aventis)
|
1—0—0
|
|
T
|
Ativan 1mg (Wyeth)
|
0—0—1
|
|
S
|
Syrup Cremafin Plus 2tsf (Abbot)
|
0—0—1
|
7 days
|
P
|
Diabeta Resource (Powder)
|
2—2—2
|
1 month
|
T
|
(New Addition)
Linezolid 600mg (Cipla) or
Lizolid 600mg (Glenmark)
|
1—0—1
|
5 days
|
T
|
Nikoran 5 mg (Torrent)
|
1—0—1
|
Lifelong
|
T
|
Betaloc 25mg
(AstraZeneca)
|
1—0—1
|
Lifelong
|
T
|
Clopivas AP, 150mg (Cipla)
|
0—1—0
|
Lifelong
|
T
|
Storvas EZ 10mg (Ranbaxy)
|
0—0—1
|
Lifelong
|
Insulin (for Type 2
Diabetics)
|
|||
I
|
Actrapid S/C
|
16—18—0
|
|
I
|
Mixtard 30/70 S/C
|
0—0—16
|
Medicine
|
Purpose/Remarks
|
Linezolid 600mg
|
An antibiotic for bacterial infection.
|
KDAH-prescribed
Medicines wef 24 July 2014
I was called for a check-up at KDAH on Thursday, 24 July
2014, when the medicines were changed/reduced as under:
Medicine
|
Frequency
|
Duration
|
|
T
|
Pan 40mg (Alkem)
|
1—0—1 (BF)
|
5 days
|
T
|
Dolo 650mg (Micro)
|
1—1—1
|
5 days
|
P
|
Diabeta Resource (Powder)
|
2—2—2
|
1 month
|
T
|
Linezolid 600mg (Cipla)
|
1—0—1
|
5 days
|
T
|
Coversyl AM 4/5 (Serdia)
|
1—0—1
|
|
T
|
Betaloc 25mg
(AstraZeneca)
|
1—0—1
|
Lifelong
|
T
|
Clopivas AP, 150mg (Cipla)
|
0—1—0
|
Lifelong
|
T
|
Razel 10mg (Glenmark)
|
0—0—1
|
Lifelong
|
Insulin (Changed
dosage)
|
|||
I
|
Actrapid S/C
|
18—18—0
|
|
I
|
Mixtard 30/70 S/C
|
0—0—12
|
Medicine
|
Purpose/Remarks
|
Stamlo 5 mg
|
Anti-hypertensive/for angina.
Helps keep blood pressure under control. Also used for chest pain.
|
Coversyl AM 4/5
|
Contains Perindopril Erbumine
4mg and Amlodipine Besilate 5mg. Treats high blood pressure. It is a
long-acting calcium channel blocker (dihydropyridine class) used as an
anti-hypertensive and in the treatment of angina. Like other calcium channel
blockers, amlodipine acts by relaxing the smooth muscle in the arterial wall,
decreasing peripheral resistance and hence reducing blood pressure; in angina
it increases blood flow to the heart muscle.
|
Razel 10mg
|
Contains Rosuvastatin Calcium.
Meant to reduce cholesterol. It is a HMG-CoA reductase inhibitor (statin). It
slows the production of cholesterol in the body. Excessive cholesterol in
your body can clog up your blood vessels. Razel is marketed as Rozavel by Sun
pharma.
