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In an unusual and life-threatening incident, doctors at <keyword id="20177521" type="General" weightage="20" keywordseo="Fortis-Hospital" source="keywords" meta.keywordsubtype="org" meta.entityname="Fortis Hospital" meta.hostid="261" meta.entityid="Fortis Hospital">Fortis Hospital</keyword> in Vasant Kunj, <keyword id="19900881" type="General" weightage="20" keywordseo="delhi" source="keywords">Delhi</keyword>, found themselves face-to-face with an unexpected patient — a <keyword id="23501754" type="General" weightage="20" keywordseo="live-cockroach" source="keywords">live cockroach</keyword> lodged inside a 23-year-old man’s <keyword id="22071955" type="General" weightage="20" keywordseo="small-intestine" source="keywords">small intestine</keyword>. The medical team, led by Dr Shubham Vatsya, Senior Consultant in <keyword id="21383124" type="General" weightage="20" keywordseo="Gastroenterology" source="keywords">Gastroenterology</keyword>, carried out a swift <keyword id="23501755" type="General" weightage="20" keywordseo="endoscopic-procedure" source="keywords">endoscopic procedure</keyword> to remove the 3-centimetre insect in a daring operation that saved the young man’s life. <h2>A painful surprise</h2>The patient had been experiencing significant <keyword id="20688085" type="General" weightage="20" keywordseo="abdominal-pain" source="keywords">abdominal pain</keyword> and trouble digesting food for two or three days when he finally sought help. What he didn’t expect was that the source of his discomfort would turn out to be a live cockroach. Upon his admission, Dr Vatsya and his team decided to conduct an Upper Gastrointestinal (GI) Endoscopy to investigate the cause of his symptoms. During the procedure, they discovered the uninvited intruder lurking in the man’s small intestine. "A live cockroach in the small intestine is a life-threatening situation," Dr Vatsya said, noting the urgency of the discovery. "We proceeded immediately with the endoscopy to remove it. If it hadn’t been removed, the cockroach could have caused severe infections and potentially fatal complications." <h2>The peculiar procedure</h2>The extraction, while extraordinary, was surprisingly straightforward. The doctors employed an endoscope, a flexible tube outfitted with two channels — one for infusing air and water, and the other for suction. Dr Vatsya’s team used the suction channel to trap the cockroach, swiftly guiding it up and out of the patient’s digestive tract in under ten minutes. The medical team was equally relieved and intrigued by the unique case. Dr Vatsya speculated that the cockroach may have found its way into the patient’s mouth while he was sleeping, or, more bizarrely, been swallowed unknowingly during a meal. This surprising incident serves as a reminder that life can sometimes deliver the most unexpected challenges. Though rare, cases like this underscore the importance of seeking prompt medical attention when unusual symptoms arise. Thanks to the quick action and precision of Dr Vatsya and his team, the young man walked away from what could have been a far more dangerous situation. While we’re all advised to stay vigilant about what we put into our bodies, sometimes it seems that creepy crawlies find their own way in. Fortunately, Delhi’s medical professionals are prepared — even for the most unusual of cases. (With inputs from agencies)

Doctors remove live cockroach from Delhi man's small intestine, explain the insect might have entered while sleeping

