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Borivali Healthcare - finest hospital and ICU in Western Mumbai, S. V. Road, Borivali West, Mumbai (2025)

$Osteoporosis is a condition where bones become weak and brittle, increasing the risk of fractures. This happens when the...$

20/10/2024

Osteoporosis is a condition where bones become weak and brittle, increasing the risk of fractures. This happens when the body loses too much bone, makes too little bone, or both. Normally, bones are constantly being broken down and rebuilt, but in osteoporosis, this balance is disrupted.

*Key points about osteoporosis:

- Common in older adults: It primarily affects older individuals, especially postmenopausal women due to lower estrogen levels.
- Silent disease: Osteoporosis often progresses without symptoms until a bone fracture occurs.
- Fracture risks: Common sites of fractures include the hips, spine, and wrists. A hip fracture can be particularly dangerous and may lead to disability or complications.
- Bone density: It's usually diagnosed with a bone density test (DEXA scan) that measures the strength of bones.

*Risk factors:

1. Age: The older you get, the greater the risk.
2. Gender: Women are more likely to develop osteoporosis, especially after menopause.
3. Family history: A family history of osteoporosis or fractures increases risk.
4. Body size: Small, thin individuals are at greater risk.
5. Hormonal imbalances: Low estrogen in women or low testosterone in men can contribute.
6. Lifestyle factors: Smoking, excessive alcohol consumption, sedentary lifestyle, and poor nutrition (especially low calcium and vitamin D intake) can increase the risk.

*Prevention and Treatment:

1. Diet: Ensure adequate intake of calcium and vitamin D, which are essential for bone health.
2. Exercise: Weight-bearing and strength-training exercises help maintain bone density.
3. Medications: Bisphosphonates, hormone therapy, and other medications can slow bone loss or increase bone formation.
4. Lifestyle changes: Quitting smoking, limiting alcohol, and maintaining a healthy weight can reduce risk.

11/10/2024

What to do if you or someone else is CHOKING ?

> For Adults and Children (over 1 year old):
1. Encourage Coughing:
* If the person can still breathe or talk, encourage them to cough forcefully to try to expel the object on their own.

2. If Coughing Doesn’t Work (or they can’t breathe):
* Ask if they are choking. If they can’t respond, proceed to the Heimlich maneuver.

3. Perform 5 Back Blows & Heimlich Maneuver (Abdominal Thrusts):
* Gently lean the person forward so their upper body is parallel with the ground. Use one arm across the person's chest for support.
* If the person is a child, kneel down behind them.
* Use the heel of your free hand to give 5 quick thumps (back blows) between the person's shoulder blades.

* Stand behind the person and wrap your arms around their waist.
* Make a fist with one hand and place it just above their navel (belly button) but below the ribcage.
* Grasp your fist with your other hand and perform quick, upward thrusts into the abdomen.
* Repeat until the object is dislodged.

4. If the Person Becomes Unconscious:
* Call emergency services immediately.
* Begin CPR (Cardiopulmonary Resuscitation) if you are trained, focusing on chest compressions.

> For Infants (under 1 year old):
1. Back Blows:
* Hold the infant face down on your forearm, supporting their head and neck.
* Give 5 firm back blows between their shoulder blades with the heel of your hand.

2. Chest Thrusts:
* If back blows don’t work, turn the infant face-up, with their head lower than their chest.
* Use two fingers to give 5 chest thrusts (about 1.5 inches deep) on the breastbone, just below the ni**le line.

Alternate Between Back Blows and Chest Thrusts until the object is expelled or help arrives.

> If You're Choking and Alone:
1. Perform Self-Heimlich Maneuver:
* Place your fist just above your navel, grasp it with the other hand, and thrust inward and upward.
* You can also press your abdomen forcefully against a chair or firm edge to dislodge the object.

Important Reminders:
* Always call for emergency help if choking persists or the person loses consciousness.
* Never perform the Heimlich maneuver or give back blows if the person is coughing effectively.
* Being prepared and acting fast can save lives in a choking emergency!

