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BODY &
MIND THE 90th medical air evacuation by Indraprastha Apollo Hospital, Delhi witnessed one of the worst combinations of emergency and fog on a harsh December evening. A three-member team was entrusted with the challenging task of airlifting a critically ill 42-year-old patient from Gwalior, suffering from Chronic Obstructive Pulmonary Disorder (COPD). Although the patient’s arrival at Apollo was delayed by 19 hours, an extra bottle of oxygen handed over to the team at the last minute by the Head of Emergency Services at Apollo Hospital came in handy in mid-air between Delhi and Jaipur. On receiving a call for help from the patient’s relatives, a little past noon on December 18, Dr Faisal Sofi, Dr Shashank Trivedi and male nurse, Mr Rakesh Kumar left for the airport but had to wait at the domestic airport till 5.30 pm because of adverse weather conditions. The patient had undergone tracheostomy and had been on ventilator for two days. The doctors reached Gwalior in an hour. Moving the patient alone took two hours as care had to be taken to ensure that no tubes were dislodged and all other parameters within normal limits. They took off from Gwalior at 8.30 pm the same day. Although the six-seater aircraft hovered over Delhi skies at 9.45 pm, the pilot could not land due to low visibility and chose to fly to Jaipur where fog impeded easy landing. Sensing that weather was bound to be an impediment in the operation, the doctors decided to get in touch with the SDM Hospital and moved the patient to its Intensive Care Unit (I.C.U). The plane waited overnight at Jaipur and the patient could be moved only the next day at 12.30 pm. Dr Asif Ali, Head, Emergency Services, Indraprastha Apollo Hospital who coordinated the evacuation from Delhi, explained that the small aircraft are bound by the International Civil Aviation Organsiation (ICAO) safety limitations. The stipulated safety limitation for this class of aircraft is minimum visibility of 800 to 1000 metres. The minimum visibility that day was about 400 metre which was not favourable for landing. Dr Ali said that his team stabilised the patient’s condition as he was in a very bad shape. “The saturation pressure of oxygen in the blood was 77 per cent when they took him to the nursing home. They raised it to 90 per cent. The doctors did not sleep for 36 hours. They came back with the patient. They did a wonderful job and did not let his condition deteriorate. The patient was discharged after a few days.” Credited with 277 medical air evacuations (90 for Apollo alone since December 13, 2001), Dr Ali said that the challenging evacuation will not discourage them from responding to distress calls in bad weather. “We did it in spite of the weather. As long as we end up saving somebody’s life, it makes up for all the stress and danger. The Apollo Air rescue team has a strength of 11 doctors and 12 male flight nurses,” says Dr Ali. The evacuation cost the family Rs 1.10 lakh. Misconceptions on biopsy Persons confronted with cancer diagnosis have various misconceptions about biopsy, according to Dr Dinesh Singh, senior cancer specialist and Head, Radiation Oncology at Dharamshila Cancer Hospital and Research Centre (DCHRC). Delivering a public lecture on cancer awareness at a meeting of Lions Club, Delhi, Preet Vihar at Manak Sadan, Manak Vihar here early this month, Dr Singh stressed that biopsy is imperative for precise diagnosis and proper treatment planning. “Cancer is of 100 types and we need to know what kind of cancer it is and how aggressive it is. Biopsy is, therefore, essential. It is a myth that cancer flares up when a needle test or biopsy is carried out. Many patients delay the tests and this leads to progression of the disease,” said Dr Singh. He further explained that early diagnosis is the key to successful cancer treatment. “For this purpose, any symptoms that are not clearly diagnosed and don’t subside within two to three weeks ought to be investigated for cancer. The patient should immediately consult a cancer specialist. A high index of suspicion is required. Cancer diagnosis needs investigations as X-ray, Ultrasound, CT Scan, MRI and collection of specimens by either FNAC (Fine Needle Aspiraction Cytology) or biopsy.” Dr Singh added that biopsy is of two types. “One is a needle biopsy or FNAC and the other is biopsy with forceps with knife which is used for cervical carcinioma where the growth is hanging and cancer of the oral cavity which is an overt growth,” he