20
Masina Hospital 2017 Bi Annual / Volume I / Issue 1/January 2017 MASINA HOSPITAL Newsletter

MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital 2017 Bi – Annual / Volume – I / Issue – 1/January 2017

MASINA HOSPITAL Newsletter

Page 2: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

1

PAGE 2 From The Medical Director's Desk

Greetings

Indicators of Future Directions

PAGE 4 News From June 2016

General News

Green Events

New Departments Started

CME’s since May 2016

Blood Donation Camps, Medical Camps

Patient Education

Felicitations and Recognition

Equipment Purchased and Installed

PAGE 9 Employees Related

Workers Retirement and Felicitation

Celebrations

Employee Training Initiatives

PAGE 11 Patient Related

Masina’s Humane Response to Demonetization

Cashless Facility / TPA Empaneled

Transparency in Billing

Note on New Dept.

PAGE 13 Department Case Reports

Burns / Plastic Surgery

Psychiatry

Pediatric Neurology

Pediatric Surgery

Oncology & Surgery

Orthopedics

Dentistry

Page 3: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

2

From The Medical Director's Desk:

Dear Friends and Well-Wishers,

Greetings for the New Year!!! Masina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to

achieve its goals. We have started with redefining our Vision and Mission

Statement which we are proudly displaying in all areas of the hospital.

We propose to go about delivering on the promise of making the hospital the first choice for Quality and

Value in health care. This newsletter is our attempt to inform you about the specific steps we are taking

to fulfill the promise we have made to ourselves and in turn to you all in realizing this dream.

Along with my Management Team my approach is to work in harmony towards achieving a common

goal. Consultant interaction and worker engagement will always be my priority. My focus will be on

quality with improvement of infrastructure and adoption of clean and green practices.

It has been an hectic five months since the Masina Board of Trustees have reposed their trust in me. I

wish to acknowledge the complete support provided by the Board Of Trustees and the guidance received

from our Managing Trustee Mr. Homi Katgara. The articles in this Newsletter will give you a glimpse of

the initiatives taken, some of which are already showing results and the rest will blossom in the future.

We will make this Newsletter a Bi-Annual exercise to keep in touch and remain accountable.

Warm Regards,

Dr. Vispi Jokhi

Page 4: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

3

Indicators of Future Directions:

Plans for Infrastructure which are either in the Planning Stage or Implementation Phase: -

1. Creation of a Waiting Area like a lounge with Cafeteria and Washroom utilities is being done,

designed by a Landscape Architect. Also, the Parking lot improvement is being planned.

2. Security Barriers are being planned along with improved CCTV Camera coverage.

3. Road Construction from Love Lane to Main building is being planned and will have started as this

newsletter goes to the press.

4. Renovation of lobby near burns ward completed, but work toward improving washroom and rooms

in Burns Unit is underway.

5. Three bedded Surgical ICCU has been prepared and is nearing completion

6. Oncology polyclinic infrastructure is nearing completion.

7. Conversion of General Wards in a phase wise manner to Air Conditioned facility along with

second class rooms is going on and will be completed shortly.

8. Pediatric Ward, PICU and NICU have undergone major Renovations and Improvement along with

a library and facility for DNB students.

9. Laminar Air Flow Unit in one Operation Theatre is about to be installed.

10. Renovation and creation of Deluxe and second class rooms in the Nursing Home building is planned

and work will start soon.

11. Relocation of Physiotherapy Department and having casualty in its place is being planned.

12. Creation of changing room and facility for workers along with a recreation area is also under way.

13. All these and many other initiatives especially regarding Solar Power, Sewage Treatment Plant and

support for the Dialysis Unit have been made possible through the munificence and generosity of

our Chairman Mr. Shapoorji Mistry and other donors.

14. Neuropediatric Unit is being planned for children with a developmental and acquired neurological

disorders.

15. Diabetic Foot Clinic is also being planned where patients will be provided preventive and curative

solutions to foot problems.

16. Skin Bank is in planning stage to be opened shortly.

17. An IVF (In vitro Fertility) clinic with affordable treatment as a focus is in the negotiation phase.

18. To complement our Dialysis facility, we are considering creating a dedicated Urology /Nephrology

Center.