|
KDAH-prescribed
Medicines wef 31 July 2014
I was called for a check-up at KDAH on 31 July
2014, when the medicines were changed/reduced as under:
Medicine
|
Frequency
|
Duration
|
|
T
|
Pan 40mg (Alkem)
|
1—0—1 (BF)
|
5 days
|
T
|
Dolo 650mg (Micro)
|
1—1—1
|
5 days
|
T
|
Coversyl AM 4/5 (Serdia)
|
1—0—1
|
|
T
|
Betaloc 25mg
(AstraZeneca)
|
1—0—1
|
Lifelong
|
T
|
Clopivas AP, 150mg (Cipla)
|
0—1—0
|
Lifelong
|
T
|
Razel 10mg (Glenmark)
|
0—0—1
|
Lifelong
|
Insulin (for Type 2
Diabetics)
|
|||
I
|
Actrapid S/C
|
18—18—0
|
|
I
|
Mixtard 30/70 S/C
|
0—0—12
|
Dr
Sejao-prescribed Medicines
wef 12 August 2014
wef 12 August 2014
Consequent to catching of infection and down with its
adverse effects of plunge in haemoglobin and iron level, I visited KDAH on
Tuesday, 12 August 2014. On their advice, I then visited Dr Sejao, who advised
a set of blood tests and Multi-slice CT Scan of Chest, and prescribed revised
set of medicines as under:
Medicine
|
Frequency
|
Duration
|
|
T
|
Cefdiel 300mg (Ranbaxy)
|
1—0—1
|
10 days
|
T/C
|
Orofer XT 100/1.5mg (Emcure)
|
0—1—0
|
1 month
|
T
|
Odimont FX (German Remedies)
|
0—0—1
|
10 days
|
T
|
Restyl 0.5mg (Cipla)
|
0—0—1
|
10 days
|
T
|
Olmezest AM (20/5) (Sun Pharma)
|
1—0—0
|
Lifelong
|
T
|
Betaloc 25mg
(AstraZeneca)
|
1—0—1
|
Lifelong
|
T
|
Clopivas AP, 150mg (Cipla)
|
0—1—0
|
Lifelong
|
T
|
Razel 10mg (Glenmark)
|
0—0—1
|
Lifelong
|
Insulin (for Type 2
Diabetics)
|
|||
I
|
Actrapid S/C
|
18—18—0
|
|
I
|
Mixtard 30/70 S/C
|
0—0—12
|
Medicine
|
Purpose/Remarks
|
Cefdiel 300mg
|
(Cefdinir) A cephalosporin antibiotic
for a wide variety of bacterial infections. Most commonly used to treat respiratory
tract infections, soft tissue infections, pneumonia, acute exacerbations of
chronic bronchitis, ENT and skin infections.
|
Olmezest AM (20/5)
|
Also known as Benicar/Olmesartan.
It is anti-hypertensive. Contains olmesartan medoxomil, an angiotensin II
receptor blocker (ARB). Olmesartan in Olmezest 20 blocks the binding of
Angiotensin II to its receptor, preventing its pressor actions (blood
pressure increasing) resulting in dilation (widening) of blood vessel and
increased salt and water removal by the kidneys into the urine, which
together result in lower blood pressure.
|
Orofer XT (Emcure)
|
Ferrous Ascorbate & Folic
Acid. Each tables contains 100mg Elemental Iron and 1.1mg Folic Acid. For Iron-deficiency
anemia. Iron-deficiency adversely affects production of haemoglobin.
Possible Side-Effects:
Itchy skin eruptions, skin rash,
etc.
|
Odimont FX
|
Main contents: Generic drug
Fexofenadine. For Allergic rhinitis and allergic skin conditions.
|
Restyl 0.5mg
|
For sleep. Contains Alprazolam.
Alprazolam is in a group of drugs called benzodiazepines . It works by
slowing down the movement of chemicals in the brain that may become
unbalanced. This results in a reduction in nervous tension (anxiety).
|
Dr
Sejao-prescribed Medicines
wef 23 August 2014
wef 23 August 2014
Consequent to the relief felt by the medicines prescribed by
Dr Sejao, the following were continued:
Medicine
|
Frequency
|
Duration
|
|
T
|
Cefdiel 300mg (Ranbaxy)
|
1—0—1
|
4 days
|
T/C
|
Orofer XT 100/1.5mg (Emcure)
|
0—1—0
|
1 month
|
T
|
Olmezest AM (20/5) (Sun Pharma)
|
1—0—0
|
Lifelong
|
T
|
Betaloc 25mg
(AstraZeneca)
|
1—0—1
|
Lifelong
|
T
|
Clopivas AP, 150mg (Cipla)
|
0—1—0
|
Lifelong
|
T
|
Razel 10mg (Glenmark)
|
0—0—1
|
Lifelong
|
For Type2 Diab. (Insulin
stopped)
|
|||
T
|
Reclimet 80/500 (Dr Reddy’s)
|
0—1—1
|
Lifelong
|
T
|
Istamet 50/500mg (Sun Pharma)
|
1—0—0
|
Lifelong
|
Medicine
|
Purpose/Remarks
|
Reclimet 80/500
|
Each tablet contains 80mg
Gliclazide & 500mg Metformin Hydrochloride.