<keyword id="19959243" type="General" weightage="100" keywordseo="Delhi-Health-Minister" source="keywords">Delhi Health Minister</keyword> <keyword id="19972125" type="General" weightage="20" keywordseo="Saurabh-Bhardwaj" source="keywords">Saurabh Bhardwaj</keyword> alleged on Sunday at a press conference that Delhi <keyword id="19943297" type="General" weightage="20" keywordseo="Lieutenant-Governor" source="keywords">Lieutenant Governor</keyword> (LG) Vinai Kumar Saxena's office is spreading falsehoods and ignoring the acute shortage of <keyword id="21896384" type="General" weightage="20" keywordseo="medical-personnel" source="keywords">medical personnel</keyword> in Delhi government hospitals. Health Minister Saurabh Bhardwaj stated that nature seems to repeatedly create opportunities to expose Delhi's <keyword id="21554677" type="General" weightage="20" keywordseo="LG-Vinai-Saxena" source="keywords">LG Vinai Saxena</keyword>, who is ruling Delhi, and reveal his truth to the whole country. The Delhi Health Minister continued, "The LG continuously hides behind his office and indirectly spreads lies to the public and the media. One such lie was again presented to the media yesterday from the LG's office. I request the LG to stop hiding behind his office and indirectly presenting lies to the public. Instead, he should hold a press conference and write these lies himself to present them to the media and the people of the country so that action can be taken against him for his falsehoods." He mentioned that the poorest of the poor from Delhi and surrounding states come to <keyword id="20456169" type="General" weightage="20" keywordseo="Delhi-hospitals" source="keywords">Delhi hospitals</keyword> with the hope of receiving adequate treatment. However, due to the significant <keyword id="22439640" type="General" weightage="20" keywordseo="shortage-of-doctors" source="keywords">shortage of doctors</keyword>, nurses, <keyword id="22298861" type="General" weightage="20" keywordseo="paramedical-staff" source="keywords">paramedical staff</keyword>, lab technicians, and OT technicians in Delhi hospitals, these poor people are not able to receive adequate and complete treatment, which is being done deliberately under a conspiracy. Minister Saurabh Bhardwaj expressed his surprise at a news article that stated it is the Delhi government's responsibility to fill the <keyword id="20499569" type="General" weightage="20" keywordseo="vacant-posts" source="keywords">vacant posts</keyword> of doctors, nurses, and other paramedical staff in Delhi hospitals. He emphasized that everyone knows the 'Services' Department falls directly under the LG of Delhi, making it the responsibility of the Lieutenant Governor to fill these vacancies. The Health Minister presented letters he had written earlier to the LG informing him about these vacancies. He stated that after taking over as the Health Minister of Delhi in March 2023, he wrote his first letter to the LG on April 19, 2023, informing him of a shortage of 292 General Medical Duty Officers (GDMOs) and 234 Specialists in Delhi Government hospitals, and appealed for these vacancies to be filled as soon as possible. No action was taken to fill these vacancies. Instead, doctors holding high positions in Delhi Government hospitals through <keyword id="22672127" type="General" weightage="20" keywordseo="Central-Health-Services" source="keywords" meta.keywordsubtype="org" meta.entityname="Central Health Services" meta.hostid="261" meta.entityid="Central Health Services">Central Health Services</keyword> (CHS) were also recalled by the Central Government, removing them from Delhi Government hospitals.

Delhi Health Minister accuses LG Vinai Saxena of not filling vacant posts in Delhi hospitals