19. Masina Hospital in partnership with Sujaya Foundation has started an initiative where differently

abled mainly from the hearing impaired are employed to do computer data entry related to the

Nursing work bench and other related programs.

20. We are also planning to make incremental and significant changes in the nutritional value of the food

supplied through our kitchen both for the patients and the staff. This is being done using expertise

and consultancy by the team from The Health Awareness Center founded by late Dr. Vijaya

Venkat

Page 5: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

4

News:

Association of Hospitals (AOH)

Meeting was hosted by Masina Hospital in

Centenary Hall on 24th May, 2016.This is an

important meet and helps hospitals

coordinate and respond to issues relating to

legal and statutory compliances. The burning

issues relating to hospitals at present are the

treatment of Indigent and Weaker Section

Patients.

A New Medical Director gives a deja vu feeling for Masina Hospital, however there was an

overwhelming sentiment of warmth and acceptance as a person from Masina with a trained

professional background was taking up the task of reviving the hospital. A get together with the

consultants along with interactions with the workers on the occasions like Independence Day and

Ganeshutsav proved to be significant ice breakers. In fact, the direction and tone was set by the re

tweaking of the Vision, Mission and Goals Statement.

Tree Plantation and Cleanliness: In the wake of the national drive for cleanliness given by our

Prime Minister, Masina Hospital and its staff showed great enthusiasm and zeal in this campaign.

Cleanliness is going to remain in focus. We conducted Swachh Masina Abhiyaan at 26th Aug 2016.

Tree plantation programme was conducted on 12th July 2016

Page 6: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

5

Zero Waste Management project with Stree Mukti Sangathana has started and the training and

awareness sessions are being

completed. The principle is to

eliminate non-biodegradable waste

and process biodegradable waste in

the campus. The Programme has

been inaugurated with attendance

by BMC officials and our

neighbours

Green Audit has been done

with the help of well-wisher Rumi

Engineer through a professional

agency. Report will be ready

shortly.

Inauguration of New Departments

Masina Cancer Unit - 1st July 2016 run by the N. K. Dhabhar Trust headed by Dr. Boman Dhabhar.

The center is running well and a large number of patients are getting Chemotherapy on Day Care

Basis.

Dental Unit - 12th July 2016 with an array of equipments and specialties related to advanced Dental

care has taken off significantly. The new Dental Department of Masina Hospital has completed 6

months as a Multispecialty Dental Center. The department is well equipped and covers almost all

specialties in dentistry. During this period, alone the Pediatric Dental Department has completed more

than 4 general anesthesia cases of full mouth rehabilitation of the children suffering from special health

care needs and more than 50 cases under dental general OPD including children with myofunctional

appliances.

Cosmetology OPD will be started with a focus on affordability using modern equipment.

Autoclave machine installed on 25th Nov 2016 is the most sophisticated machine with NABH

approved standards of monitoring and assured sterility of equipment used throughout the hospital.

Page 7: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

6

New Dialysis Machines - 03 on 5th May 2016. The Nephrology Department of Masina Hospitals’

Dialysis Unit was donated by Ms. Sheela & Ulas Kandalgaokar in the year of 9th April 2005 in the

memory of Shobha & Tukaram Kandalgaokar. The department initially had Two machines and dialysis

was done under the supervision of Late Dr. Jinni Jagose. At present the department is run by Dr. M. M

Bahadur & Dr. Aseem Thamba and has 8 machines with 44 regular patients getting dialysis.

A Total Seven Continuing Medical Education sessions were conducted in Masina Hospital

successfully. We have Maharashtra Medical Council recognition for the same. The following

departments were covered Respiratory Medicine, Pediatrics, Pediatrics Surgery, ENT, Oncology,

Psychiatry, Basics - ACLS, BLS, Intubation, CPR, Burns Plastic Surgery.

May 2016 CME was conducted by Pediatric Department. Following eminent doctors spoke on

relevant topics –

Dr. Amin Rahim Kaba

Pediatrician,

Dr. K. P. Sanghvi

Neonatologist,

Dr. Amish Hasmukh Udani

Pediatrics Nephrologist

June 2016 CME was conducted by

Psychiatry Department.