28/09/2024

How to stop External bleeding - First aid therapy

1. Stay Calm and Ensure Safety
* If the situation is severe, ensure the environment is safe to approach.
* If possible, use gloves or other barriers to avoid direct contact with blood.

2. Apply Direct Pressure
* Use a clean cloth, gauze, or your hand (if nothing else is available) and apply firm pressure directly on the wound.
* Hold the pressure for several minutes without lifting to check the bleeding.

3. Elevate the Wound (if possible)
* If the bleeding is from a limb, try to raise it above the level of the heart. This can help reduce blood flow to the area.

4. Apply a Bandage
* Once the bleeding slows or stops, apply a clean bandage or dressing.
* Wrap it snugly, but not too tight—it should not cut off circulation.

5. Do Not Remove the Cloth or Bandage
* If blood soaks through the material, do not remove it. Instead, apply more layers on top and continue pressure.

6. Use a Tourniquet (if severe)
* Only use a tourniquet for life-threatening bleeding from limbs when direct pressure fails.
* Apply the tourniquet above the bleeding site, but avoid using it unnecessarily.

7. Seek Medical Help
* For severe or persistent bleeding, call emergency services immediately.
* If the bleeding stops but the wound is deep or there’s a risk of infection, seek medical attention.

> Signs of Severe Bleeding
* Blood spurting from the wound.
* Inability to stop the bleeding after 10 minutes of firm pressure.
* Loss of consciousness, dizziness, or signs of shock.

Handling bleeding quickly can prevent complications like shock or further injury.

25/09/2024

Neonatal jaundice is a common condition in newborns where a baby's skin and the whites of the eyes take on a yellowish tint due to high levels of bilirubin in the blood.

Bilirubin is a yellow pigment produced during the normal breakdown of red blood cells.

In newborns, the liver may not be mature enough to effectively process and eliminate bilirubin, leading to its accumulation in the bloodstream.

* Causes:
- Immature liver: Newborns often have an underdeveloped liver that cannot effectively remove bilirubin.

- Excess red blood cells: Newborns have a higher red blood cell count, which breaks down and releases bilirubin.

- Other causes: Blood type incompatibility, infections, genetic disorders, or premature birth can exacerbate the condition.

* Symptoms:
- Yellowing of the skin and eyes
- Drowsiness
- Poor feeding or difficulty waking the baby
- Dark urine and pale stools in more severe cases

* Diagnosis:
- Visual assessment: Doctors often assess jaundice by looking at the skin and eyes.

- Blood tests: To measure bilirubin levels and determine if treatment is necessary.

* Treatment:
- Phototherapy: The most common treatment where the baby is placed under special lights that help break down bilirubin.

- Exchange transfusion: In severe cases, the baby may need a blood transfusion to quickly reduce bilirubin levels.

- Increased feeding: Frequent feeding helps flush out bilirubin through urine and stools.

* Risks if untreated:
- If not treated, severe jaundice can lead to a rare but serious condition called kernicterus, which can cause brain damage, hearing loss, or other neurological problems.

Most cases of neonatal jaundice are mild and resolve on their own with minimal intervention, but it is important to monitor bilirubin levels to prevent complications.

21/09/2024

Iron- An essential mineral for our Body

Iron is an essential mineral in the human diet, playing a critical role in oxygen transport, energy production, and immune function.

Iron-Rich Foods:

> Animal-Based Sources (Heme Iron)
1. Red meat (beef, lamb, pork): A rich source of highly absorbable iron.
2. Poultry (chicken, turkey): Contains less iron than red meat but still a good source.
3. Seafood (fish, clams, oysters, shrimp): Especially high in iron.
4. Liver and organ meats : Extremely high in iron content.

> Plant-Based Sources (Non-Heme Iron)
1. Legumes (lentils, beans, chickpeas, soybeans): Great iron sources for vegetarians.
2. Tofu and tempeh : Plant-based protein with a significant iron content.
3. Dark leafy greens (spinach, kale, collard greens): Contain iron but require pairing with vitamin C to enhance absorption.
4. Fortified cereals and grains : Many cereals and bread are enriched with iron.
5. Nuts and seeds (pumpkin seeds, cashews, sunflower seeds): High in iron, especially helpful in a plant-based diet.

