#pulmonologist nearby

[jtsmedicalcentre]

Unlock the secrets to healthy lungs! Dive into our latest blog where we unravel the complexities of lung infections, offering insights on treatment and prevention strategies.

Check out the Guide on lung infections, their causes, treatments, and preventive measures in this informative blog. Gain valuable knowledge on respiratory illnesses from expert perspectives. Meet best chest specialist, pulmonologist, ensuring access to top-notch care for your lung health.

[ampleappleamble]

Okay, it's looking like the danger has finally passed, so maybe now I can finally start talking about it.

I was born on a Wednesday.

On Thursday, October 13, 2022, my son was born via emergency C-section. He was immediately taken to the NICU, and he stayed there for the next three weeks being treated for pulmonary hypertension. He was on CPAP at first, but his condition quickly got worse. I only got to hold him once before they had to intubate him. My husband didn't get to hold him at all. For a week or so we couldn't even touch him due to fear that overstimulation might rile him up and drive up his oxygen needs. He was fed my pumped breast milk through an NG tube. My husband and I visited him every day, watching him improve slowly but surely, eventually being put back on CPAP, then on high flow oxygen delivered via nasal cannula, and finally, low flow oxygen. We were allowed to hold him, feed him, change him. He was getting better. It was looking like he was going to be sent home soon.

Then, on October 28, his blood pressure reading was alarmingly low in his left leg compared to his right. The doctors suspected a blood clot and performed an ultrasound, but it was inconclusive. So the suggestion was made to airlift him to another, larger city so he could be examined by a hematologist and pulmonologist. My husband and I agreed.

It was the hardest thing we'd ever, ever had to endure, watching that day as the helicopter flew off into the distance, taking our sick, helpless infant son away from us.

Wednesday's child is full of woe. Thursday's child has far to go.

We'd had the option for one of us (due to weight restrictions) to accompany him on the helicopter, but neither of us was really in any condition to be alone at the time, especially in an unfamiliar city. So we stayed home, waiting until the next day for my husband's mom to arrive in our town– an arrangement that had been set up months ago, luckily coinciding with this unfortunate event (we have no idea who'd have watched our cats otherwise). The day after that, we drove two hours to the city our son had been taken to, staying in a Ronald McDonald Charity House nearby the hospital, and we visited him in their NICU. We were traumatized, terrified, and very, very tired, but everything we were told there was promising– the blood clot they had suspected was nowhere to be seen, so it had either broken up and the problem had resolved itself, or it was never there at all and the blood pressure discrepancy was due to temporarily narrowed arteries, a fairly common side effect of the umbilical IV he'd had for a while in our NICU. So finally, it was decided that we would room in with him at the hospital the next night– Happy Halloween!– and take him home with us the next day. He would be going home on oxygen, but he would be going home.

Someone came from the oxygen supply company to train us on how to use our son's new oxygen tanks and pulse oximeter and arrange for oxygen to be delivered to our home. The nurses took us to our room, hooked our son up to his pulse oximeter and to the oxygen nozzle on the wall, and left us to it.

It was the worst night we have ever suffered through in our lives.

There were, of course, the usual new parent woes– the steep learning curve, waking up every three hours around the clock to feed and change him, a lactation consultant who was very helpful but still kinda made me feel like I'd been fucking up somehow this whole time– but the absolute worst was the pulse oximeter. As per his doctor's orders, it was set by the company that had provided it to alarm loudly when my son's oxygen saturation level dipped below 90%, in order to make sure he was getting the oxygen he needed to thrive. Ideally, the alarm would only go off if, say, his cannula were to slip out of his nose, or an oxygen tube should get disconnected.

It went off constantly. It felt like every 20 seconds, although it reality it was probably only every five minutes or so. It would sound even more frequently when he sneezed or farted, or when he got fussy. But he was almost always fussy– and somewhat peaked, we noticed. It was maddening. We got no sleep, no peace, and we were terrified and frustrated. Were we doing something wrong? Was there something wrong with him? Was the pulse oximeter faulty, or the sensor? The night nurses attending us assured us that this was normal, more or less– some babies fussed more often at night and it was natural for O2 sat to dip when one was exerting oneself the way he was. But we both couldn't help but feel that this was different, this was wrong, it shouldn't be going off this often. Finally, shifts changed and our new nurse agreed with us: this was not normal. She spoke to the doctor who also agreed, and it was decided that our son would have to go back on high flow oxygen. Which meant he'd have to go back to the NICU, and he couldn't come home yet after all.

This shattered us. Because our city's NICU was a level 3 NICU and this city's was a level 4, and moving backwards or even laterally between NICU levels is not generally done, this meant that not only was our son's condition worsening again when he had been improving, but also that we would have to stay in this horrible city indefinitely until he got better, or... you know. It felt almost like a personal failure– he'd been doing so well, and then we showed up. We'd been so full of hope that our son could finally come home, home with us where he belonged, only to now have to return to Ronald Fucking McDonald House and languish in despair for who knows how much longer. We stood above his bassinet as they hooked him up to a portable oxygen tank, weeping and clinging to each other, following the nurses as they wheeled him back into the NICU.

And then we noticed that his oxygen saturation was at 100% again.

This was confusing for a number of reasons. We'd spent the whole night under the impression that his O2 readings being so low so often was "normal," or at the very least the result of a faulty pulse oximeter or sensor. Why would it be that when hooked up to a different oxygen source than the one he had been hooked up to all night, his oxygen sat suddenly corrected itself? Our new nurse had her suspicions, and asked a nurse tech to check the oxygen source in our room, the port in the wall our son had been connected to.

Turns out it wasn't working. Our son had been on room air all night.

We'd gone through that miserable ordeal of a night for no good god damn reason. We were too exhausted to even complain about it.

The tech fixed the wall oxygen while the nurse informed the doctor, and it was decided that since there was no need to put him on high flow oxygen again after all, we could try rooming in again, this time with him on working fucking low flow oxygen. We did, and it went much more smoothly. And so the next day– November 2nd, his original due date– after yet another agonizingly long wait, we were finally discharged from the hospital and we drove two hours home with our little baby boy.

And he's here with us now! He's still on home oxygen, still quite small for his age, but he's growing more and more every day just as surely as our love for him grows, and he has lots of fun doctor appointments to look forward to to make sure he's healthy. All the heartache, all the pain and misery, it was all worth it to bring him home.

And that's our birth story.