Following eminent Psychiatrists

spoke on relevant topics –

Dr. Sajid Ali Khan,

Dr. Nirmee shah,

Dr. Prashant Dasud.

July 2016 CME was conducted by

Pediatric Department. Following

eminent doctors spoke on relevant

topics –

Dr. Ashish Shah

Pediatrician,

Dr. Ruchi Parekh Pediatric

Endocrinologist,

Dr. Sarita Bhagwat

Pediatric Surgeon

Aug 2016 CME was conducted

on Asthma. Following doctors

spoke on relevant topics –

Dr. Sushil Jain- Chest

Physician,

Dr. Raza Modak-

Pediatrician,

Dr. Nitin Gupta- ENT

Surgeon

Sept 2016 CME was conducted

by Oncology Department to create awareness among general public & medical practitioners. Following

eminent doctors spoke on relevant topics –

Dr. Boman Dabar- Medical Oncologist,

Dr. Sanket Mehta- GI Onco Surgeon,

Dr. Meghal Sanghavi- Breast Onco-Surgeon,

Page 8: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

7

Dr. Suhail Sayed- Head & Neck Onco-Surgeon,

Dr. Yusuf Mateswalla- Psychiatrist

Nov 2016 CME was conducted by Plastic Surgery & Burns Department.

Following eminent Plastic

Surgeons & Burns specialist

spoke on relevant topics &

facilities available in Masina

Hospital for treating extensive

burns –

Dr. Arvind Vartak,

Dr. Suhas Abhyankar,

Dr. Dhaval Gandhi,

Dr. Ajit Borkar,

Dr. Vispi Driver

Dec 2016 CME was

conducted on BLS & ACLS,

Intubation, CPR, Resident

Orientation, & Medico Legal

Cases. Following eminent

doctors on Mumbai city spoke

on relevant topics –

Dr. Ajay Kantharia- Physician Saifee Hospital,

Dr. Girish Bakhshi- GGMC Hospital,

Dr. Tarana Shaikh- Anesthesiologist Nair Hospital,

Dr. Tasneem Dhansura- Anesthesiologist Saifee hospital,

Dr. Kavita Tilwani- Gynec Obs Surgeon,

Dr. Vivek Tilwani- Surgeon.

Blood Donation Camps: Fifteen Blood Donation Camps were conducted wherein 721 units of

blood was collected through voluntary donations. Dental Health Camp in association with IDA

covered three schools -Suffah School, Byculla, Anza Special Children school, Byculla, Nalanda

Foundation. Medical camps were conducted by TPA in Corporate Companies like RBI along

with a Multi-Specialty Camp conducted in Taloja district were successful ventures. MMR,

Vaccination donated for 200 children from Zonta Club of Mumbai were administered.

Page 9: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

8

Patient Health Awareness Programme was conducted on 23rd Oct 2016 on topic Cancer

awareness as Prerna I Can I Will An Initiative Against Breast Cancer in coordination with Abbott

Company and 13th Nov 2016 on topic Diabetic and Diet as part of World Diabetes Day. Special

Investigation Packages were given to patients for a month.

The following New Equipments were purchased and installed: -

o New Autoclave Machines for Sterilization.

o ETCO2 Monitor in Operation Theatre

o Eliza Reader in Blood Bank.

o ECT Machine in Psychiatry Department.

o Dialysis Machines in Nephrology Department.

o Warmers for the Burns Unit. NIBP Monitors and Syringe Pumps for various departments were

purchased.

Shortly we will be purchasing new machines –

o Portable USG Machine

o Portable X - Ray Machines

o Dialysis Machine

o Laminar Air Flow system for our Main OT

Felicitation to Masina Hospital

by Education Service and

Training Center for Persons

with Disabilities was done at the

hands Mr. Tukaram Munde, Collector, Vashi, Navi Mumbai. This was

in recognition for Masina providing employment to special staff from

Sujaya Foundation. The differently abled are heroes in our eyes who

have overcome innumerable barriers and have claimed their rightful

place in mainstream society. By giving them an opportunity to work we are not doing any act of

charity.

