Epilepsy At KDAH

Centre for Epilepsy at Kokilaben Dhirubhai Ambani Hospital, Mumbai has a rare combination of the best Epilepsy Doctors EEG experts and most experienced Epilepsy Surgeon under one roof to care for both, children and adults with fits or seizures. We offer both, basic care for easy to treat epilepsy patients and advanced care for the more difficult patients with uncontrolled epilepsy.

A correct diagnosis of epilepsy and accurate identification of the epileptic firing focus in the brain is important for proper treatment. This is possible possible by a test called continuous Video EEG monitoring. In this test, and the EEG are studied by continuous recording of both EEG and the video of the patient.

Most patients with epilepsy can be treated with medicines. Many new medicines are available with very little side effects.

In some patients seizures may continue despite two or three medicines. In such patients, surgery may be done to control or cure the seizures. Kokilaben Hospital has facilities for high quality brain scanning (3 Tesla MRI with functional imaging, PET and ictal SPECT) facilities. We also have an MRI machine in the operation theatre, and intraoperative brain monitoring so that the surgeon can check soon after the surgery whether he has completely removed the abnormal area that is causing the fits. This makes complete epilepsy cure a reality for many patients.

Kokilaben Hospital is planning an awareness programme on Sunday Dec 1 2019, to inform general public about epilepsy. It will be held between 9 am to 1 pm at the Convention center of the hospital on the 6th floor. All are welcome, no registration fee. Contact Sleta at 8108630154

Immunizations are a part of preventive medical care and are helpful at all stages of life – right from infancy to childhood to adult life and old age living. Let us spread the awareness about important vaccinations to protect everyone against deadly diseases.

Childhood Vaccination

Childhood vaccines are recommended by your paediatrician. It is essential to follow the immunization chart prescribed by your doctor. Vaccinations not only protect your child from deadly diseases, such as polio, tetanus, and diphtheria, but they also keep other children safe by eliminating or greatly decreasing dangerous diseases that used to spread from child to child.

A vaccine is a dead, or weakened version, or part of the germ that causes the disease in question. When children are exposed to a disease in vaccine form, is able to build up antibodies that protect them from contracting the disease if and when they are exposed to the actual disease.

Most of your child’s vaccinations are completed between birth and 6 years. Many vaccines are given more than once, at different ages, and in combinations. Parents must take special care to maintain a track of their child’s immunizations.

Why you must Vaccinate Your Child

• Immunizations can save your child’s life. Because of advanced medical science, your child can be protected against more diseases than ever before.
• Vaccination is very safe and effective. Vaccines are only given to children after a long and careful review by scientists, doctors, and healthcare professionals. Vaccines will involve some discomfort and may cause pain, redness, or tenderness at the site of injection but this is minimal compared to the pain, discomfort, and trauma of the diseases these vaccines prevent.
• Immunizations can save your family time and money. Some vaccine-preventable diseases can result in prolonged disabilities and can take a financial toll because of lost time at work, medical bills or long-term disability care.
• Immunization protects future generations. Vaccines have reduced and, in some cases, eliminated many diseases that killed or severely disabled people just a few generations ago.

Myths and facts

Below are some common myths and facts about vaccines.

1. Myth: I’m breastfeeding, so my baby is protected from infections.

Fact: Breastfeeding is not a substitute for vaccination. Breastfeeding provides some protection against certain infections, especially viral respiratory infections, ear infections and diarrhoea. But this protection is incomplete, temporary, and can be overcome if your baby is exposed to large amounts of a specific germ.

2. Myth: My child doesn’t need vaccines because these diseases don’t exist anymore.

Fact: These diseases still exist, even if they are rare. Thanks to vaccine programs, all vaccine-preventable diseases have declined. But when immunization rates drop, these diseases can come back.

3. Myth: It’s better to get one vaccine at a time.

Fact: Thanks to combination vaccines, your child can get protection from many different diseases with one injection (shot). Studies show that combination vaccines are safe and effective.

4. Myth: There will be fewer side effects if I delay my baby’s vaccinations.

Fact: Vaccines begin at 2 months of age to protect babies as early in life as possible against diseases that can make them very sick. Babies respond well to vaccines at a very young age.

5. Myth: Vaccines are not safe.

Fact: Vaccines are safe and effective. They are formulated after a lot of research and testing and are completely safe for your child. Serious side effects to vaccines are very rare.

6. Myth: The MMR vaccine causes autism.

Fact: No, the MMR vaccine does not cause autism. There is no scientific evidence to support this claim. Because signs of autism may appear around the same age that children receive the MMR vaccine, some people believe the vaccine causes the condition.

Adult vaccines

Vaccines are not just for children, adults need them too for various health reasons.

Adults require vaccinations only under special conditions. Vaccines such as hepatitis A and B, pneumococcal and meningococcal meningitis, rabies, human papillomavirus vaccine and tetanus are the most common vaccinations given in India to adults.

The pneumococcal vaccine is give to people over 65 years of age as they are very susceptible to pneumonia. Rubella vaccination is given to females who are of reproductive age group. The human papillomavirus vaccine is given to prevent cervical cancer in women.