Son boy allowed!

🍼💖👶

[drambikachestclinic]

Title: Ambika Sharma

Introduction: Welcome to Dr. Ambika Sharma's Chest Clinic, your trusted destination for comprehensive respiratory care in Jaipur. Led by Dr. Ambika Sharma, renowned for her expertise as the best pulmonologist in Sodala, our clinic is dedicated to providing top-tier care for patients with various respiratory conditions.

Best Pulmonologist in Sodala: Dr. Ambika Sharma's reputation as the best pulmonologist in Sodala stems from her extensive experience and commitment to excellence. With a deep understanding of respiratory health, Dr. Sharma offers expert diagnosis, treatment, and management of pulmonary disorders Dr.Ambika Sharma in jaipur.

Chest Specialist in Sodala: As a leading chest specialist in Sodala, Dr. Ambika Sharma specializes in diagnosing and treating a wide range of chest-related ailments. From common respiratory infections to complex lung diseases, Dr. Sharma provides personalized care to address each patient's unique needs.

Convenient Location: Situated in the heart of Sodala, Dr. Ambika Sharma's Chest Clinic is easily accessible to residents in the surrounding areas. Whether you're in Sodala or nearby neighborhoods, our clinic's convenient location ensures that quality respiratory care is always within reach.

Pulmonologist Near Me: If you're searching for a pulmonologist near you, look no further than Dr. Ambika Sharma's Chest Clinic. Our proximity to Sodala and its vicinity makes us the ideal choice for individuals seeking expert respiratory care in their local community Pulmonologist Near me.

Specialized Services: At Dr. Ambika Sharma's Chest Clinic, we offer specialized services tailored to meet the diverse needs of our patients. Whether you require treatment for asthma, allergies, tuberculosis, or COPD, our team is dedicated to delivering comprehensive care to improve your respiratory health.

Asthma Specialist in Sodala: Dr. Ambika Sharma is renowned as an asthma specialist in Sodala, providing effective management strategies to control asthma symptoms and enhance patients' quality of life. Through personalized treatment plans and ongoing support, Dr. Sharma empowers individuals to effectively manage their asthma condition.

Allergy Doctor in Sodala: For patients suffering from allergies, Dr. Ambika Sharma's Chest Clinic offers expert allergy diagnosis and treatment. Dr. Sharma employs a holistic approach to address allergy triggers and provide relief from allergic symptoms, allowing patients to enjoy a healthier, more comfortable life Allergy Doctor in Sodala.

Asthma Doctor in Sanganer Road: Located on Sanganer Road, Dr. Ambika Sharma's Chest Clinic is easily accessible to individuals seeking an asthma doctor in the area. Whether you reside in Sanganer Road or its vicinity, our clinic provides comprehensive asthma care to help you breathe easier Asthma Doctor in Sanganer Road.

TB Doctor in Sodala: As a trusted TB doctor in Sodala, Dr. Ambika Sharma is dedicated to combating tuberculosis through timely diagnosis, effective treatment, and compassionate care. With her expertise in managing TB cases, Dr. Sharma ensures optimal outcomes for patients battling this infectious disease TB Doctor in Sadala

COPD Specialist in Sodala: Individuals with chronic obstructive pulmonary disease (COPD) can rely on Dr. Ambika Sharma's expertise as a COPD specialist in Sodala. Through personalized treatment plans and lifestyle modifications, Dr. Sharma helps COPD patients manage their condition and improve their respiratory function.

Conclusion: Dr. Ambika Sharma's Chest Clinic is committed to providing exceptional respiratory care to patients in Jaipur and beyond. With Dr. Sharma's expertise and a dedicated team of healthcare professionals, our clinic strives to enhance the respiratory health and overall well-being of every individual we serve. Schedule your appointment today and experience the difference in respiratory care excellence at Dr. Ambika Sharma's Chest Clinic.

[sanjivinihospitals]

Find expert care for your respiratory health at Sanjivini Super Speciality Hospital in Lucknow with a good pulmonologist nearby, dedicated to providing personalized treatment and support.

[lurkiestvoid]

I am having Extreme Emotions and need to vent, and I have no one to talk to so I'm throwing it into the void.

If anyone reads this, the context is my mom and dad broke up when she was pregnant; she married my stepdad when I was 3, and for most of my life I thought he was my biodad. They divorced before I hit middle school and she went no-contact so I didn't meet him again until about 21. I never had a great relationship with my mom (dead now), I'm no-contact with biodad, and my stepdad died last year. My wife's dad died shortly after we met, and her mom died shortly after our child was born.

But ever since I met my stepdad's wife, my "step-stepmom," she has been the best mom I could have ever asked for. She's Mama. She stuck with me when I was making stupid life choices, she was there during the birth of my child and for every step of the way after. Not only has she and I been close ever since we met, but she helped care for and raise my child, loved them like her own, and my child is her only grandchild and very deeply loved. For all intents and purposes, she's my last living parent and my child's last living grandparent.

And it seems she might not have more than a year or two left, at the absolute generous most. She's not even Very Old, just in her 60s.

She got some really bad test results back. The initial report is full of medical terms of course, and we won't know for sure what the prognosis is until she goes back to the pulmonologist in two weeks, but the CT scan was grim and the doctor and his nurses were alarmed at her condition. She's lost a lot of weight, she can't breathe, she has SO much edema; the test showed an enlarged heart, ground glass opacities and nodules in her lungs, arterial calcification, and more.

She's scared. I'm scared.

They immediately put her on oxygen, wouldn't let her leave without it even though insurance wouldn't cover it so they insisted she take the one they gave her in the office when she turned blue.

I just ... I wish we had one of those pay-to-smash-shit places nearby because I want to scream and break things and fall apart.

Mom dropped dead a couple years ago. Biodad faded out of existence not long after. Dad dropped dead last year. And now I'm gonna lose Mama, kiddo is gonna lose Granny, and my heart is breaking for all three of us. It hurts so fucking much and I am so goddamn angry.

And this time I won't have Mama to help me through it, it'll just be me, dealing with it alone, and trying to be strong for my kid.

In addition to all this, my very sweet and very old tripod dog who has been living with her for many years (she has a yard and very few steps, we've been housing insecure, doggo had a much better and more comfortable life with Mama) is likely going to have to be put down very soon. She's not eating and can't hardly get up/move anymore. I... Am not going to handle it well but I will be there with them at the end.