Recognition to Dr. Rohan Bokdawalla Nominated as most Approachable Psychiatrist by TISS.

Page 10: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

9

Employees Related :

Workers Retirement and Felicitation:

As employees retire Masina Hospital has a tradition of giving a warm send off to the employee with a

felicitation and early clearance of the dues. The following employees retired in the last 6 months:

1. Mr. Vasant Sitaram Pawar worked as Table boy for 35 years.

2. Mr. Atmaram Gopal Borate worked as Table Boy for 27 years.

3. Mrs. Kalpana K Uttekar worked as Ayaah for 27 years.

4. Mrs. Ombatti K Walmiki worked as Methrani for 04 years.

5. Mr. Vithoba Mahadev Kadu worked as Ward Boy for 37 years.

6. Mrs. Deval Jaisingh Vora worked as Methrani for 41 years.

7. Mr. Chandrapal M Singh worked as Masal for 37 years.

8. Mr. Suresh K Ghadge worked as Table boy for 33 years.

We thank them for their services and we wish them a healthy and happy and prosperous retired life.

Celebrations:

Masina hospital celebrates all festivals with enthusiasm & a spirit of togetherness, Republic Day, Holi,

Independence Day, Nurses Day, Dahi Handi, Satya Narayan Pooja, Ganeshutsav, Onam, Diwali,

Christmas.

Page 11: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

10

Employee Training Initiatives:

We comply with teaching norms of DNB facilities for the recognized specialties by providing

library and place for conducting other teaching programs. On 24th Dec 2016 hands on training for Residents &

nursing staff related to Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS) was

conducted. Along with this a resident orientation

program and training for Medical Records was also done.

This was done by a team led by Dr. Vivek Tilwani who

is a General Surgeon and Medico-legal expert attached to

our hospital.

On 13th Dec 2016 training to staff on how to manage

work with personal life was done by the way team led by

Dr. Jaiprakash Kabra. This was well appreciated and we plan to make it a regular part of training.

On 23rd Nov 2016 training for the nursing staff for new techniques of HGT, Hba1c quick methods

& Hb level was conducted by Accurex Biomedical Pvt. Ltd. 19th June 2016 - Workshop for RMO, Consultants and nurses On

Central Line Insertion

during Emergency was

conducted.

We intend arranging

lectures and training

programmes based on

needs and demands. per request and requirement.

Page 12: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

11

Patient Related:

Masina’s Humane Response To Demonetization:

In the wake of the dramatic announcement done by Prime Minister on 8th Nov 2016, many

hospitals reacted by refusing to accept payments in cash i.e. old notes. Masina Hospital

being a predominantly cash accounting based entity, had to formulate a different

response. We wanted to ensure that no patient was refused treatment as far as possible.

Despite the uncertainty, we took risks and no patients were denied medical care on

account of inability to pay. Our record shows not a single patient given the credit

defaulted in payment. Over the last few months, our cashless transactions have increased

fivefold. Considering the target patient population of Masina which comes from the

predominantly poor socio-economic strata, this development is encouraging sign towards

achieving Prime Minister’s goal of Cashless Economy.

Cashless facility / TPA empaneled:

Masina has this facility available covering majority of the TPA’s. and this number is

gradually increasing and the patients and the insurance company confidence in cashless

insurance is on the rise.

Transparency in Billing:

We have rationalized all OPD, IPD charges, particularly related to surgical procedures &

negotiable charges. This exercise has ensured that the patient is aware of the approximate

expenses well before the final bill is generated. This is in keeping with our goals of

transparency in billing.

Page 13: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

12

Note on New Neuro-Pediatric Dept.:

EN1 Neuro Services - A Pediatric Neuroscience Centre will now opening in Masina

Hospital. The center opened in Kurla in 2015 in the month of November. This has been

the first of its kind to offer integrated, evidence based and comprehensive medical

services to children and adolescents in the field of neurology, epilepsy,

neurodevelopmental and neurobehavioral disorders.

