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humongousninjapatrol-9ffb10-blog · 6 years ago

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Well, it was the mid-March 2019. 15 March early in the morning I started getting calls from my other hair transplant surgeon friends in Mumbai. You saw the news please start the news channel or please read the news which via What Sapp you.

And there was a big headline in a newspaper of a Mumbai,

42-year-old Businessman died due to hair transplant surgery in Mumbai.

I was shocked. Unable to understand the logic behind it. First of all, we all we're worried about the patient as well as the doctor was involved in the procedure. By afternoon the news of a businessman died due to a hair transplant surgery in Mumbai was like a fire in the forest. I must have got more than 50 calls and What Sapp from the past patient as well as other doctors like what happened who was the doctor why it happened how someone can be so careless?

By late evening we were able to figure out what went wrong who was the doctor in-wall and what actually happens as a complication.

Undoubtedly the is not acceptable to anyone let it be patient on Let it be doctors.

We got almost cancellations of all the surgery for coming days.

And that was just not in my clinic in Mumbai for probably everywhere in India.

Due to the very affordable cost of hair transplant in Mumbai we do get a lot of patients from abroad in countries like the United States of America United Kingdom London and United Arab of Emirates.

Have canceled their surgery and did not wanted to go-ahead with the hair transplant in Mumbai.

And that day I saw the fear of death.

Today 7th February 2020 almost here which is gone.

Mysore reason to write down this particular blog is to spread awareness like what went wrong how the businessman during hair transplant in Mumbai?

Today also when I get patient for consultation one of the question is somebody died a few months back during the hair transplant in Mumbai I hope I'm safe?

So I decided on a topic which is genuinely required attention and better clarification from the doctor’s end.

First of all, let's find out what happened on that day?

Well efficient was absolutely fit and fine for the surgery and patient was taken up of a procedure for hair transplant in Mumbai in the afternoon hours.

2000 graft when the effect of anesthesia was little less because when you do around 2000 graft it takes around 4 to 5 hours and effect of local anesthesia what we inject during surgery is also effective for 4 to 5 hours only. Insisted and doctor accepted to inject more anesthesia and to finish the big procedure on one same day.

Undoubtedly the painful procedure is not acceptable to anyone so doctor injected one more shot of anesthesia to the patient and started Winger transplant again.

After some time the patient develop the pain in the job and he has been shifted to the nearby hospital.

Evaluation of the procedure is done he was considered to be safe then he's got the discharge.

On the other day mission again started getting the save your pain in a jawline and the patient went to one of the hospitals in Mumbai.

It is been diagnosed as a delayed reaction of drugs, also called a delayed anaphylactic shock. The patient was having a cardiac arrhythmia eventually developed the multi-organ failure and patient died.

What are the things went wrong during a procedure to let's figure out,

First of all the patient was taken in the afternoon hours which I believe should not be done because when you carry on the procedure late nights and if at all you require medical help there is no great doctor help available after midnight undoubtedly Mumbai is a big city and there are many Hospital available but what help one can morning hours after 1 hour the same person cannot get the same amount of help in night hours.

Secondly, there is a recommended dosage of the local anesthesia there is a complete Calculation and specific science behind it is 4:00. Gram per kg of the body weight. I would like to say one cannot inject generally more than 30 ml after local anesthesia in 24 hours.

We can definitely understand that the patient wants to go for a number of a graft or probably the requirement of graft is a much higher than 2000 craft and one cannot do more than 2000-2500 in 4 to 5 hours in such cases it is advisable to carry on surgery on the next day after 24 hours but not to give overdosage of local anesthesia to the patient.

As far as safety is concerned with the need to follow the standard surgical protocol which includes the following blood test-

Complete blood count

Serum creatinine

Serum bilirubin.

The bleeding profile which includes bleeding time clotting time am prothrombin time activated partial thromboplastin time and INR which is called as an international normalized ratio.

Blood sugar level

H3 profile of the patient.

Make sure you have this blood investigation before you go for such a surgical procedure or rather any surgical procedure.

Before injecting local anesthesia to the complete scalp make sure you give the taste to the patient.

What is the test dose?

In simple language, the test dose is a one in which you check whether the lignocaine or the local anesthetic solution is allergic to the patient or not?

How to do such a test?

It is one of the very simplest methods, just inject few drops of the lignocaine anesthetic solution in a subcutaneous area just beneath the skin wait for 15 to 20 minutes make sure the patient is not having any teaching for redness in the injected area.

If there is no itching or no redness or no swelling in an injected area means the patient is compatible with the local anesthetic solution and one can easily inject the local anesthetic solution for the surgical procedure.

What else can be done to avoid such a complication?

Use of steroid after the surgical procedure is greatly beneficiary.

The steroid is known for its side effect and also patients are elected to get steroid injections but in a certain situation when the steroid is required it is required steroid is not a curse to a human being it is one of the most useful and required medicine when it is indicated.

Also in any surgical setup make sure you have emergency medicine available emergency medicine includes many medicines but the most important is adrenaline shot.

When you are not sure or you suspect the offer anaphylactic shock you can inject adrenaline to the patient in intramuscular as well which will definitely make sure the patient does not go into the cardiac arrhythmias/

Being a surgeon I always keep the list of anesthetics and good physician ready with me anything goes wrong during a surgical procedure rather than finding the help you should be having help available with you.

By taking such important measures into the practice one can easily avoid such a great complication

Being a doctor I can well understand the pain of other doctors.

No doctor wants their patients to have any a complication which is for sure.

What happened was really unfortunate.

But it was an eye-opener too many patients as well as a doctor.

Big sure when you are a doctor you do not compromise every the situation doesn't matter how many patients insist you or request you to prolong the procedure of it is the transplant in a one day if the safety of anyone is a concern and does not compromise with safety.

Also, should I understand like that is a limitation of every procedure, health is not about having more and more hair transplant is all about predicting the correct age if a doctor is recommending something we must listen to it.

By giving any argument The Lost what we all had cannot be fulfilled and that of any individual is just not acceptable at any given point of time. But we also have to understand it is a surgical procedure things can go wrong we need to be prepared for the worst situation at the best thing is to follow the protocol if at all you are a hundred percent sure about the patient condition then also go for a blood test for allergy testing to the patient more than 2000 graft is there that it is better to schedule on another day.

Today also when someone asks me what do you know the doctor someone died in hair transplant in Mumbai I really feel to explain everything about what I spoke in this particular blog ...

#hairtransplantinmumbai

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