[eleganceinteriorr]

Breathing Easy in Faridabad: Navigating Pulmonary Health with a Leading Pulmonology Clinic Arsh hospital

Pulmonary Care Excellence: Faridabad's Premier Clinic

 Pneumonic wellbeing is of fundamental significance, and finding the right aspiratory trained professional or emergency clinic is urgent for those managing respiratory issues. Faridabad, a quickly developing city in India, has seen progressions in medical care offices, especially in the area of pulmonology. One eminent foundation that hangs out in giving uncommon consideration to lung-related illnesses is the Pulmonology Medical clinic in Faridabad.

Faridabad Pulmonology Clinic: Comprehensive Care for Respiratory Health

 Pulmonology Emergency clinic, arranged in Faridabad, is a cutting edge clinical office devoted to the finding, treatment, and the board of different pneumonic circumstances. Driven by a group of exceptionally gifted pulmonologists, respiratory specialists, and care staff, this medical clinic is focused on conveying exhaustive and customized care to patients experiencing respiratory problems.

Faridabad's Premier Pulmonology Team: Expertise and Compassion for Respiratory Care

The foundation of this organization is its group of the best pulmonologists in Faridabad. Famous for their skill and empathetic methodology, these experts are outfitted with broad information and involvement with dealing with a wide range of respiratory illnesses, including asthma, persistent obstructive pneumonic infection (COPD), pneumonia, cellular breakdown in the lungs, interstitial lung sicknesses, and that's only the tip of the iceberg. Their capability in diagnosing and treating complex respiratory circumstances makes them exceptionally pursued in the clinical local area.

Cutting-edge Care: Precision Diagnostics and Advanced Treatment at Our Pulmonology Clinic in Faridabad

 The medical clinic's framework is intended to work with precise diagnostics and successful therapy. Outfitted with state of the art innovation and high level clinical hardware, including pneumonic capability testing (PFT), bronchoscopy, thoracoscopy, and rest concentrate on offices, the emergency clinic guarantees exact assessment and custom-made treatment plans for every patient.

Moreover, the emergency clinic focuses on persistent solace and comfort by offering far reaching administrations under one rooftop. From beginning conferences and analytic techniques to cutting edge medicines and follow-up care, patients experience consistent medical care conveyance all through their excursion at the Pulmonology Emergency clinic.

Beyond Treatment: Empowering Respiratory Health through Education and Patient Engagement in Faridabad

 Notwithstanding the skill of its clinical staff and trend setting innovation, the emergency clinic's obligation to patient training and backing separates it. The pulmonologists and medical services experts here draw in patients in figuring out their circumstances, therapy choices, and way of life alterations important for overseeing respiratory wellbeing successfully. This enables patients to effectively partake in their own consideration and prompts better treatment results.

 With respect to closeness, people looking for a "pulmonologist close to me" in Faridabad can undoubtedly get to this regarded organization. Arranged decisively for openness, the medical clinic takes special care of the nearby local area's respiratory medical care needs while additionally inviting patients from adjoining regions looking for particular pneumonic consideration.

Pulmonology Clinic in Faridabad: A Beacon of Excellence in Respiratory Healthcare

With regards to distinguishing the best lung emergency clinic in Faridabad, the Pulmonology Emergency clinic arises as a top decision because of its faithful obligation to greatness, patient-driven approach, talented clinical experts, current framework, and a thorough scope of administrations committed to tending to different pneumonic circumstances.

 All in all, Pulmonology Clinic in Faridabad stands tall as a guide of respiratory medical care greatness in the district. With its outstanding group of pulmonologists, cutting edge offices, patient-centered approach, and obligation to conveying excellent consideration, it keeps on being a believed objective for people looking for first rate treatment for respiratory issues

[ankurahospitalvijayawada]

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[phawareglobal]

Hilary DuBrock, MD - phaware® interview 397

Pulmonologist and PH clinician from the Mayo Clinic, Hilary DuBrock, MD reflects on the impact the COVID-19 pandemic has had on her clinical pulmonary hypertension practice both in the outpatient and the inpatient setting. 