> Tips to Boost Iron Absorption:
1. Pair non-heme iron foods with vitamin C-rich foods (e.g., citrus fruits, bell peppers) to enhance absorption.
2. Avoid consuming calcium-rich foods, coffee, or tea with iron-rich meals, as they can inhibit iron absorption.

20/09/2024

BORIVALI HEALTHCARE
Making healthcare better every day

We keep electronic medical records

All your admission data is stored on reliable servers by our partner company
* It makes your insurance processing smooth
* It makes revisits less stressful
* It gives you peace of mind

19/09/2024

On-call Doctor

24 x 7

BORIVALI HEALTHCARE
making healthcare better every day

* Emergency casualty
* Blood tests
* ECG
* Advanced ICU

* Cuts & Burns
* Head injury & Accidents
* Sudden chest pain, headache, blood pressure rise

BHC HOSPITAL
9833049939

C wing, second floor, Lancelot CHSL, S
V. Road, Borivali West
Opp Kalyan Jewellers

18/09/2024

A high-risk delivery refers to childbirth in which either the mother, the baby, or both are at greater risk of complications than in a typical delivery. This designation is given when certain conditions or factors are present that could affect the safety and health of the mother and/or the baby during pregnancy, labor, or delivery. These deliveries often require specialized medical care, monitoring, and sometimes advanced interventions.

Some factors that can contribute to a high-risk delivery include:

* Maternal Factors:
- Advanced maternal age (over 35 years old)
- Pre-existing medical conditions (such as diabetes, hypertension, heart disease, kidney disease, or autoimmune disorders)
- Multiple pregnancies (twins, triplets, etc.)
- History of previous complicated pregnancies or C-sections
- Obesity or underweight status
- Infections during pregnancy (e.g., HIV, Zika, rubella)
- Placental problems (such as placenta previa or placental abruption)
- Preeclampsia or eclampsia

* Fetal Factors:
- Premature birth (before 37 weeks)
- Fetal growth restriction (FGR)
- Congenital abnormalities or genetic disorders
- Abnormal position (breech or transverse presentation)
- Fetal distress during labor (as indicated by abnormal heart rate or other signs)

* Labor-Related Factors:
- Preterm labor
- Excessive bleeding (hemorrhage)
- Prolonged or stalled labor
- Umbilical cord issues (such as prolapse or cord around the neck)

In a high-risk delivery, a team of specialists may be involved, such as obstetricians, neonatologists, anesthesiologists, and sometimes maternal-fetal medicine (MFM) experts. The delivery may take place in a specialized center where emergency equipment and neonatal intensive care units (NICUs) are available.

* Management strategies for high-risk deliveries can include:

-Increased prenatal monitoring (ultrasounds, blood tests, non-stress tests)
- Medications to manage pre-existing conditions or reduce preterm labor risk
- Planned cesarean section (C-section) if vaginal delivery is deemed too risky
Use of labor induction methods if complications arise near term.

09/09/2024

* Introducing
Vascular access service
Navigating veins, Elevating care

1. PICC line
2. Leaderflex
3. Vascular Port

Q. What is a vascular access device?
-It is an intravenous line or catheter which can stay longer than a simple IV line allowing less pricks and infections

Q. In which cases can these be used?
- Simple infections needing one to two weeks of antibiotics
- Deep infections needing six or eight weeks of antibiotics
- Short or long chemotherapy
- IV nutrition - proteins, fats, carbohydrates
- Other infusions for Rheumatological or Hematological or endocrine conditions

"Our team has a combined experience of 300+ device insertions"

Q. Which is the right device?
- For very short treatments, a Leaderflex is used which is like a longer IV line made of better quality material (soft polyurethane) and which can be kept for one to four weeks.
- For longer treatments, a PICC line is preferable.
To reduce infection rate particularly in cancer patients, a Port is the most preferable device.

Q. How is it inserted?
- The patient is counselled about pros and cons of the device, and post-care of the device and a written consent is obtained

- Aseptic precautions taken in OT or ICU and seldinger technique is used with guide wire.

