Wockhardt Hospitals Blog

Fortis Hospitals,Bangalore, Marathahali Specialty Clinic, is launching a 10 day health check up exclusively for women for 12 days starting on 8th March, Women's day.

The Health Checkup details are CBC with ESR

• Urine routine
• TSH
• BB and Rh Type
• RBS
• VDRL
• Paps Smear
• USG abdomen/ Breast Scan
• Gynecology consultation

Cost of Health check: Rs.1200

• Additional test: USG abdomen or Breast scan - Rs. 300

Health talk on 21st march timings from 11.00 am to 1 p.m.

• Cervical cancer and its prevention
• Breast Cancer

“Goa has been very responsive when it comes to congenital heart defects. This transformation in the mind set of the people has served as a boon to all those children who were suffering from heart defects and had the opportunity to avail treatment at the right time. 60-70 % of infants that came to Fortis Hospitals Bangalore were of very complex nature and the success rate has always been of almost of about 90-95%. With such a huge success rate in correcting CHD amongst which 70% comprised of complex cases definitely poses as a great strength for the surgeons who have performed the surgery. The positive response and the confidence that the Goans have shown in us has immensely build our confidence in our profession and given us the courage to take up the most challenging cases” added Dr. N S Devananda.

Lack of adequate knowledge of CHD often results in time lag between diagnosis and referral to a pediatric cardiac centre for treatment and leads to further complication of the child. Also due to lack of awareness facilities available in India to correct congenital heart defects across the spectrum results in higher mortality rate and limited usage of pediatric cardiac expertise available in the country. Heart disease in children is not identified as a health priority by the government in our country. There are no government policies for cardiac care in children. This is perhaps related to the prevailing notion that CHD is uncommon, often fatal and is therefore not worth expanding national resources.

Many families in rural and semi urban parts of India seek advice from unqualified, self-proclaimed “doctors” and quacks because of common beliefs and myths. This further adds to the delay in diagnosis and proper management of the child with CHD. But Goa has stood apart and has set an example for the rest of the states of India. The benefits extended by the government to the families have given an impetus to the pediatric cardiac program at Fortis Hospitals Bangalore to treat many such children and give them a new lease of life.

A team of cardiac experts led by Dr. N S Devananda, Consultant Cardiac Surgeon, Wockhardt Hospitals,Bangalore (now a Fortis Hospitals Network ) has performed a major open heart surgery on a 2 year old baby from Nigeria. Baby Brendan was suffering from congenital heart defect called – Tetralogy of Fallot or complex blue baby syndrome.

“Baby Brendan was brought to us in a condition which was complicated and need surgical intervention to correct the anomaly. In this syndrome the pure and impure blood gets mixed in the heart and the amount of blood flow to the lungs is decreased. It is the most common complex heart defect, representing 55-70%, and the most common cause of blue baby syndrome. It can prove fatal if it is not treated in time,” said Dr. N S Devananda, Consultant Cardiac Surgeon, Wockhardt Hospitals.

The other bigger challenge which came before the surgery was the fact that the baby’s parents belonged to the Jehovah Witness community and as per their religious belief they oppose to any form of transfusion of blood and any blood products however they could accept other from of treatment. This made the case all the more complicated.

“Babies with Tetrology of Fallout have two treatment options – the first is palliative where no open heart surgery is done and the defect is treated with shunt operation. The second is complete repair – which is definitive treatment where the patient undergoes an open heart surgery with a heart lung machine. In the case of Baby Brendan we obviously chose the second option due to its curative value. But the problem we faced was that the heart lung machine requires 500 ml of blood by itself to drive away the air and still haemoglobin at acceptable level. The challenge was with the baby weighed only 11 kgs and his blood volume was 800 – 900 ml and to conduct an open heart proved difficult without additional usage of blood” said Dr. Devananda.

The team devised many things technically to make operative time shorter and do the best possible ways so that re-operation or re-exploration can be avoided and the ICU stay is reduced. The heart lung machine circuit was modified in such a way that total priming volume was reduced to the least possible; the haemo-filteration technique was used in such a way that excess water from the body is removed and it gives back the RBC’s to the body. We also had to reduce the sampling to the least possible for various tests.

Brendan can live an active life like any other child of his age as this is a one time complete correction and his post op ECHO is satisfactory.

Brendan’s mother Ettieh’s faith in Jehovah has strengthened after this incident. She says, “Everybody should give proper attention to their child and keep monitoring the health of the baby time and again. Till one year when Brendan was not keeping too well and was not gaining weight we got very concerned and kept taking to the local physicians in Nigeria. However nobody could give us a proper answer to his continuous ill health until last year August, 09 Brendan complained of breathlessness and pain on his left chest.

A thorough examination indicated that my baby has some heart complication which needed to be treated immediately. Being a member of the Jehovah Witness community our challenge was to take Brendan to the right hands where surgery was possible without using blood transfusion. That’s when one of our friends at Nigeria who knew about Wockhardt Hospitals and their expertise in performing surgery without blood transfusion suggested us and we finally decided to fly Brendan down here for treatment. Initially when we decided to come to India for treatment I was engulfed with mixed feelings, but with the kind of care and response we received here I was quite confident that I have brought my baby to the right place.”