Friday, May 24, 2013

DGAFMS Reviews Command Hospital Kolkata

Director General Armed Forces Medical Services (DGAFMS), Air Marshal DP Joshi, who arrived Kolkata on a two-day visit on Thursday, reviewed the medical facilities and critical medical cases undertaken by the Command Hospital (Eastern Command) during his maiden visit to the premiere hospital on Friday.

A renowned Urologist, Air Marshal Joshi is credited for setting up 'Renal Transplant Centers’ at various Armed Forces Hospitals including at this hospital, inaugurated the renovated facilities of the department of 'Respiratory Medicine' that introduced upgraded facilities for bronchoscopy, thoracoscopy, sleep studies, pulmonary function tests and pulmonary vascular interventions.

Earlier on his arrival, Hospital Commandant, Maj Gen BNBM Prasad briefed the DGAFMS on the various aspects of medical services rendered by the hospital and also briefed him of the complex critical cases handled by the specialists and other paramedic staff.

It may be mentioned that in recent weeks that army doctors at CH (EC) have successfully treated few extremely critical medical cases that can only be described as medical miracles achieved by sheer professionalism and dedication of the army doctors.

Two such recent cases involved a case of a young pregnant wife of a serving soldier who was afflicted with end-stage chronic kidney disease, and another of a retired soldier afflicted with aneurysm in the brain, a condition where a balloon-like bulge in the artery leading to the brain was nearing rupture threatening his life, were saved.

In the case of the soldier's wife a kidney transplantation was undertaken by army doctors at this hospital three years ago that dimmed her chance to successfully conceive because of her medical condition. The couple, however, pinned their hopes on the army doctors here who ensured that the motherhood dreams of a young soldier's wife would come true.

Crediting the team of doctors comprising nephrologist Lt Col Manu Dogra, gynaecologist Col B K Goyal and paediatrician Col Thapar, Commandant Maj Gen Prasad said, "It is nearly unthinkable for anyone to have a safe conception in such cases of renal transplant cases unless followed up thoroughly and intensely closely by the doctors."

"Post-renal transplant cases are prone to life threatening infections, organ rejection and pregnancy per se can lead to problems in the transplanted kidney. In addition, drugs used to prevent rejection that has to be taken lifelong can have adverse effect on the fetus," he explains of the complexity of the case.

In the case of the distressed retired soldier suffering from severe agonizing headaches with no relief with medications and spells of blackouts, was admitted as an emergency. He was detected to have an aneurysm that had ballooned out, with a weak and dilated artery with potential of rupture that could lead to catastrophic brain hemorrhage any time.

The aneurysm was at an unusual location in the base of the brain, showing signs of impending rupture with minor blood leaks into brain. He was on the edge of a precipice with imminent death looming large. An urgent surgery deep inside the brain was the only option. Mortality and morbidity usually in such cases is very high.

Although an extremely dangerous, difficult and demanding surgery requiring a very high degree of skill by the neurosurgical team, a competent team of neurosurgeons and anesthesiologists comprising Brig SM Sudumbrekar, Lt Col TJ Rappai, Col CS Ahluwalia and Lt Col Vivek Chopra performed the risky surgery and saved the life of the veteran.

A compilation of all complex critical cases and a book on ‘Accident & Emergency Medicine Protocols' aimed at improving standards and competencies in accident and emergency care were also released by Air Marshal Joshi during his brief visit.

The DGAFMS also addressed the doctors at the hospital and lauded the exemplary work, which has helped save innumerable lives of armed forces personnel and their families in the region and also those serving in the north-east.