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medinirvana · 4 years ago

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RIRS in the elderly: Is it feasible and safe?

In Western countries, senior adults are the fastest-growing population. It is estimated by demographic projections that the count of older people (≥60 years) is likely to rise to more than 2 billion by the end of the year 2050 compared to 915 million in 2015. Undoubtedly, age is not an illness, but it is the most critical factor for perioperative complications. According to many studies in the past, there has been an increasing prevalence of urinary stone complications worldwide. In older patients, the incidence of renal stones is likely to notice a surge as the general population ages, especially in developed countries like the United States, Canada, Germany, and the United Kingdom.

In the last decade, Retrograde intrarenal surgery (RIRS) has emerged as a successful choice for treating most kidney stones even in complicated clinical scenarios like obesity, calyceal diverticula, coagulopathy, kidney malformations, and large renal stones.

Table of Contents

Feel free to skip ahead if one topic catches your eye:

How is RIRS a Feasible and safe process For the Elderly?

How To Prepare Yourself for RIRS in India?

Why Choose India for RIRS Treatment?

What is the cost of RIRS in India?

How is RIRS a Feasible and safe process For the Elderly?

Retrograde intrarenal surgery (RIRS) has emerged as a preferred option for treating stones in elderly patients. A surgical technique with a low complication rate, RIRS, is considered an excellent choice for renal stones up to 20 mm. It has potentially lower morbidity than percutaneous nephrolithotomy (PCNL) and higher stone-free rates than extracorporeal shock wave lithotripsy (ESWL).

This endoscopic surgery is performed using Holmium (a laser fiber) and a viewing tube known as a fiber optic endoscope. Small fragments of the stones are taken off through stone baskets once the surgeon removes the large stone. In some cases, the surgeon may push a stent in the kidney to improve drainage. During this procedure, the stone is blasted or crushed through a laser probe; it may be removed manually through forceps. The urologist may provide general or spinal anesthesia during the procedure. It is worth noting that the entire process does not involve any incisions, and therefore patients experience a quick recovery time.

Advantages of Retrograde intrarenal surgery

No risk to the renal tissue

Less morbidity

Shorter recovery time

Quicker and simple procedure

Minimally invasive procedure

The RIRS procedure is ideal for cases where:

Stones are large

The patient is obese or has complex anatomical kidneys

The patient is on anticoagulants

The patient has bleeding disorders

The patient’s kidney has a tumour

Who is not the Good Candidate for RIRS?

Patients with a history of urinary tract reconstruction

Patients who are intolerant of stents

The size of the renal stones is more than 20mm in diameter.

Some patients may develop fever after the RIRS procedure, but this can be easily managed. Typically, this procedure involves a hospital stay of more than 24 hours, but some patients may be asked to stay for a little longer because of intra/post-operative events or specific preoperative health complications. The approximate time taken for the RIRS surgery is 1.5 hours.

How To Prepare Yourself for RIRS in India?

You need to make arrangements on your behalf related to important documents such as passport and medical visas, medical reports, diagnostic results, etc. It is also advisable that you must have a word with your RIRS surgeon in India or their international patient desk to know everything from the moment you left your home country to get RIRS performed in India.

Before the Surgery: Your doctor will perform a series of tests for analyzing your general health and the position of the stones. There may also be a test for ascertaining your response to anesthesia before the RIRS is scheduled. In some cases, the doctor may perform the preoperative stenting two to three weeks before the RIRS so that the ureteroscope can quickly enter the kidneys as the ureter is already dilated. You will be asked to fast for at least 6-8 hours on the day of the surgery.

During the Surgery: You will be under the influence of anesthesia, and an endoscope will be used by the urologist to reach the bladder through the urethra. It will then be moved ahead to the area of urine storage in the kidney. The endoscope will locate stones during the process that will then be blasted or crushed with a laster. In the majority of cases, patients can expect a discharge from the hospital the next day post-surgery.