Doctors in India are grappling to diagnose and treat unexplained and persistent symptoms of <keyword id="9814327" type="General" weightage="100" keywordseo="long-covid" source="Orion">long Covid</keyword> patients due to limited guidelines, whereas researchers have flagged inadequate studies on the condition. With the <keyword id="19896311" type="General" weightage="20" keywordseo="world-health-organization" source="keywords">World Health Organization</keyword> declaring an end to <keyword id="19896627" type="General" weightage="20" keywordseo="covid" source="keywords">Covid</keyword> as a global <keyword id="416511" type="General" weightage="20" keywordseo="health-emergency" source="Orion">health emergency</keyword> in May last year, focused efforts are underway around the world to estimate the burden of long Covid among the population. The condition refers to the set of lingering symptoms affecting varied body parts and persisting well beyond the acute Covid infection period, including cough, muscle and joint pain, fatigue, brain fog and difficulty in focusing. The viral disease is caused by the SARS-CoV-2 virus. While studies have suggested that about a third of those moderately or severely infected are likely to suffer from long Covid, region-wise though, incidence could vary. A study by researchers, including those from <keyword id="19988007" type="General" weightage="20" keywordseo="harvard-medical-school" source="keywords">Harvard Medical School</keyword>, US, estimated that 31 % of the once-infected people in North America, 44% in Europe, and 51% in Asia, have long Covid, which is "challenging the healthcare system, but there are limited guidelines for its treatment". It was published in the International Journal of Infectious Diseases in September. In India, however, studies on long Covid are few and far between. One such study by Maulana Azad Medical College in New Delhi, conducted from May 2022 to March 2023 on 553 patients who had recovered from Covid, found that about 45% had lingering symptoms, persistent fatigue and dry cough being the most common. "There is limited exploratory research on the long Covid syndrome with scarce data on long-term outcomes," the authors wrote in the study published in the journal Cureus in May this year. Understanding the long-term effects of the virus is important for developing management strategies, optimising healthcare delivery, and providing support to recovered Covid patients in the community, they said. Dr Rajesh Sagar, Professor of Psychiatry, All India Institute of Medical Sciences (AIIMS), New Delhi, said, "Looking at the current state of long Covid studies in India, it is too premature to say that we understand the condition well enough to know how to diagnose or treat it." Animesh Samanta, assistant professor at School of Natural Sciences in <keyword id="19897094" type="General" weightage="20" keywordseo="shiv-nadar-university" source="keywords">Shiv Nadar University</keyword>, Greater Noida, said, "While studies in India highlight the growing recognition of neurological complications in long Covid patients, more focused research on neuroinflammation is needed." Doctors, too, have reported a rise in patients complaining of symptoms that they did not have pre-Covid. "People who never had <keyword id="6465125" type="General" weightage="20" keywordseo="asthma" source="Orion">asthma</keyword> in the past, post-Covid, with every viral infection, they get a long cough, shortness of breath and wheezing, which require the use of <keyword id="31257" type="General" weightage="20" keywordseo="inhalers" source="Orion">inhalers</keyword> or nebuliser," senior consultant Dr Neetu Jain, who runs a post-Covid care clinic at Pushpawati Singhania Hospital and Research Institute, New Delhi, said. Dr Arun Garg, chairman, Neurology and Neurosciences, Medanta-The Medicity, Gurugram, said he was noticing a spike in stroke cases among young patients not suffering from known risk factors such as diabetes, hypertension and obesity. "Similarly, we are seeing more cases of encephalopathy (swelling of the brain) without reason and having a confused state of mind following one or two days of fever. Their MRI scans show no changes. These patients have increased significantly after Covid," he said. In the absence of medical guidelines to diagnose long Covid, doctors are having to resort to broad, non-specific tests and questionnaires to gauge a patient's 'quality of life'. Studies have shown that the fatigue experienced in long Covid is similar to that in cancer patients, with a quality of life similar to patients of Parkinson's disease. "We really do not have any test to diagnose long Covid, even though it is definitely a clinical diagnosis. We diagnose long Covid for people who had at least moderate to severe infection, following which they could never regain the quality of life pre-Covid. Checking for inflammatory markers like C-reactive proteins (CRP) can support the diagnosis," Dr Jain said. "Other than routine blood tests that measure inflammation, we do antibody tests to look for direct markers. In many of these patients, we are finding rare antibodies which are very new to us and were not there pre-Covid," Dr Garg said. Inflammation persisting despite recovery from acute Covid infection is thought to lie at the heart of long Covid. However, tests to measure this specific immune response are lacking, even as researchers have been working in this direction worldwide. One such effort comes from Shiv Nadar University, where a team led by Samanta has developed a fluorescent probe capable of detecting inflammation in brain cells that can arise due to Covid infection. The probe measures nitric oxide levels in brain cells, especially in human microglia cells, where increased NO levels are linked to the SARS-CoV-2 infection. Microglia are immune cells in the brain that fight disease and help maintain brain health. Lysosomes within microglia, which help clear foreign disease-causing agents like the SARS-CoV-2 virus, produce nitric oxide as part of an immune response to infection. The probe detects nitric oxide produced in lysosomes in response to infection and thereby allows for a measurement of inflammation levels. This examination method can provide "qualitative information on infection status", said Samanta, corresponding author on the study published in the journal Analytical Chemistry in American Chemical Society. He explained that patients with pre-existing conditions such as Alzheimer's disease, Parkinson's disease or multiple sclerosis (an autoimmune disorder) could exhibit prolonged neuroinflammation and loss of brain cells following Covid infection. While the probe has shown efficacy in cell cultures, animal studies would need to be done, before testing it in humans, Samanta said. Looking at the World Health Organization International Clinical Trials Registry Platform, the study by Harvard Medical School had found that 587 clinical studies were conducted on long Covid, of which about 53% (312) were testing potential treatments. Most of these were found to be conducted in the US (58), followed by India (55) and Spain (20). The trials looked at interventions including physical exercise, psychotherapy, and pharmacological ones such as paxlovid and fluvoxamine. However, "to date, only 11 of these 312 studies have published their results that were not confirmative," the researchers wrote. The team called for studies to look into sleep disorders which were rarely included in the registered clinical studies. Further, interventions targeting the biological processes responsible for long Covid are needed but currently lacking, they said.