The center offers under one roof facilities for Neuro-Electrophysiology, Neuro-

Rehabilitation (Occupational, Physio, Speech & Visual Therapy), Clinical (Psycho-

Diagnostics) & Counselling Psychology as well as education (Special & Remedial), And

Allied Services Like Speech-Language Pathology And Audiology.

EN1 Neuro seamlessly combines the full range of diagnostic & therapeutic services in a

standardized and scientific manner to achieve optimization of resources and lead to best

possible end results.

EN1 Neuro also run many initiatives like EN1 Update for education and awareness of

the professionals, EN-Power for empowering parents and EN- Screen an early screen for

developmental disorders amongst many others.

A similar center will be opened in Masina Hospital and will offer all the above along

with EMG/NCV studies. The charges will be reasonable and affordable and we believe it

will be a major addition to the already strong pediatric component of our services.

Page 14: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

13

Case Studies:

Burns / Plastic Surgery - by Dr. Arvind Vartak

An eight-year-old girl was brought to our hospital, one week after the injury from an

open flame lamp (Diya). Her wound was deep and infected with 30 % burn covering

areas abdomen, back, and both lower extremities. She needed 5 skin grafting

operations and she finally recovered after over four months of hospital stay. She is

attending regular follow up and all attempts are being made to prevent any deformities

which are likely to occur on account scars left behind by burn injury. She already

started attending her school and able to continue her passion of dancing.

A case report of loss of life as a result of taking

selfie. Nowadays the craze for selfies coupled

with the habit of travelling on rooftops is on the

rise. A 19-year-old boy was taking selfie from top

of train and got electrocuted and this resulted in

88% burns. He was brought to our hospital,

operated. All the possible treatment was offered

but the patient could not be saved on account of

the very high percentage of burns. He succumbed

after the 5th day of admission.

Many other cases of neck contracture deformity, acid attack cases have been operated successfully in

our hospital successfully.

Psychiatry Case - by Dr. Rohan Bokdawalla

A 25-year-old woman was brought to the Accident and Emergency Department by

the police after being found walking in traffic at a busy city intersection. The police

placed her on an involuntary commitment after she stated that she was instructed to

kill herself by accusatory, commanding voices.

On examination, the patient appeared dishevelled, with an indifferent and flat

affect, and disorganised thought processes. She answered most questions monosyllabically. When

questioned about experiencing auditory hallucinations she answered in the affirmative, but she was

unable to articulate coherently the details of her experience. Throughout the examinations, she appeared

intermittently distracted by internal stimuli; when asked what her experience is in the moment, she

stated-: 'They are talking to me.'

The patient’s family reported that she became increasingly withdrawn after she moved away from home

to attend graduate studies at a local college. The family reported that her academic performance in

school was above average, but since starting school she has struggled to complete her school work.

Since moving, she had also become more isolated: she made no new friends, stopped talking to her

college friends, and maintained only sporadic contact with her family. The diagnosis was pretty evident

as Schizophrenia. For this she was admitted in our hospital and started on Antipsychotics. She and her

Page 15: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

14

family were counselled accordingly. Over a period of 3-4 weeks she showed drastic improvement in her

symptoms.

After discharge, her rehabilitation process started where she was made to attend workshops for a month.

The most important point was to continue medication and follow up with a psychiatrist till the Doctor

says so, and not take decisions on our own. Today the patient and her family have a happy and fulfilling

existence.

Anyone can get this disorder, but we need not fear it as there are multiple treatment options available.

Pediatric Neurology Dept. - by Dr. Neeta Naik

“Casting the Culprit”- A case of Infantile Neuroaxonal Dystrophy. Dr. Neeta Naik,

Dr. Ami Shah, Dr. Abhijeet Botre

Neurodegeneration with Brain Iron Accumulation (NBIA) is a group of rare

heterogeneous disorders characterized by progressive brain iron accumulation.

PLA2G6 or Phospholipase A2 Associated Neurodegeneration (PLAN) comprises of

20% cases of NBIA & comprise of three disorders with overlapping phenotype of

which Infantile Neuroaxonal Dystrophy (INAD) is the commonest.

