Posts

Showing posts from December, 2017

Vipin and leg

Image
I was working in fortis gurgaon and metro hospital faridabad. Month of august is usually busy month. Traumatic injuries peak this time. On 12/8/16 i received a call from Dr Harish a orthopaedic surgeon who  was working in metro hospital that point of time.It was around 9.30 pm and he talked about popliteal artery injury which was present along with fracture supracondylar femur. CT angio has been done which showed popliteal artery injury. Vipin was a office worker residing in fatehpur baloch. who use to work in faridabad . On the fateful day he was coming home from office his motorcycle met with with a accident with tempo. Tempo are three wheeler commercial vehicles who transport goods . He was brought to metro hospital faridabad around 6 pm and was admitted. He was diagnosed to have fracture femur and subjected to radiological studies which revealed the the fracture, However vascular injury was missed in initial survey. Patient was shifted to SICU where excessive non responsive to op

Ansh and Foot

Image
  Ansh lives in village near Farukhnagar, he was 15 year old boy who was studying in class ninth in a near by school. He had given papers of class nine and was helping his grand father in fields .It was hot summer morning he was in fields with his grand father.  Grand father was driving tractor in fields and he was sitting on the side seat of tractor. They stopped tractor to do some adjustment to harrow with which they were ploughing the fields. After finishing their work they were disengaging the plough and Ansh foot slipped over sharp blades of harrow. Hot sharp blade wasted no time in separating foot from leg it accompanied by ferocious bleeding . Grand father and boy panicked quickly they arranged tourniquet to stop bleeding. Being alone in fields added to misery. They rushed to nearest doctor for medical help , who after dressing the wound referred them to district town of Rewari. At Rewari they were apprised of seriousness of injury , possibil

Deshraj and Bus

Image
Deshraj was a factory worker in Gurgaon. He belonged to a near by village situated in district of rewari. He was a ITI pass out who come to gurgaon in search of job 20 years back. Working in factory he has steadily progressed from worker to supervisor . His children were grown up and they settled in and near gurgaon. His wife use to stay with his parents in village,he use to come to his village in off time and weekends.  It was a hot summer day in month of may 2017, he was boarding a bus for Gurgaon on a near by highway to jaipur from delhi. He was talking to his wife while climbing on bus , bus driver in perpetual hurry released clutch to march bus. Deshraj foot slipped from foot board it was run over from left front wheel of bus. He was taken to a near by hospital , his family took him to ESI hospital Guurgaon. Given conditions and attitude in government hospital, his family decided to take refuge in private healthcare. His family chose FMRI Gurgaon , he was admitted under care of

22-year old Nigerian fight backs Arteriovenous Malformation

Image

22-year old Nigerian fight backs Arteriovenous Malformation

I had endearing interest in treating vascular malformations. Capillary , Venous malformations are easy to treat . Arterio Venous malformations commonly known as AVM are little challenging to treat. Blood loss , distal ischemia,limb loss are constant danger, it takes little learning curve to  master the management of AVM. Mary was a 22 years old lady who come to my OPD in Fortis Gurgaon . She had AVM in right hand involving radial artery and dorsal veins . Since her puberty it was bothering her pain, ischemia and bleeding was constant reminder of its presence.She had two surgery in Nigeria which were successful to certain extent. She had a wound which was not healing for nine months, in frustration she decided to come to India. India enjoy fairly good reputation in private healthcare industry. I examined her and decided that she needs excision of AVM and groin flap cover for the wound. we operated her on 5/5/17 in which I excised her AVM. We mobilized skin flaps to cover her wound