Doctors struggle to treat long Covid patients in India; researchers point to inadequate studies

Delhi continued to battle with air pollution for the 10th consecutive day post-Diwali as a dense layer of smog blanketed parts of the national capital on Sunday. Several parts of the national capital recorded very poor air quality levels on Sunday morning as per the data issued by the System of Air Quality and Weather Forecasting And Research (SAFAR-India). Today morning, Anand Vihar recorded an AQI of 351, Bawana 383, CRRI Mathura Road 323, Dwarka Sector 8 at 341, IGI Airport at 326, ITO 328, Lodhi Road 319, Mundka at 358, Najafgarh at 341, New Moti Bagh at 394, Okhla phase-2 at 339, RK Puram at 368, and Wazirpur at 366, as per SAFAR-India data. As of 5 pm on November 10, Delhi's AQI stood at 334, with Anand Vihar at 353, Dilshad Garden at 262, and Jahangirpuri at 377. For tomorrow, AQI in adjoining cities of Noida and Gurugram is forecasted to be at 208.92 and 77.51, respectively. Multiple visuals from Delhi's Kartavya Path showed the area surrounding India Gate engulfed by a layer of smog. The AQI in the area was recorded at 357 as of 7 am. High-rise buildings were also covered in smog in the Kalindi Kunj and surrounding locality, as the AQI was recorded as 323 in the area. An AQI is considered "poor" between '200 and 300', "very poor" at '301 and 400', "severe" at '401-450," and 450 and above is "severe plus." As the air pollution levels in the national capital reach "very poor," doctors say that even people with no history of respiratory diseases are suffering from breathing issues. Dr. Nikhil Modi, Senior Consultant for Respiratory Critical Care at Apollo Hospital, told ANI that apart from the regular patients, those who haven't had any respiratory issues in the past are showing up with symptoms such as runny noses, sneezing, coughing, and having increasing difficulties breathing. As it is, respiratory illnesses in the national capital are estimated to have shot up by around 15-20%. The Apollo doctor further suggested that the government close the schools for children as they remain vulnerable. Whenever the pollution levels have gone beyond a certain limit, the government has opted to close the schools, Dr. Modi said. "For the last few years, we have been seeing that the government has taken action. Whenever this pollution level has gone beyond a certain limit, they have opted to close the schools. This is important because children are from a vulnerable group. As adults, we are masked and can protect ourselves better, but children usually are not that effectively taking these measures. Secondly, their lungs are still in developing stages, so they are bound to have more harm due to this pollution," the doctor told ANI. Siddharth Singhal, Head of Health Insurance, Policybazaar.com, notes that while most standard health plans in India cover pollution-related ailments, it is always advised to also go for an OPD plan along with a health insurance plan to cover consultations, medications, and diagnostic tests that may be required frequently due to pollution. "Pollution levels in Delhi-NCR and some other parts of India have shot up post Diwali. Effects of this are very evident in the form of sore throats and breathing problems, among others. This can also result in respiratory ailments and chronic conditions like asthma, bronchitis, Chronic Obstructive Pulmonary Disease (COPD), pneumonia, and severe cases of respiratory or bronchial obstruction. Health insurance becomes critical to cover such expenses. Most policies typically cover emergency hospitalization for respiratory issues like asthma or COPD exacerbations requiring ICU or critical care," he adds.

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Doctors remove live cockroach from Delhi man's small intestine, explain the insect might have entered while sleeping

BI India Bureau

Delhi Health Minister accuses LG Vinai Saxena of not filling vacant posts in Delhi hospitals

ANI

Doctors struggle to treat long Covid patients in India; researchers point to inadequate studies

Business Insider India

Layer of smog covers Delhi as air quality remains 'very poor'. Here's why you need an insurance cover for this

BI India Bureau

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