Hillary DuBrock, MD: Hi, I'm Hillary DuBrock, and I'm a pulmonologist and PH clinician at Mayo Clinic in Rochester, Minnesota. Today I'd like to talk to you about a reflection on the impact of the COVID-19 pandemic on our clinical pulmonary hypertension practice. We're now at the end of 2022, and we've all been through a few years now of the COVID-19 pandemic, which has really changed, I think, how we practice medicine, both in the outpatient and the inpatient setting, and how we care for our patients with pulmonary hypertension. I think to focus on the positive, we certainly could go on and on about all of the negative impacts of the pandemic, but to focus on the positive, I think one thing that has changed with our practice is the openness to telemedicine and telehealth, which I think is certainly much more convenient for patients. There's still value in seeing patients in person, and we see the majority of our patients at Mayo Clinic in person for face to face visits, because I think that's really important, seeing patients on a regular basis. We are certainly now more open to both phone follow up visits and video medicine follow up visits, which is a great opportunity for checking in with patients to see how they're doing without them having to travel back to the hospital, particularly for some of our patients that live far away or it's hard for them to get into clinic. I think that's been a real opportunity that we have taken advantage of that's been very valuable. Patients tend to express satisfaction that they are able to see us and check in, and we can make modifications or tweaks to their regimen and really just feel like they don't need to wait until their next appointment to come back and see us or talk to us about an issue or concern related to their medications or other factors. I think that's been a real advantage to having more openness to telemedicine. In addition to telemedicine health visits, things like remote pulmonary rehab programs, where during the pandemic pulmonary rehab really shut down because of concerns regarding patients and COVID-19, and concerns regarding transmission of infection. People have kind of taken that and developed different kinds of remote pulmonary rehab programs, which is really important so patients can remain engaged in exercise and physical activity without needing to go to a specific center, which might be both inconvenient and also expensive to travel to places if they don't have a pulmonary rehab center nearby. That's actually one of our areas of research that we're looking at is, how can we optimize remote pulmonary rehab programs to help our patients with pulmonary hypertension? We're doing a study on that right now and also doing a survey, trying to get patient perspectives about remote pulmonary rehab. We still have a lot to learn about how to use telemedicine in the management of pulmonary hypertension and things like pulmonary rehab, but I think it's a big opportunity for our patients to just have more convenient care. During the pandemic, people were reluctant to come in and may have also been reluctant to adopt telehealth options. There are certainly patients we had who might have gotten kind of lost in the shuffle in that they needed follow up and didn't have an opportunity to be able to come in. The majority of our patients though, we were following up with them either over the phone or on video, and they're on long term medications, so we're monitoring them. I feel like we did our best to keep a close eye on all of our patients so they didn't fall through the cracks. I think that was really important. A challenging aspect of medicine during that time is you weren't seeing patients in person, but they were still out there at home and needed to be taken care of. So how we did that, I think, was a learning experience. Probably the biggest disadvantage with the pandemic and access to care was for patients with new diagnoses, because they weren't getting in for new clinic appointments. They didn't have an established provider. It was hard to get in for specialists and even primary care appointments. I think we don't know, but certainly the pandemic could have impacted overall delays in diagnosis, because patients who didn't have an established PH diagnosis didn't have a care team or someone to really reach out to them. That is a major problem with the pandemic that we don't really understand the impact of, but I suspect there were delays in diagnosis. I think moving forward, finding ways to improve those delays in diagnosis are really important so this doesn't happen again. Not just telehealth, but varied remote monitoring tools will be really important in pulmonary hypertension moving forward. That could be things like your Apple Watch telling you what your oxygen saturation or your heart rate is. Being able to do things like remote six minute walks and having an app where you log your symptoms or your quality of life and that is uploaded to your provider. Knowing how to incorporate those into our clinical care, I think is an ongoing area of research. How do we use this information? But I think it's really important that we develop ways to use it, because it reflects a patient's daily life. It reflects how they're living at home. Not just when they see you once every three to six months in clinic. So finding ways to incorporate that into our clinical practice and reflect their overall daily lives and what they're doing at home and how they're living and functioning on a day to day basis, is obviously important to how we're treating and managing their pulmonary hypertension. So the remote six minute walks and remote pulmonary rehab and apps and devices… it's kind of information overload, but I think it's important to have a way to incorporate that into our clinical care of patients. I think the pandemic affected mental health in an interesting and surprising way in some patients. Certainly I had patients who just felt very isolated and that led to depression. Particularly Minnesota in the winter, couldn't go to the gym, were less able to do physical activities. I certainly had patients that had worsening depressed mood and just feeling like they didn't want to do much anymore. I think it was because of the social isolation and not being able to be as physically active, it just impacts your mood. But on the flip side, which I did not expect, was I also had some patients who I think appreciated time at home with family and actually felt less stressed, which I never would've predicted. But I do think that there were some patients who had the opposite of what I expected to be a response to the pandemic, in that they actually had improvement in their mental health because there was less external stressors to them. It was just kind of a spectrum, I think, of responses in terms of mental health and depression. But I certainly was surprised by some patients actually feeling like they were more connected to their family, less external pressures and responsibilities and stressors, and actually felt like they could focus on their disease management, but also their home life more. Again, I like to focus on the past, but that was kind of a positive, unexpected, finding. Thank you for listening. My name is Dr. Hillary DuBrock, and I'm aware that my patients are rare.

Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Follow us on social @phaware Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com #phawaremd

Listen and View more on the official phaware™ podcast site

[chest-specialist-jhansi]

For what reason are tuberculosis (TB) safety measures significant?

Mycobacterium tuberculosis is sent in airborne particles called bead cores that are ousted when people with respiratory or laryngeal TB hack, wheeze, yell, or sing. The minuscule microorganisms can be conveyed via air flows all through a room or building. As already told by Chest Specialist in Jhansi that Tuberculosis isn't communicated by direct contact or by means of polluted surfaces or things.

Medical services staff are possibly presented to TB during medical care exercises, case the board exercises, or when people with unnoticed respiratory TB are available in the office. Offices ought to lay out TB contamination control programs that incorporate regulatory, ecological, and respiratory assurance measures to assist with forestalling TB transmission among staff and guests.

Basic Precautions for TB (Tuberculosis)

Keep up with airborne precautionary measures for vital visits by patients with suspect or irresistible TB until irresistibleness is precluded or settled.

Lessen openness by wiping out or deferring nonurgent arrangements for patients with suspect or irresistible TB until irresistibleness is precluded or settled.

Lay out hack behavior rehearses among staff and clients under consideration of Pulmonologist in Jhansi. Give tissue, careful veils, hand-cleanliness items, and waste holders in like manner regions, like lounge areas, so individuals with respiratory side effects can contain hacking and wheezing.

Execute a TB evaluating convention for clients giving hack enduring over three weeks and any of the accompanying side effects:

Blood in sputum

Night sweats

Unexplained weight reduction

History of TB illness or TB openness

In the case of screening is positive, request that the client wear a careful veil, place in a confidential test room, and execute airborne precautionary measures.

Try not to perform spray initiating techniques or sputum assortments assuming negative tension room or nearby exhaust ventilation nook (sputum assortment corner) isn't accessible.

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[kk095]

Amy's ICU Arrest

Check out my newest story! Feel free to leave feedback, and I hope everyone likes it 🙂

There were a few typos in my initial draft, so bear with me a bit!

****

The intensive care unit (ICU) is a department in most hospitals that focuses on patients who are critically injured or ill, and often on the verge of death. The ICU has advanced equipment that typically isn't found in other departments of the hospital, and ICU staff members receive extensive training and have in-depth expertise, giving their gravely ill or injured patients the best chance possible given the circumstances. Despite all of this, patients still succumb to their injuries and illness in the ICU.

Our latest ICU casualty was 27 year old Amy Russell. Amy was a petite, nerdy white woman standing at 5'4 with big blue eyes, brown hair with bangs, fair skin, and a small tattoo on her left ankle. Amy was a nice, quiet girl who kept to herself most of the time, and had a promising career in IT.

Amy ended up in our ICU after being involved in a bad car accident while driving home from work. Amy had an open fracture in her right femur, a ruptured spleen, lacerated splenic artery, lacerated splenic vein, and a lacerated left gastric vein. Due to the severity of her injuries, she was taken up to the operating room shortly after arrival at the emergency department to treat her injuries and stabilize her. Amy's surgery was touch and go for awhile, but she pulled through. The surgical team had to remove her spleen, ligate her splenic and left gastric veins, cauterize her splenic artery, and repair her open femur fracture via internal fixation and intermedullary nailing.