- Ultrasound and/or C-arm guidance may be used to ensure accurate line placement. X-ray may be taken.

"Did you know: A Leaderflex can be used like an IV line for four weeks"

Q. What is the cost?
- All inclusive of materials, insertion charges, special chlorhexidine dressings

A. Laederflex: Rs. 12,800 - all inclusive
B. PICC line: ICU/OPD insertion: Rs. 24,000 (Vygon), Rs. 30,000 (Bard Groshong), Rs. 29,000 (Arrow non-coated), Rs. 32,900 (Arrow coated) - all inclusive
C. PICC Under GA: additional Rs. 7,500
D. Port insertion under GA: Rs. 28,000 plus
Cost of Port: (Rs 12,00o to Rs. 28,000 depending on company) plus consumables and tests cost as per use

Q. What Home care is needed?
- Out team can provide complete home care including flushing of device and dressings at your home

- Patients must beware of infections and line breakages

- In case of fever or damage to line, please report to our 24x7 casualty

"Did you know: A PICC line can be used for collecting blood samples also"

*I have more questions

A patient can book a video consultation or an in-person consultation with Dr. Namrata Agrawal our chief intensivist and programme director for vascular access.

She will discuss your needs and help you book a procedure appropriate for you.

Alternatively your doctor can discuss this directly with Dr. Namrata Agrawal.

*Call us on 9833049939 for an appointment*

"Did you know: a Vascular Port can last for many months to a few years"

* Our team
1. Dr. Namrata Agrawal
2. Dr. Amit Jain
3. Dr. Kant Shah
4. Dr. Ankit Desai
5. Dr Praveen Kammar

Q. Which patients can have vascular access device?
- All adults and children and even newborn babies can have vascular access devices inserted to improve the quality of their care, reduce the pain and repeated pricking and minimise the infections. - We have specialists for all such patients.

Unlocking doors to better health.

04/09/2024

Neonatal jaundice is a common condition in newborns, characterized by the yellowing of the skin and the whites of the eyes. This occurs due to high levels of bilirubin, a yellow pigment produced during the normal breakdown of red blood cells.
Key Aspects of Neonatal Jaundice:
1. Causes:
- Physiological Jaundice: The most common type, affecting most newborns, typically appears within the first 2-4 days of life. It occurs because the baby’s liver is still maturing and may not be efficient at processing bilirubin.

- Breastfeeding Jaundice: Can occur in breastfed babies, often due to inadequate intake of breast milk leading to dehydration or slower excretion of bilirubin.

- Breast Milk Jaundice: Appears later, after the first week of life, and is associated with substances in the mother’s milk that increase bilirubin reabsorption.

- Hemolytic Jaundice: Caused by blood type incompatibility between the mother and baby (e.g., Rh or ABO incompatibility), leading to rapid breakdown of red blood cells.

- Prematurity: Preterm babies are more likely to develop jaundice due to their immature liver function.

- Infections or Other Medical Conditions: Conditions like sepsis, metabolic disorders, or congenital infections can lead to jaundice.

2. Symptoms:
- Yellowing of the Skin and Eyes: Typically starts on the face and progresses downward to the chest, abdomen, and legs.

- Lethargy: The baby may be less active or have difficulty waking.

- Poor Feeding: Babies with jaundice might feed poorly, which can exacerbate the condition.

- Dark Urine and Pale Stools: In severe cases, the baby’s urine may be dark, and stools may appear pale, which are signs of more significant liver dysfunction.

3. Diagnosis:
- Visual Examination: The extent and progression of jaundice are initially assessed through a physical exam.

- Bilirubin Levels: Blood tests (serum bilirubin levels) or transcutaneous bilirubinometry (non-invasive) are used to measure the bilirubin levels in the blood.

- Additional Tests: If bilirubin levels are high, additional tests might be performed to determine the cause, such as blood type testing for incompatibility, or tests for infections or other underlying conditions.

4. Treatment:
- Phototherapy: The most common treatment involves placing the baby under special blue lights that help break down bilirubin in the skin, making it easier for the body to excrete it.