We report a 58-month old girl born of third degree consanguineous marriage and no significant family

history, with global developmental delay and childhood onset neuro-regression following a febrile

illness. Motor milestones were affected more severely. Clinical assessment revealed bilateral horizontal

nystagmus, severe axial hypotonia, bilateral ankle contractures and limb dystonia. Initial evaluation

suggested optic atrophy and generalized motor axonopathy. Magnetic resonance imaging (MRI) showed

cerebellar atrophy and mild periventricular hyper-intensities. Molecular testing detected a novel

pathogenic mutation in PLA2G6 by DNA sequencing.

Image: MRI of the patient with white arrow in (A)

FLAIR image showing prominent Foliae & (B) T1

weighted image showing Cerebellar atrophy

The diagnosis of INAD should be suspected in a child

presenting with early onset rapid motor and cognitive regression. Clinical and neurophysiologic

evaluation reveals a mixed CNS involvement with pyramidal tract signs and peripheral neuropathy.

Bilateral cerebellar hemisphere atrophy with T2 hyper-intensities on MRI is pathognomonic of this

disorder. Diagnosis can be confirmed by genetic testing. Still considered a rare disorder, INAD is not

uncommon and can be easily misdiagnosed. Though currently only supportive and palliative care can be

offered to these patients, yet it is important to obtain a genetic diagnosis for prognostication, family

screening and counseling.

Page 16: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

15

Pediatric Surgery - by Dr. Nargish Barsiwalla

A case report of a very rare childhood tumour-giant cell fibroblastoma- a superficial

infiltrative soft tissue neoplasm characterized by irregular pseudo-vascular spaces

lined by pleomorphic giant cells. One year old male child came to Outpatient

Department with complains of a swelling in the popliteal region. According to the

parents they have noticed the swelling almost since birth. Last one month the swelling

started to increase in size gradually. They got worried when it became painful and the

child could not stand properly. On examination, the general parameters were normal.

On local examination there was a globular firm swelling about 2 to 3 cms in size in the left popliteal

region. It was tender on palpation, mobile and not adhered to deeper structure. Sonography supported the

diagnosis of a solid tumour.

Excision biopsy was done. On macroscopic examination, it was a red spongy looking lesion the diameter

of about 2.5 cms in the subcutaneous tissue not adhered to underlying muscle. Child did well after the

surgery. Histopathology came as surprise. The tumour was composed of haphazardly arranged spindled

and stellate cells in a fibro-myxoid and vascularised stroma. There were scattered multinucleated giant

cells present. No mitotic figures. There is CD34 expression by the stellate cells, spindle cells and

multinucleated giant cells. They are immune-negative for SMA, desmin, myogenin and Myo D1. Giant

Cell Fibroblastoma is a unique, begin rare fibroblastic tumor of childhood. Only 28 cases are reported so

far. It occurs in the soft tissues mainly subcutaneous region. Majority of the patients are under 10 years

of age with predilection for males. Local recurrence rate is 50% if not excised properly, recurrences are

controllable. This patient of mine is now two years old and so far, there is no recurrence but requires to

be evaluated every year as recurrence in GCF is quite high.

Oncology & Surgery - by Dr. Suhail Sayed

We at Masina Hospital provide our Head and Neck cancer patients with the state of the

art treatment. Our multidisciplinary Head Neck Cancer team comprises of experienced

doctors who have specialized in Head Neck Oncology from the Tata Memorial

Hospital.

Over the last three years more than 500 complex Head and Neck cancer surgeries have been done

successfully at Masina Hospital by our team. These surgeries comprised of cancers of oral cavity,

larynx, parotid, thyroid, skull base, nose and paranasal

sinuses. We offer the patients the best form of plastic

reconstruction by microvascular/Free tissue transfer

reconstructive techniques which give our patients the

best Quality of Life outcomes. We also provide

chemotherapy services at an affordable cost. We also

provide our patients with rehabilitative services as well

as counselling for social and psycho-social well-being.