Since she was still in rough shape after surgery, it was decided that she would be sent to the ICU for observation and be left on sedation for pain management purposes. After surgery, Amy's vital signs were: BP 107/70, heart rate 104bpm, o2 saturation 100% on a high flow oxygen ventilator, and she had a GCS of 10. The ICU team also had Amy set up on an antibiotic cocktail to limit post-operative infection, and weaned her off of fluid resuscitation and blood products since her vascular injuries were repaired. Initially, it seemed like Amy was on a slow and steady path to recovery.

Amy laid in the ICU bed intubated, with the tube connected to a blue tube holder, and hooked up to a ventilator. There were EKG electrodes scattered all over her chest, which was covered by a blanket. There was a large bandage covering a majority of her abdomen from the intense surgery she just endured, and her right thigh was immobilized and covered with bandages. The ICU nurses checked on Amy every few minutes after surgery.

She remained stable for several hours, but the situation changed in the middle of the night. Just shy of 3am, Amy became hypotensive, displaying a BP of 85/47. A bedside FAST scan was ordered, a d-dimer was ordered, and a chest x ray was performed. The FAST scan and x-ray didn't show anything new, and the d-dimer was slightly elevated. The ICU team felt that Amy could've developed a post-op PE, but felt uneasy about administering anticoagulant drugs due to her freshly repaired vascular injuries. The ICU team elected to have a pulmonology consult before deciding on their next move.

The pulmonologist arrived within the next few minutes. Their assessment of Amy concluded that she didn't have a pulmonary embolism even though she had certain diagnostic indicators. The pulmonologist thought Amy was suffering from something known as a fat embolism. This is a scenario where bone marrow (typically from a broken bone) ends up in blood supply, and becomes lodged elsewhere in the body. These incidents are particularly lethal when the stray bone marrow becomes lodged in the lungs or brain.

Since fat emboli are an uncommon occurrence, the pulmonologist wanted to order a CT angiogram. Since she wasn't stable enough for transport to radiology, it was decided that a bronchoscopy was ordered to look for pulmonary edema, a textbook symptom associated with fat emboli. Repeat labs were also drawn to check for changes in hematocrit, hemoglobin, co2, and platelet levels.

The bronchoscopy confirmed pulmonary edema, and the labs had abnormal results; hematocrit was 27.3%, hemoglobin was 9.1 g/dL, co2 was 37 mEq/L, and her platelet levels were down to 114,000 per microlitre. The ICU team administered vasopressors to increase BP, hung 2 units of platelets from the rapid infuser, started her on an IV drip of iron to help with hemoglobin and hematocrit, a bag of albumin was hung, and a central venous pressure (CVP) monitor was set up. Additional electrodes were stuck onto Amy's chest, and a separate display monitor was set up for the CVP.

All of the interventions did little to nothing to improve Amy's condition. Her BP remained low, she developed tachycardia, and developed petechial rashes on both her axillary areas. Since Amy's condition wasn't improving, the doses for all her medications were upped, her ventilator settings were altered, and a 3rd and 4th unit of platelets were started on the rapid infuser.

Her course of treatments continued for another hour or so, but things changed around 4am. At that time, Amy's ET tube became filled with blood and her blood pressure was taking a nosedive. A few nurses rushed into the room and began suctioning her ET tube out. The attending physician and a few respiratory techs were notified of the sudden change.

The nurses kept suctioning out blood, but Amy wasn't moving any air. The respiratory techs had to reintubate Amy, which proved to be a difficult task. Shortly after reintubation, Amy went into cardiac arrest.

Deep, rapid chest compressions were started by one of the nurses. The nurse could feel a few of Amy's ribs pop just beneath her gloved hand as she delivered strong, forceful compressions. Amy's skinny chest caved in rhythmically during the initial phase of the code. Just a few feet away, another nurse detached the ventilator and hooked an ambu bag onto Amy's ET tube. A 3rd nurse stuck defib pads onto Amy's bare chest, and another nurse was injecting the first doses of epinephrine, atropine, and sodium bicarbonate into the young woman's IV. The heart monitors showed pulseless electrical activity (PEA), so CPR, ambu bagging, and drugs were the only course of action that could be taken right away.

Amy just laid in the bed, eyes closed while her chest took an absolute beating. The nurses pumped away on her frail, skinny chest. Her head bobbed during each individual compression, and her feet swayed at the other end of the bed, showing off the delicate, silky wrinkles in the soles of her size 6 feet.

The first 3 minutes worth of resuscitation efforts failed to convert the young brunette out of PEA, so a 2nd round of drugs were injected intravenously. Amy continued to receive fast, hard chest compressions, but the first nurse got tired, so they swapped out with another nearby nurse. The monitors chirped loudly in the half second in which CPR was stopped during the switch, but began beeping rhythmically once compressions were restarted. About 2 minutes later, Amy's ET tube refilled with blood, so suction had to be applied for the 2nd time. The tube was cleared, only to refill just 30 seconds later. While the breathing tube was suctioned out, Amy also started developing a nosebleed, and was bleeding from her IV sites. Amy went into rapid onset DIC, so FFP and more platelets were hung from the rapid infuser.

At the 6 minute mark of the code, Amy remained in PEA. Since the DIC compromised her IV sites, an IO was drilled into her left thigh since a central line placement wasn't a practical option at that moment. After one of the resident physicians drilled the IO in place, the next round of drugs were injected intraosseously.

At the 7 and a half minute mark of the code, Amy finally converted to V-Fib. The defib pads were charged to 250j, and a shock was delivered after all personnel stood clear. Amy's back arched, and her chest was thrust into the air briefly, but the shock failed to convert her out of V-Fib. A cycle of hearty, vigorous chest compressions were performed before the next shock.

A 300j shock was delivered in the coming seconds. Amy's body jerked and her toes curled slightly, wrinkling the soles of her feet. Post shock, her toes released from the clenched position back into a relaxed state. Shock #2 failed to produce a pulse, so a 3rd shock was delivered shortly thereafter at 360j. Amy's lifeless body jolted violently on the bed as the dose of electricity coursed through her dying body. This shock sent Amy back into PEA, so CPR and ambu bagging was resumed, along with the next dose of drugs going into the IO.

The next few minutes came and went with no change, with Amy's downtime just passing 10 minutes. Blood leaked from her nose and rolled down by her mouth and her cheeks from DIC. Blood was dripping down both her arms from her former IV sites. Amy's complexion was a ghostly, sickly whitish grey, and she was cool to the touch.