- Exchange Transfusion: In severe cases, where bilirubin levels are dangerously high and not responding to phototherapy, an exchange transfusion may be necessary. This procedure involves replacing the baby’s blood with fresh blood to rapidly reduce bilirubin levels.

- Adequate Feeding: Ensuring the baby is well-fed, either through breastfeeding or formula, helps promote regular bowel movements, which aid in the excretion of bilirubin.

- IV Immunoglobulin (IVIG): In cases of blood type incompatibility, IVIG may be given to reduce the need for an exchange transfusion.

5. Complications:
- Kernicterus: A rare but serious complication where extremely high levels of bilirubin cause damage to the brain, leading to permanent neurological issues like cerebral palsy, hearing loss, or intellectual disabilities.

- Acute Bilirubin Encephalopathy: Early signs include lethargy, poor feeding, and a high-pitched cry, which can progress to more severe symptoms if not treated promptly.

6. Prevention and Monitoring:
- Early Feeding: Frequent feeding after birth helps reduce the risk of jaundice by promoting regular bowel movements.

- Monitoring: Babies are usually monitored for jaundice before discharge from the hospital and during follow-up visits, especially if they are at higher risk (e.g., premature, blood type incompatibility).

- Education: Parents should be educated on the signs of jaundice and when to seek medical attention.

Conclusion:
Neonatal jaundice is generally a manageable condition with timely diagnosis and appropriate treatment. However, understanding the causes, monitoring bilirubin levels, and recognizing when intervention is needed are crucial to preventing complications. Regular follow-up and parental awareness play a key role in ensuring the baby’s health and well-being.

03/09/2024

Invasive blood pressure (BP) monitoring is a method used to measure blood pressure directly and continuously within the arteries. This is done by inserting a catheter (usually into the radial or femoral artery) that is connected to a pressure transducer and monitoring system.

02/09/2024

Severe headaches can sometimes be a sign of a more serious underlying condition. It’s important to recognize the warning signs that might indicate you need immediate medical attention. Here are some key warning signs to watch for:

1. Sudden, Severe Headache ("Thunderclap Headache"):
A headache that comes on very suddenly and feels like the "worst headache of your life" could indicate a serious issue, such as a brain aneurysm or a stroke.

2. Headache with Neurological Symptoms:
Symptoms like weakness, numbness, difficulty speaking, confusion, or vision changes can be signs of a stroke or other neurological conditions.

3. Headache with Fever, Neck Stiffness, or Rash:
These symptoms may indicate an infection such as meningitis, which requires urgent medical treatment.

4. Headache After Head Injury:
If you develop a headache after hitting your head, it could be a sign of a concussion, brain bleed, or other serious conditions.

5. Persistent or Worsening Headache:
A headache that doesn’t go away or gets worse over time, especially if it’s different from your usual headaches, should be evaluated by a doctor.

6. Headache with Vision Problems:
If your headache is accompanied by double vision, loss of vision, or other visual disturbances, it could indicate a serious issue like increased intracranial pressure.

7. Headache with Seizures:
Seizures or fainting in conjunction with a headache can be a sign of a serious neurological condition.

8. Headache with Vomiting:
If vomiting occurs without nausea, especially in children, it could indicate increased pressure in the brain.

9. New Onset Headache in Someone Over 50:
New headaches in older adults, particularly if they are severe, can sometimes indicate conditions like giant cell arteritis or a brain tumor.

10. Headache That Wakes You Up at Night:
Headaches that are severe enough to wake you from sleep may require evaluation, as they could be a sign of a serious condition.

11. Changes in Behavior or Personality:
If a headache is accompanied by changes in mood, personality, or cognitive abilities, it could indicate a brain-related issue.

12. Headache with Pain in the Eyes or Ears:
Severe pain in or around the eyes, ears, or face, along with a headache, could be a sign of conditions like glaucoma or an ear infection.

If you or someone else experiences any of these warning signs, it's important to seek medical attention immediately. Some of these symptoms can indicate life-threatening conditions that require urgent care.

Borivali Healthcare - finest hospital and ICU in Western Mumbai

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