informed. He said that the first opportunity is often the only opportunity of cure and treatment in cancer. “Complete treatment should be done by the experts dealing with cancer. Cancer is not something to fear. It is something to fight. We cannot win against a formidable enemy by fearing but by fighting with all our forces and knowledge.” According to Dr Singh, cases of cancer are on the rise all over the world. “In India, different types of cancers are being reported from different regions. For instance, breast cancer is the most common type of cancer in Delhi and Mumbai followed by cancer of the cervix and uterus. In South India and in the East, uterine cancer is most common followed by breast cancer. The high risk factors are late marriage, fewer number of children and negligible or no breast feeding. This is more common among the higher middle class or higher income group. The women from the rural areas and low socio-economic group who marry early or have poor genital hygiene or multiple sex partners are at a higher risk of developing uterine or cervical cancer. In Delhi, cancer of the mouth or oral cavity is very common in the 30 to 60 age group due to high consumption of tobacco and passive smoking. Among the older men, Prostatic Cancer is very age related. There is no identifiable cause of cancer of the prostate. Dr Kanika Gupta, a consultant gynaecological oncologist from DCHRC, emphasised that self-breast examination and Pap Smear are useful in diagnosing cancer early. “We recommend Pap Smear from the age of 18 for three consecutive years and once every three years followed by a gynaecological check-up every year. Pap Smear is a two-minute test for screening the cervix and enables us examine if the cells are at a pre-malignant stage.” Quoting from the `Textbook of Radiation Oncology’ authored by Dr G.K. Rath and Dr B.K. Mohanty, radiation oncologist at the All India Institute of Medical Sciences, Dr Gupta said that 26 to 28 women in every one lakh women in India suffer from breast cancer while 30 women in every one lakh women suffer from cervical cancer. The number of cases of uterine cancer are two for every one lakh women.” |
Ajay Jadeja to lead North Zone in Deodhar tourney New Delhi, January 10 The North Zone team was selected at a meeting of the Zonal selection committee held in Delhi on Saturday under the chairmanship of national selector Kirti Azad. Other members of the selection committee were Mr Bhupinder Singh of Punjab, Mr Ashwani Kumar of Haryana, Prof R R Rohi of Himachal Pradesh, Wg. Cdr. M Baladitya of Services, Ashutosh Sharma of Jammu and Kashmir and Sunil Dev, who is the convenor, of the Delhi and District Cricket Association. The team is: Ajay Jadeja and Dinesh Mongia, Gautam Gambhir, Mithun Manhas and Akash Chopra (all three from Delhi), Ajay Ratra (Haryana), R S Sodhi (Punjab), Sarandeep Singh (Delhi), Amit Uniyal (Punjab), Rahul Sanghvi, Amit Bhandari and Sanjay Gill (all from Delhi), Pankaj Dharmani and Gagandeep Singh (both Punjab) and Amit Mishra (Haryana). Mr Gyaneshwar Prasad will be the manager.  |
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Delhi Blues, Essex earn
full points New Delhi, January 10 In another match, Essex Farms defeated Patel Nagar Gymkhana by 27 runs in an A-I Division match at the Ramjas ground. Scores: Delhi Blues: 183 for 4 in 30 overs (Pradeep Yadav 52, Tarun Gupta 53, Mukesh Diwan 32, Ravi Kumar 2 for 50). Raghubir Willowers: 131 all out in 27.3 overs (Aman Arora 29, Vishal Kumar 25, Anuj Nayyar 3 for 21, Vinod Pandey 2 for 24, Robin Singh 2 for 18, Sachin Jain 2 for 16). Essex Farms: 185 all out in 36.2 overs (Harish Kumar 47, Sandeep Sethi 33, Ravi Aggarwal 2 for 39, Pardeep Kumar 2 for 15). Patel Nagar Gymkhana: 158 all out in 38.1 overs (Hardeep Bawa 35, Arun Sharma 29, Konark Bhandari 2 for 49). |
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India crush Kenya to finish third New Delhi, January 10 Kenya, opting to bat first, were bundled out for 133 in 40.3 overs, thanks to the devastating spin bowling of Asim Gupta and a penetrative spell of 2 for 15 by Narinder Singh. In reply, India were guided to victory in 32.1 overs with Vikiram Dhariwal playing the sheet anchor. Scores: Kenya: 133 all out in 40.3 overs (Malhar Patel 17, Timothy 26, Kalpesh 16, Hiren Ashok 26, Narinder Singh 2 for 15 off 10 overs, Asim Gupta 5 for 35 off 9.3 overs). India: 134 for 5 in 32.1 overs (Karan Goel 12, R Parmar 22, Vikram Dhariwal 54, Akash Deep 25, Kalpesh 2 for 29). Asim Gupta was named the man of the match.