Approximately 3 minutes later, Amy's ET tube had to be suctioned out for the 4th time in such a short period of time. The plastic suction tube made a slurping sound as it gulped up all the blood that clogged the breathing tube. Just a few inches away, one of the nurses was pounding away on Amy's chest. The nurse had a red, flushed look on their face due to the tiring nature of giving compressions. However, they knew their inner complaints were nothing compared to what Amy was going through, so they kept going.

Several more unproductive minutes passed, with Amy deteriorating to an agonal rhythm. Yet another cycle of drugs were given, but once again failed to work effectively. The entire ICU team was growing more and more tired from giving chest compressions, and the once loud, hectic room became eerily silent, knowing that the end appeared to be near for the young woman they've been working on.

The ICU team coded Amy for another 5 minutes, but she was maxed out on drugs, asystolic, and had blown pupils. At that point, the ICU team ceased their efforts, calling time of death at 4:34am after an 18 minute code. The ambu bag was detached and the flatlined monitors were switched off. The nurses quietly removed the EKG electrodes and defib pads from Amy's bruised, battered chest. Lastly, her body was covered and a toe tag was placed before she was sent off to the morgue.

Amy's autopsy revealed that she died from multiple small to medium sized fat emboli. The particles of fat and bone marrow originated in her femur fracture, eventually becoming trapped within the pulmonary artery of the right lung and the left interlobar artery. The ICU team diagnosed Amy correctly, but the discovery was made too late, which unfortunately led to the beautiful young woman's death.

[digikartik-blog]

Best ENT Services in Meerut - Anand Hospital

Anand Hospital Meerut provides the best ENT Services in Meerut. The hospital has a specialized center that primarily deals with all sorts of ailments of Ear, Nose, and Throat, basically from head to neck. The hospital is well-known for carrying out complex surgeries and procedures related to ear, nose, throat, head, neck, and black fungus therapy. 

The hospital has a specialist team of doctors from India and foreign countries that hold up with the latest medical technologies and exceptional infrastructure. Anand hospital is solely equipped with different labs, a therapy unit, and diagnostic & therapeutic services for various disorders in Meerut. They have patients from nearby States and Cities.

Anand Hospital of Ear — Nose — Throat, comprises the latest examination and inspection tools, binoculars, endoscopy, and binocular microscope for pinpoint diagnosis and treatment. The hospital is strongly backed by a bunch of super-specialists — neurologists, pediatricians, oncologists, neurosurgeons, and pulmonologists. They deliver the best ENT services in Meerut District of Uttar Pradesh, India.

They are trained in executing and performing the cochlear implantation and in the treatment of mucormycosis. This surgery and implantation technique is specifically used for children to provide them support for the ailment. A designated team at Anand Hospital is supposed to supervise to ensure the best medical care is being provided to all the patients. The hospital has so far been extremely successful in treating ENT Patients.

Anand Hospital of Ear — Nose — Throat, has successfully delivered a large number of live workshops, for continuous excellence in medical education. It has been the first multi-specialist hospital with a team of specialists in Meerut.

The hospital provides a special program for Cochlear implantation and they have successfully served a large number of patients under this program.

They specialize in assessment evaluation, speech therapy, and treatment of voice speech, and language disorders Black fungus treatment. The audiology lab at Anand Hospital is furnished with the latest pieces of equipment and technology.

Here is the List of Complex and Routine Surgeries Performed at the ENT Department of Anand Hospital:

SURGERIES & PROCEDURES:

Surgery of the Nose and Face

Micro laryngeal Surgeries

Endoscopic Sinus Surgery for Nasal polyposis, CSF rhinorrhoea, Sinusitis, & Pituitary Tumor

Ear Surgery for Discharging ear, Deafness, Nerve paralysis, and Vertigo

Skull Base Surgery

Otoneurosurgery

Mucormycosis (Black Fungus Treatment)

Adenoidectomy

Tonsillectomy

Surgery for Snoring Laryngol Tracheal Stenosis

AUDIOMETRY & SPEECH:

Impedance audiometry

Tone audiometry

(BERA) — Brainstem evoked response audiometry

Special audiometry

OTO Endoscopy

Video Endoscopy

Video Laryngoscopy

If you are looking to know more about the best ENT Services in Meerut, then you can reach out to Anand Hospital in Meerut. They perform surgeries and operations like sinusitis, cochlear implantation, hearing issues, black fungus treatment, and sleep apnea treatment at affordable costs using the latest techniques and types of equipment.

[drabhishekbali]

Everything You Need to Know About Asthma Attack – See Your Pulmonologist

Worsening of the symptoms of asthma leads to breathing difficulty, chest tightness, or wheezing. When the airways become inflamed, airways muscles become shrunken this condition causes - narrowing of the bronchial tube. Immediate medication or medical intervention is required. For severe asthma attacks, reach out to the nearby hospital in town fast.

People with existing asthma or breathing issues need to be more attentive to their surroundings. Exposure to weed pollen, grass, dust, animal/pet dander can be responsible for making the condition alarming. At the same time, air pollutants, strong odor/fragrances are also put triggering effects on asthmatics. For medical guidance, visit your chest specialist or you can consult a pulmonologist in Siliguri city.

What are the early signs or symptoms of an asthma attack?

Warning signs of an asthma attack are not so severe at the beginning that one can identify the indications. And the symptoms suddenly start to worsen which may lead to emergency help.

The early symptoms of asthma attacks include:

Severe shortness of breath

Frequent cough

Wheezing/coughing during and after exercise

Feeling of tiredness especially during workouts

Decreased peak flow meter reading

Headaches, sore throat, cough, nasal congestion

With a severe asthma attack, one may not get enough time to manage the discomfort. Therefore, following the pulmonologist’s advice religiously can help prevent certain out-turns from taking place. In case, your symptoms fail to respond to medicines that your doctor has prescribed, you may need emergency support.

What causes asthma attacks? – Understanding the triggers of asthma attack

Knowing what irritates asthma can help avoid those triggers. When people come in contact with specific asthma triggering irritants, the chances of asthma attacks become three times higher. Let’s have a closer look at what can trigger your asthma to make it worse:

Air pollutants like car exhaust, factory emissions, tobacco smoke

Dust mites

Cockroaches, or mice

Pollen, mold

Inhaling dry air

Upper respiratory infection

Gastroesophageal reflux (GERD)

Exposure to certain environmental or occupational substances

Strong smells

Stress

An asthma attack can also be caused by a mild respiratory infection if you already have asthma. Thus, managing the symptoms and severity are the best ways to safeguard health from such attacks.