Gliclazide stimulates insulin secretion
from pancreatic β-cells, reduces hepatic gluconeogenesis, and lowers blood
glucose concentrations. It also inhibits platelet aggregation at therapeutic
doses. Its duration: ≥12 hr.
The exact mechanism of action of metformin
is unclear but it appears to reduce glucose absorption from the GI tract,
reduce gluconeogenesis and enhance insulin sensitivity by increasing
peripheral glucose uptake and utilisation. Max: 2.25gm or 2250mg daily.
|
Istamet 50/500mg
(Imported by Sun Pharma; Mfd by MSD—Merck Sharp &
Dohme, Netherlands)
|
Each tablet contains 50mg Sitagliptin
Phosphate and 500mg Metformin Hydrochloride.
Sitagliptin inhibits dipeptidyl
peptidase IV (DPP-IV), resulting in prolonged active incretin levels.
Incretin hormones increases insulin synthesis and release from pancreatic β-cells
and reduces glucagon secretion from pancreatic β-cells. Reduced glucagon
secretion leads to decreased hepatic glucose production.
|
____________________________________________________________
Blood Tests Conducted
Looking to sudden plunge in my health, which hitherto had
been steadily getting better after the heart-operation on 9 July 2014, we, of
our own volition and as suggested by my wife, got the initial blood-tests done
on 11 August 2014, before calling on the doctors, and subsequently got the
tests redone or additional tests done as per the advice of Dr Sejao. There was
a steady improvement following Dr Sejao’s medication. Iron is now well within the normal range, and haemoglobin is nearing the normal value.
Test for
|
Reference Range
|
11
Aug
|
13
Aug
|
22
Aug
|
7
Sep
|
8
Oct
|
|
CBC-5
|
|||||||
Red Blood Cell Count
|
4.5 — 5.5
|
2.5
|
3.2
|
3.8
|
4.1
|
||
Haemoglobin
|
13 — 17
|
7.2
|
9.0
|
10.5
|
11.4
|
||
Hemetocrit
|
40 — 50
|
21.6
|
27.9
|
32.7
|
33.3
|
||
White Blood Cell Count
|
4 — 10
|
17.4
|
12.6
|
10.5
|
6.5
|
||
Lymphocytes
|
20 — 40
|
10.0
|
34
|
||||
Iron
|
|||||||
Iron
|
59 — 158
|
24.4
|
35.0
|
68.0
|
109
|
||
Iron Binding Capacity
|
250 — 450
|
274
|
301
|
343
|
366
|
||
% Saturation
|
13 — 45
|
8.9
|
12.0
|
20.0
|
29.8
|
____________________________________________________________
Multislice CT Scan of Chest
This was done on 14 August 2014 on the advice of Dr Sejao,
following the plunge in my health on account of the suspected infection in the
chest. The test confirmed infection in the lungs and deposit of some fluid.
Computed tomography, more commonly known as a CT or CAT
scan, is a diagnostic medical test that, like traditional x-rays, produces
multiple images or pictures of the inside of the body. The cross-sectional
images generated during a CT scan can be reformatted in multiple planes, and
can even generate three-dimensional images. These images can be viewed on a
computer monitor, printed on film or transferred to a CD or DVD.
Chest CT is used to help diagnose the causes of clinical
signs or symptoms of disease of the chest, such as cough, shortness of breath,
chest pain, or fever; detect and evaluate the extent of tumors that arise in
the chest; and so on.
* * * * *
Rajnikant Puranik
Thursday, October 9, 2014
91-22-2854 2170, 91-98205 35232
rkpuranik@gmail.com
www.rkpbooks.com
http://rajnikantp.blogspot.in
https://twitter.com/Rajnikant_rkp
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