Page 17: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

16

Orthopaedics Case - by Dr. Vishal Shinde

A Patient age 75 years/ female came with complaint of peri-prosthetic fracture (as

per Figure No - a). She was absolutely non-affording. And all the implants which

were used for the treatment of these kind of fractures are very expensive. Patient

could not afford any of those, so we decided to use an implant which we use to

use in the past (Hartshill) to stabilise the spine (as per Figure No. c) along with the

wires to stabilise the fracture.

Figure no - c (For Reference) Figure No - a Figure No - b

The final result is shown in Figure No - b. The patient was kept non-weight bearing for a period of 6

weeks and later on made to walk with the help of a walker. After 6 months’ patient came to us walking

without any walking aid.

Dentistry Cases - by Dr. Shahid Shaikh

From among the challenging cases the one case from the Pediatric Dentistry stable

is being highlighted.

This relates to excision of a natal tooth in a baby within hours after birth and

detection. Its occurrence is rare and incidence varies regionally ranging from

1:2000 to 1:6000. Since in this case the tooth was loose and there seemed to be a

danger of aspiration, it was decided that the tooth be extracted within 19 hours

from time of birth.

Extraction of natal tooth in 19 hours old

baby

Page 18: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

17

List of Consultant Doctors:

Medicine Gen Surgery Obst & Gynaec Dentist Plastic Surgeon

Mody K M

Satyendra Nath

Mehra Saiwalla R M Havewalla A Bhathena H M

Chichgar J A Desai P F Adrianwalla K S Bamboat M R Vartak A M

Kohiar C B Pardiwalla B B Bhathena R K Mulla Karen Driver Vispi N.

Shaikh Suleman Undre Imamudin Chaina M S Parkar Mushtaq I

Abhyankar Suhas

V.

Shabbir Baldiwalla

Kazerouni

Mehndi Pagdhiwalla K Amit Majethia Gandhi Dhaval M.

Girish Vaswani Momin Tarique Raimalwala A N

Shambhvi

A.Malik Mahinoor Desai

Kinaz Ansari Tilwan Vivek P Havewala Shiraz Shahid Shaikh Ashok Shah

Sushil Jain Waqar Ansari A Soonawalla Feroze R Tanvi Mhatre Vinod Vij

Tehsin Petiwala Hakim Barot Irani Dimpy J. Joan M Roshan Borkar Ajit K.

Jain Sachin Jatin K.Chokshi Zaroliwalla H. H. Jamshed Tavadia

Akshay

Deshpande

Pulmonologist Almas R.Khan Pandole Anahita Asif Rangoonwala Ahire Samir S.

Nanaware Sameer V. Ejaz Thakur Purandare Ameya C. Gandeviwala Adil Juneja Manpreet

Sonam Solanki Aftab H Shaikh Lambay Shafika S. Mehra Mihir S.

Patil Amit

Vinayak

Aditya Agrawal E N T Salunkhe Rahul Oncologist &

Surgeon Gupta Ritesh R

Dermatology Shaikh Sajid A Balsarkar Geetha D. Basade M M Patel Pankaj K

Sanjana H B Lambay Sameer

Jassawalla

Mehernosh J. Shaikh Sohel D.

Ramamurthy

Venkat

Maniar Sunil H Gupta Nitin Shehnaz Alam Suhail Sayed Orthopedic

Karjikar Sumaiya Aditi Sinha Shagufta S. Ansari Sanghvi Meghal J Bacha A R

Endocrinologist Kanupriya Halan Manjiri Kaba Rajay Ramesh K Vatchha S P

Altamash Shaikh

Jaffer Hussain

Sura Shilpa Agarwal Deepak Khanna Sidhwa P R

Alpesh Jain Sunita Soni Anis Farooq Adam Samrat Tawde Bunshah J J

Neuro Physician

Khan Maqsood

Ali Vijay Shah Anesthetist Jokhi Vispi H

Tandel Sushil V. Radiologist Sudha Marwah Devadhvala D J Shinde Vishal

Girish Soni Sidhwa Sohrab J. Sheela Verma Binayke Swapnil Ansari Naved A

Urology Khivesara M H Kekin Gala Daftary Rajan Hrishikesh Naik

Juvekar Ramesh L. Sonologist Tejas Purandare Desai Aban A Vinod Vaishnav

Andankar Mukund G. Kapadia Samir Ayesha Siddiqui Desai Devanshu D Rushikesh Patil