To diagnose asthma, a specialist carries out several diagnostic procedures and tests – a physical examination, evaluation of medical history, and current symptoms. Tests include a blood test, chest X-ray, spirometry, pulse oximetry, etc. Get in touch with your chest specialist in Siliguri to relieve and regulate asthma.

Depending upon the symptoms and extremity of the condition, a specialist may recommend – anti-inflammatory medicines, biologic therapies, bronchodilators, etc. Emergency treatment for asthma attacks may include specific medicines like – oral corticosteroids, short-acting beta-agonists. Other procedures for emergency support include- mechanical ventilation, intubation, etc.

[sanjivinihospitals]

Now that Sanjivini Super Speciality Hospital in Gomti Nagar has skilled pulmonologists on staff to take care of you, finding a reputable pulmonologist nearby is simple. The multi-disciplinary super-specialty and tertiary care hospital has automated path labs, x-ray labs, 24*7 running emergencies, and much more under one roof.

[doktorscare]

Find All Types of Doctors in India

Whenever you or your family are facing health problems you always look for the best treatment. You can use google to find doctors and book an online doctor's appointment nearby. Doktors provide more information about the best doctors in your area, online doctors, online doctor consultation, and you can also consult an online doctor instantly. We give you a broad platform to engage with health care specialists remotely. If you are still looking for the best doctors for a general physician, pediatricians, gynecologist & obstetrician, gastroenterologist, dermatologist, cardiology, anesthesia, dentist, nephrologist, psychiatrist, ENT specialist, homeopath, ophthalmologist, sexologist, physiotherapy, general surgeon, diabetologist, urologist, pulmonologist, oncologist, orthopedic, neurology, dietetics, yoga & naturopathy, veterinary, in -vitro fertilization (IVF), Ayurveda you reached the most appropriate place. You can chat, video call, and even book an appointment with the best doctors from India. Doktors offer a one-stop solution point for all healthcare teleconsultation needs. For more information, please email at: support@doktors.co.in or contact us, +91-9893306766. Visit our website link:- https://doktors.co.in

[orbemnews]

Former medical examiner says George Floyd died due to his heart disease -- not Derek Chauvin “In my opinion, Mr. Floyd had a sudden cardiac arrhythmia, or cardiac arrhythmia, due to his atherosclerosis and hypertensive heart disease … during his restraint and subdual by the police,” said Dr. David Fowler, a forensic pathologist who retired as Maryland’s chief medical examiner at the end of 2019. Floyd had narrowed coronary arteries, known as atherosclerosis, and an enlarged heart due to his high blood pressure, or hypertension, Fowler said. Floyd’s fentanyl and methamphetamine use and a tumor known as a paraganglioma were other significant conditions that contributed to his death, he said. Dr. Fowler also put forth a novel argument that carbon monoxide from the squad car’s exhaust may have contributed to his death. But in cross-examination, he conceded that he did not have any data or test results to support the theory and that there was no finding of injury due to carbon monoxide. When asked how he knew the vehicle was even on, Fowler said he noted water was dripping from the tail pipe, which indicated to him it was running. Dr. Fowler says he ruled out asphyxia in Floyd’s death. “Positional asphyxia, as the term is used in court today, is an interesting hypothesis and unsupported by any experimental data,” he testified. In all, Dr. Fowler said Floyd’s death should have been classified as “undetermined,” rather than a homicide, because there were so many competing causes. The testimony cuts at the prosecution’s argument, bolstered by five separate medical experts, that Floyd’s primary cause of death was low oxygen due to Chauvin’s restraint of a handcuffed Floyd in the prone position — known as “positional asphyxia.” To get a guilty verdict, prosecutors have to prove that Chauvin’s actions were a “substantial causal factor” in Floyd’s death. Dr. Fowler’s analysis took up the entirety of Wednesday’s testimony. A day earlier, six witnesses testified for the defense, including a use-of-force expert said Chauvin’s actions were justified. Several other witness testimonies focused on Floyd’s drug use, particularly during a prior arrest in May 2019. Together, the witnesses furthered the defense’s three main arguments in the case: that Floyd died due to drug and health problems, that Chauvin’s use of force was ugly but appropriate, and that a hostile crowd of bystanders distracted Chauvin. The prosecution rested its case Tuesday morning after calling 38 witnesses over 11 days. Prosecutors sought to prove that Chauvin used excessive and unreasonable force when he kneeled on Floyd’s neck and back for nine minutes and 29 seconds last May. Their case relied heavily on multiple videos of Chauvin’s actions, analysis by policing experts and medical testimony as to how Floyd died. Chauvin, 45, has pleaded not guilty to second-degree unintentional murder, third-degree murder and second-degree manslaughter charges. The defense’s case is expected to last only a few days, and closing arguments are expected for Monday, Judge Peter Cahill said. While the trial has focused in on Chauvin and Floyd, the broader societal stakes were made clear this week when a police officer shot and killed a Black man in nearby Brooklyn Center, sparking three nights of protests. The officer resigned and was arrested and charged with second-degree manslaughter, authorities said. The Floyd family has offered their condolences and support to the family of 20-year-old Daunte Wright. “We’re here and we will fight for justice for his family, just like we’re fighting for our brother,” Philonise Floyd said Tuesday. Doctor says Floyd should have received medical attention In cross-examination, prosecuting attorney Jerry Blackwell sharply questioned Dr. Fowler, repeatedly cutting off the doctor’s attempts to offer longer answers. Last week, Dr. Martin Tobin, a pulmonologist, testified for the prosecution that Chauvin’s actions narrowed Floyd’s hypopharynx, a part of the throat that air passes through. Dr. Fowler said he watched that testimony and went to search for more information but found none. “It’s not something I have ever heard of,” he said. He also conceded he is not a pulmonologist and did not try to calculate how much air was in Floyd’s lungs between breaths — a key part of Dr. Tobin’s analysis. Dr. Fowler was unable to identify the point at which Floyd suffered his sudden cardiac arrest, and he said he did not notice that Floyd’s voice grew thicker and quieter as time went on. He also said he agreed that Floyd should have been given immediate medical attention on scene. The doctor’s analysis contradicted much of what the prosecution’s experts said last week. Hennepin County Medical Examiner Dr. Andrew Baker, who conducted Floyd’s autopsy, testified last week that the police restraint was the primary cause of death, and he listed Floyd’s heart disease and fentanyl use as other significant conditions. He described the paraganglioma as an “incidental” tumor that didn’t have anything to do with his death. None of the doctors mentioned carbon monoxide as having any role. Dr. Jonathan Rich, a cardiologist who testified for the prosecution on Monday, said Floyd’s heart showed no evidence of injury at all. “I can state with a high degree of medical certainty that George Floyd did not die from a primary cardiac event, and he did not die from a drug overdose,” Rich said. Fowler is being sued over ‘eerily similar’ death of Maryland teen Separately, Dr. Fowler is named in a lawsuit by the family of a Maryland teenager who died during a 2018 police encounter which a family attorney called “eerily similar” to Floyd’s death. Anton Black died after an altercation with Greensboro, Maryland, police officers in which he was held down while lying in a prone position for about six minutes, according to the lawsuit. At issue in the lawsuit are claims that Dr. Fowler and other members of the Office of the Medical Examiner “covered up and obscured police responsibility for Anton Black’s death.” The lawsuit alleges that Fowler and others intentionally withheld toxicology results that contradicted police claims of drug use and falsely attributed the cause of death to other causes. Black’s medical examination report, signed by Dr. Fowler, found no evidence “that restraint by law enforcement directly caused or significantly contributed to the decedent’s death” and suggested “the manner of death is best certified as accident.” No charges were filed against the police officers involved in the incident. Attorney Kenneth Ravenell, who represents Black’s family in the lawsuit, told CNN he was “flabbergasted” when he first learned that Dr. Fowler would be testifying in the Chauvin trial. “We were initially surprised that Dr. Fowler would be testifying, particularly since he’s a defendant in a case that’s eerily similar,” Ravenell said. “He’s a hired gun.” The lawsuit has not been mentioned by attorneys for either side in the Chauvin trial. Attorneys for Dr. Fowler had no comment, citing ongoing litigation. Earlier this month, a motion to dismiss the case was filed on the basis that Dr. Fowler and other defendants have “qualified immunity,” and specifically that because Dr. Fowler is retired from the Medical Examiner’s Office, he “has no power to effect the changes” sought by the plaintiffs. CNN has reached out to Greensboro Police. CNN’s Omar Jimenez, Carma Hassan, Cheri Mossburg, Brad Parks and Melissa Alonso contributed to this report. Source link Orbem News #Chauvin #Derek #died #disease #due #Examiner #Floyd #George #GeorgeFloyd:FormermedicalexaminerDr.DavidFowlersaysFloyddiedduetohisheartdisease--notDerekChauvin-CNN #heart #medical #us