Travel immunizations

It is important to take vaccines as precautions while travelling to certain countries. For example, yellow fever vaccination is needed by Indians travelling to African countries. We don’t have yellow fever in India yet – but as a tropical and country the disease can thrive here well. So if someone from India travels to Africa, contracts the disease and returns to India, they can spread the disease. Similarly, vaccinations against tuberculosis, typhoid and meningococcal meningitis are required if you travel to the US or European countries.

Do you have a new born at home? Do you have any questions about adult vaccinations? Are you travelling abroad? Please find below links to our various Departments for vaccination details:

https://www.kokilabenhospital.com/departments/centresofexcellence/centrefor_children.html

https://www.kokilabenhospital.com/departments/clinicsatkh/adultimmunizationclinic.html

https://www.kokilabenhospital.com/departments/clinicsatkh/travelclinic.html

Diwali is over and so is the festive food. From namkeen snacks to plate full of mithais, to appetizers to alcohol people have indulged in them all. Are you missing the Diwali delicacies? Or are you happy that the bingeing season over?

As the Diwali celebrations come to an end it is time to get back to your usual diet and also look at starting a detox diet. It is recommended to check your weight as well as your cholesterol, blood pressure and blood sugar levels. This helps you know how your health is post-Diwali.

Detoxifying helps you cleanse your system of toxins absorbed from all the calorie-laden foods had in Diwali. Detoxify to help speed up your metabolism and enhance your overall health.

Detox with these foods:

1. Water

Staying hydrated is the key to good health. Drink enough water, this will help you flush out excess fat and sugar. Drink two to four litres of water every day to ensure a good detox.

2. Lemon

Lemons are a natural cure for everything from bloating to indigestion and help regulate your digestion. Start an early morning ritual, have lemon juice mixed with lukewarm water right after you wake up daily.

3. Honey

Has Diwali caused constipation due to the excess consumption of refined foods? Honey can help relieve constipation. Regular consumption of honey with lemon and water can help keep the gastrointestinal tract clear.

4. Cucumber

Toxins leave your body through urination and nothing helps that more than cucumbers. This diuretic ingredient helps lose excess water from the body, which also helps cure bloating.

5. Tomatoes

Tomatoes are full of antioxidants. Its high water-content can keep you hydrated, and its beta-carotenes can keep major diseases out of the way.

6. Spinach

This green leafy vegetable is rich in dietary fibre and vital nutrients, which can ensure a clean gastrointestinal tract as well as fit and healthy blood cells to boost your immunity.

Why you must start a post-Diwali Detox:

• To regulate your body weight
  Most people put on weight after festival times. Starting a detox diet and eating light helps you reduce your weight.
• Remove excess sugar from your system
  When you eat more sugar, your body demands more insulin, which in turn puts a strain on your pancreas. In the long term, this can cause chronic fatigue, diabetes, and weight gain.
• Remove toxins from the body
  Pollution levels are alarmingly high at this time of the year, and they can affect your metabolism, immune system and may cause heart disease, strokes, and more. Detox helps improve your body’s natural function.
• Restore your body’s balance
  A bad diet and lack of exercise can cause a toxic build-up, which can lead to fatigue, sinus, muscle ache, headaches, bloating and gas, sleep problems, water retention, and weight gain. Detox by making the right food choices and exercise to reboot your body.

Here are a few Detox tips:

1. Hydrate Well: Increase your water intake to flush out all the toxins from your body. Dehydration exhausts you and affects your skin too.

2. Eat Fresh Fruits And Veggies: Fresh fruits and vegetables are full of vitamins and minerals which are essential for your body to function efficiently. Fibre in fruits and veggies will help bring your digestive system back on track.

3. Nuts and Seeds: Dry fruits and nuts are full of protein, minerals, healthy fats and antioxidants. Snacking on this helps prevent junk food snacking.

4. Exercise: Start slow and steady with your exercise routine. Choose an exercise that best suits you. Choose a jog, cycling, gym workout, running or pilates to get back in shape.

5. Eat probiotics: Probiotics are bacteria that are essential to maintain good gut health, and consuming them is one of the best ways to naturally restore gut health. Include foods like curd and kefir in your diet.

6. Avoid artificial sugars Sugars contain an abundance of empty calories. This is detrimental to the body, as you end up consuming a whole lot of fat boosting calories, which can cause weight gain and other problems.

7. Eat light It is beneficial to the body to counter the five days of heavy eating by a period of going easy on food. Choose foods like khichdi, porridge, soups and salads which are light on your digestive system.

8. Avoid processed foods Processed foods are loaded with fat, sugar, hydrogenated oils, salt, and a large number of calories. Stay away from them to cleanse your system.

Confused about where to start? Do you need a personalised diet plan?

Consult our expert nutritionists for a one-to-one interaction at our Department of Nutrition Therapy. Please find below link for more details:

https://www.kokilabenhospital.com/departments/clinicaldepartments/nutritiontherapy.html

Diwali, the festival of lights is here! Diwali means delicious food, rangoli, lights, and a display of colourful fireworks. Are you looking forward for the festivities and family time? As you get busy in the celebrations it is also important to take some safety precautions. Many accidents take place during Diwali.