Nephrologist Jain Hastimal M. Anagha Laliwala Desai Sangita Chirag Borana

Bahadur M. M. Dedhia Alpa P Shalini Jain Bagaria Dhayagude S H Pankaj Soni

Page 19: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

18

Nephrologist Obst & Gynaec Anesthetist Orthopedic

Thamba Aseem Ped Surgery Bhumika.Mundhe Joshi P Kapil Mohan

Chaudhari Chandan N. Barsivala Danny Laliwalla

Kamath Pratima

D. Shaikh Fahad M

Pediatrics Shah Rakesh Bhavini Shah

Khan Rafique

Ullah

Jagani Naeem

Shafiq

Mullan S H Keny Swapnil M. Neeta Rambhia

Kulkarni Vaishali

S. Anchan Chetan

Contractor Cyrus Sarita Bhagwat Devki Potwar

M. Nuomann

Sadiq Deasi Apurva S.

Shah Ashish M

Gupta Rahul

Kumar Munira I. Shaikh Mohammed Aizaz Thakur Vishal P

Shanbhag Praful Pediatric

Nephrologist Shaishta Momin

Monica Gala

(Savla) Dhruv Abhilash

Khan A. Bashir Amish Udani

Merchant Masooma

H Nadkarni D M Dave Arpit C.

Solkar Moatasim H Ped. Neurologist

Ladhani Yasmin

Aziz Ali Nikam V N Ophthalmologist

Desai Avinash Neeta Naik Dani Aditi Prashant Kamdi Bhagat Y R

Nazim Naik Pediatric

Endocrinologist Psychiatry Quraishi Sajjad Ursekar A T

Junaid Alam Ruchi Parikh Patkar S A Rangwalla Elyas Dalal R R

Archana Khan Physiotherapist Matcheswalla Y A

Sawant Darshana

G Hakim Nusrat

Adam Farooq Ahmed Priyanka Shastri Pradhan S P Setia S S Jinish Upadhyah

K. P. Sanghvi

Meenal A

Gajbhiye De Sousa Avinash Shah Sonal T. Sneha Shah

Amin Kaba

Dayaram

Prajapati Sajid Ali Khan Soni Tasneem Arsiwala Altaf

Raza Modak Sabika Abidi Prachi Shah Taqdees Ansari Homeopathy

Faizan Bhoira Sanjyot Salvi Nirmee Shah

Tibrewala

Nasreen Jagose A T

Purnanki Jain Echo-

Cardiologist Prachi Chivate Vazifdar Karl A. Soni Girish

Munira Chaphekar Lanjewar Charan

Meshram

Sanghanayak Yasir Khan Zubin Dehmeri

Endo-Gastro Vaibhav Dedhia

Balakrishnan Milan

H.

Ajani Abbasali

Roshanali Sanobar A.

Khurshed Vazifdar Bootwala Adnan Patil Shraddha Rupal Gala

Rathi Chetan D. Ruchit Shah Gandhi Deepak P

Aziz Rehana

Mandsaurwala

Waghoo Tamnna

M

Page 20: MASINA HOSPITALmasinahospital.com/pdf/Hospital_news_letter_2017.pdfMasina Hospital, a sleeping giant is waking up to begin a new chapter in its quest to achieve its goals. We have

Masina Hospital Newsletter 2017 Bi–Annual/Volume–I/Issue –1

19

Contact Details:

Masina Hospital

Sant Savta Marg, Byculla (East), Mumbai - 400027

Phone Number: 022-61841200, 23714889/90 (Following are Department Extensions)

Enquiry / Reception : 022-61841239 Admission : 022-61841238

Casualty/ Emergency : 022-61841279 Blood Bank : 022-61841273

Medical Social Worker : 022-61841251 Pathology : 022-61841232

Radiology : 022-61841268 CT Scan : 022-61841285

Web Site : www.masinahospital.com

E-mail : [email protected] / [email protected]

Comment at : https://www.facebook.com/masina.hospital

Tweet at : https://twitter.com/MasinaHospital