[ankurahospitalvijayawada]

Best Women Hospital in Pune | Best Child care Hospital in Pune | Best Maternity Care Hospital in Pune - + 91 9053 108 108

Ankura Hospital is one of the Women & Child care Hospital in Pune, India. Ankura Hospital has the most experienced team of doctors in Pune, India with World Class Infrastructure and the latest treatments. We have the best pediatricians for every specialization as well as more than 25+yrs of experience. Ankura Hospital leading The Best-in-Class Women and Children Hospital in Pune, India with a focus on providing high-quality Gynec care services. Our Pediatricians, Neonatologists, Intensivists & Pediatric super specialists offer prompt care for newborn, premature babies, toddlers & children in medical and surgical emergencies such as high fever, respiratory failure, ingestion of foreign body and poisoning, other emergencies. All our centres are supported by latest high end equipments, NICU’s, PICU’s, 24×7 emergency and transport services to meet all medical needs meticulously for women & children.

BOOK AN APPOINTMENT

Ankura Hospital Pune, India is the best women and children hospital nearby Best Children Hospital in Pune, Best Maternity Hospital in Pune, Best Pediatric Surgeon in Pune, Best Pediatrician Doctor in Pune, Best Pediatric Intensive Care Unit in Pune, Best Pregnancy Hospital in Pune, Best Pediatric Clinic in Pune, Best Ladies Hospital in Pune, Best Delivery Hospital in Pune, Best Gynecologist Hospital in Pune, Best Pediatric Specialist in Pune, Best Neonatologist in Pune, Best Women Hospital in Pune, Best Pediatric Endocrinologist in Pune, Best Pediatric Urologist in Pune, Best Pediatric Urology Surgeon in Pune, Famous Children's Hospital in Pune, Top Maternity Hospital in Pune, Best Mother and Child Hospital in Pune, Best Child Specialist Doctor in Pune, Best General Pediatric Doctors in Pune, Best Gynecologists and Obstetricians in Pune, Best Fetal Medicine and Ultrasonography Specialists in Pune, Best General Pediatricians in Pune, Top Notch NICU Specialists in Pune, Best PICU Specialists in Pune, Best Pediatric Neurologists in Pune, Best Child Psychologists in Pune, Best Child Development Center in Pune, Best Pediatric Endocrinologists in Pune, Best Pediatric Nephrologists in Pune, Best Pediatric Gastroenterologists in Pune, Best Pediatric ENT Specialists in Pune, Best Pediatric Immunologists and Rheumatologists in Pune, Best Pediatric Surgeons in Pune, Best Pediatric Urologists in Pune, Best Pediatric Surgeons and Pediatric Urologists in Pune, Best Pediatric Orthopedic Doctors in Pune, Best Pediatric Pulmonologists in Pune, Best Pediatric Oncologists in Pune, Best Pediatric Radiologists in Pune, Best Neonatologists in Pune, Best Pediatrician near me, Best Gynecologists near me, Pediatric Hospital near me, Mother and Child Hospital near me, Best Pediatric Doctors near me, Top Pediatricians near me, Best Pediatric Doctor near me, Best Gynecologists near me, Best Lady Gynecologist near me, Top Gynecologist near me, Best Gynecologist Doctor near me, Best Gynecologist near me for Pregnancy, Best Maternity Hospital near me, Best Pregnancy Hospital near me, Best Delivery Hospital near me, Best Hospital for Pregnancy near me, Best Hospital for Delivery near me, Best Hospital for Normal Delivery near me, Best Gynecology near me, Best Obstetricians near me, Best Obstetrician and Gynecologist near me, Best Pediatric Neurologists near me, Best Pediatric Orthopedic Doctors near me, Best Pediatric Endocrinologists near me. For more information contact +91 9053 108 108.