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Vijay Kumar cruises
to victory New Delhi, January 10 Vijay closed out with a one-over 72 for a four-day aggregate of 11-under 273, which was four strokes better than the second-placed Yusuf Ali. The Kolkata pro shot a two-under 69 to finish at seven-under 277. On a day when only four players broke par, Ajay Gupta of Delhi climbed to tied third place at four-under 280 with a 69, where Ashok Kumar joined him a little while later following a 73. The victory was worth Rs 1.62 lakh for Vijay while Yusuf, who finished runner-up last year too, pocketed Rs 1.12 lakh. Ajay Gupta and Ashok Kumar were richer by Rs 57,000 each. Vijay looked in a spot of bother when he started with a bogey on the opening hole, and dropped another stroke on the par-3 fourth, after visiting the bunker with his tee shot. But a 20-footer birdie putt on the sixth put him back on track, and he celebrated that with another on the seventh, where he nailed his pitching wedge third shot to an inch from the pin. At the half-way stage, Vijay was 11-under and five strokes better than
Ashok. |
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Delhi Division emerge winners in
NR Cricket New Delhi, January 10 Five teams participated in the week-long tournament. Delhi Division annexed the trophy, defeating Lucknow Division. Satyender Yadav of Delhi Division was named the man of the match. Chief Electrical Engineer of Northern Railway R S Grover gave away the prizes. Senior Divisional Electrical Engineer R N Rajput was also present. Prominent cricketers who played in the tournament were Yusuf Ali, Abhay Sharma, Satyender
Yadav, Sanjay Balwan, Moosi Raza, Rajesh Gehlot and Davinder Singh. |
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UK Cricket World
in final New Delhi, January 10 Scores: National Stadium: 139 all out in 34.5 overs (Karan Choudhary 31, Sahil Kher 36, Varun Sood 3 for 20, Ankit Singh 3 for 27). U K Cricket World: 140 for 2 in 24.2 overs (Shivam Sharma 64 n o, Varun Sood 38 n o, Jasdeep Singh 2 for 22). |
Greater Noida administration directed to allot Noida, January 10 In its decision, the forum said that though the allottees had not deposited their full installments, the Greater Noida Authority had stated that the allotted plot will be restored to the allottees on payment of full installments. The Noida authority should, therefore, restore the plots and hand over its possession to the allottees after all the installments were deposited along with the due interests. The forum directed the Noida authority to allot the old plot or some other plot of same size and location at the old rates after charging them the necessary interests. In case it was not possible for Noida Authority to allot such a plot, it must refund the money paid by the allottees along with 15 per cent annual interest. The complainant, Mr Dalip Chaturvedi of Sharanpur, told the forum that he had applied for a 100 sq. mt. plot in ‘Alpha Residential Scheme’ in 1992. In December 1992, the Greater Noida Authority had allotted a residential plot in his favour. However, he has not been given possession of the plot even after he had made the full installment payment. |
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