Did you know? These dazzling fireworks lead to thousands of emergency room visits each year during Diwali. They may cause serious injuries, some of which are irreversible. Firecrackers cause noise pollution as well as air pollution and they are best avoided. However, some families continue to burst firecrackers for their children. Here are a few ways to celebrate Diwali in a healthy and safe manner. As a responsible parent and citizen, you must ensure that everyone enjoys the festivities wholeheartedly and safely:

Firecracker safety

Here are a few safety tips recommended while handling firecrackers:

• Store firecrackers in a closed box in a safe location, away from the reach of children.
• Maintain a distance of an arm’s length while lighting firecrackers, and at least five metres while watching.
• Make sure a responsible adult accompanies children bursting firecrackers.
• Always light firecrackers in open spaces.
• Keep buckets of water and blankets ready, in case a fire breaks out.
• Keep small portable extinguishers handy for urgent use.
• Make sure you buy fireworks from a licensed shop.
• Discard used fireworks in a bucket of water. This saves people from unknowingly stepping on it.
• Don’t burn firecrackers in crowded, congested places or narrow lanes.
• Don’t light firecrackers on your hands.
• Do not light firecrackers near electric wires or poles.
• Avoid firecrackers with high decibel sounds.

This Diwali let us celebrate the festivities with care and caution towards the environment, towards other people as well towards pets also.

Diwali safety

Here are some additional safety tips:

1. Lamps/diyas: These can lead to accidental fires. Follow these safety rules:

• Make sure you keep the lamps away from curtains and other inflammable objects.
• Avoid lighting diyas or candles near electrical wiring.
• Place lamps on the ground or on a flat surface.
• Keep babies and pets away from diyas.
• Keep doorways clear, so that small children don’t trip on diyas.

2. Clothing: Dress right for Diwali as well as while lighting firecrackers. Here are a few tips:

• Avoid wearing clothes made of synthetic material, as these can catch fire easily.
• Choose comfortable cotton clothes.
• Be cautious with dupattas and long sarees as these could brush against candles or lamps.
• Dress up your children in comfortable cotton clothes, which are not too loose or flowy.

3. Food safety: Make sure that all your meals are prepared hygienically and are safe to eat. Here is what you can do:

• Buy sweets and other snacks from reputed stores that maintain hygiene.
• Avoid street food as much as possible.
• Always keep your food covered.

4. Infants and elders: The noise pollution and the extreme smoke during Diwali may harm the elderly, pregnant women as well as infants. Follow these health tips:

• Stay indoors as much as possible.
• Avoid congested areas high in pollution.
• Wear ear plugs if required.

In case of any untoward incident, please visit our Centre for Accident and Emergency. Call us on 022-30919191 for any assistance. Please find below link for more details:

https://www.kokilabenhospital.com/departments/centresofexcellence/centrefor_accidentemergency.html

1. How common is breast cancer in India? I thought it is a disease of the west

Breast cancer is the most common cancer among women worldwide. In India, it has overtaken cervical cancer to become the commonest cancer amongst urban women. 1/22 women will develop breast cancer in their lifetime. This incidence is predicted to rise to 1/7 women by 2020

2. What are the risk factors for breast cancer?

Majority of the cases are random with no identifiable cause. Some of the known risk factors are:

• Age – Incidence increases after 40 years of age
• Previous history of breast cancer
• Reproductive history
• Family history
• Genetic abnormality
• Postmenopausal Obesity
• Hormone replacement therapy

3. What does “Being breast aware” mean?

It can be explained in a 5 step rule of self examination to be done once a month

• Know what is normal for you
• Look and feel your breasts (upper chest & armpits too)
• Know what changes to look for
• Report any changes without delay
• Make sure you attend breast screening if you’re 50 or over

4. What abnormalities do I have to look for?

Any obvious lumps in breast, armpits or above the collar bone

• Skin thickening
• Dimpling
• Nipple inversion
• Asymmetry
• Spontaneous nipple discharge
• Rash around the nipple

5. What if I find something abnormal?

Report it immediately to your doctor. Most of the time, it will be non cancerous , but needs checking out by an expert

6. How often should one have a mammogram?

Every year from the age of 50. Younger women can opt for ultrasonography done at a good centre

7. How is breast cancer treated?

Treatment depends on the stage of diagnosis, which means that the treatment will be different for each patient. Usually it is a combination of surgery, chemotherapy, radiotherapy and hormone pills.

8. Do I have to have the full breast removed if I have breast cancer?

Treatment has advanced over the last 20 years & we no longer recommend mastectomy for majority of the patients. They will just need removal of the lump & testing of the lymph nodes in the armpit.

9. How long do I have to stay in hospital after surgery?

You can be discharged the same day or the next day after surgery.

10. Can men get breast cancer?

Yes. Though rare (1-2%), men can still get breast cancer & unfortunately usually present at a later stage.

Dr Archana Shetty

Consultant Breast Oncosurgeon