After the Surgery: A urine catheter may be placed for a day or longer in the urethra after completing the RIRS to minimize problems and pain while urinating. You will then be placed in a recovery room and asked to take a rest for 24 hours. The medical support staff will request you to consume many fluids, mostly water to keep infections away and reduce the amounts of sodium, protein, calcium, and oxalate.

One of the best things about RIRS in India is that you will get qualified assistance at every step of the treatment process. This would ensure that you always make an informed decision in your quest to lead a healthy and everyday life again.

Why Choose India for RIRS Treatment?

Indian hospitals were well-equipped to handle complex surgical procedures such as RIRS. The standards of healthcare and hygiene are world-class, and India is home to a skilled pool of manpower when it comes to top doctors, nurses, surgeons, and support staff—rated very highly across the globe. Indian hospitals that specialise in RIRS treatment charge only a nominal fee that is about one-fifth or one-tenth of the costs that are payable in developed countries of the world. The best thing is that you can access world-class facilities along with the latest techniques. Since most Indian doctors, nurses and other medical staff are well-versed in global languages such as English, there would never be any language barrier.

The list of advantages associated with RIRS in India does not end here. Indian hospitals have the best success rates when it comes to Retrograde intrarenal surgeries. Furthermore, most of these medical facilities are accredited by world-renowned regulatory associations like the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and Joint Commission International (JCI). If that was not all, you could receive almost-instant medical visas with just a few clicks.

The Indian government introduced the concept of an e-tourism visa regime to include medical visas. According to a report released by the Federation of Indian Chambers of Commerce and Industry (FICCI) and Ernst & Young, the market for medical tourism in India is likely to reach $9 billion by 2020. One of the most significant contributing factors behind this growth is the healthcare costs in India compared to developed countries like the UK and the US, which are at an all-time high. The report also revealed that the country hosts approximately 5 lakh medical value travelers from the Middle-East, Africa, SAARC countries, South-East Asian countries, and North America and Europe.

The country is home to 619 hospitals accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and 38 hospitals accredited by the Joint Commission International (JCI).

It is because of these and many more advantages that thousands of patients from countries like the United States, Germany, Canada, France, Malaysia, and the United Kingdom, to name a few, every year visit Indian hospitals, especially those based in cities such as Delhi, Mumbai, Bengaluru, Hyderabad, Chennai, Noida, Jaipur, Ahmedabad, and Thiruvananthapuram. Moreover, Indian hospitals invest heavily in hygiene, infrastructure, supportive technology, safety, and operative techniques so patients can always expect faster recovery and better outcomes.

What is the cost of RIRS in India?

The approximate cost of RIRS in India is Rs.2-3 lakhs though it may differ from one hospital to another. Some of the aspects that define the cost of RIRS in India may include the type of medical procedure, expertise, and success rate of the hospital, room and hospital charges, etc.

Takeaway

Unarguably, India is one of the world’s most trusted and leading medical tourism destinations for countless reasons. The best part is that you can expect complete assistance from top hospitals and medical facilities across the world, whether it is about scheduling appointments with the best doctors in the healthcare industry or arranging medical visas or booking accommodation for your attendant or seeking pre- and post-operative care.

Retrograde intrarenal surgery is a complicated medical procedure and should only be handled by an expert. One thing is for sure, you can never go wrong by choosing India – a country that has given our world some of the finest surgeons and nurses – and you can explore all these and many more advantages without burning your pocket. Source Url:- http://medinirvana.com/blog/rirs-in-the-elderly-is-it-feasible-and-safe/

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billion-heartbeats · 5 years ago

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The world has gone viral Corona virus overview. Be cautious.there is nothing to panic.

The world has gone viral

Coronavirus Overview

Types of Viruses in the world- 1,670,000

631,000 to 827,000 can infect Humans----Nature Journal

The frequency of crossing over from animals to Humans has increased 2to 3 times in the last 40 yrs. on a cycle of about three yrs.

SARS- 2002

Bird flu- 2005

Swine flu- 2009

MERS- 2012

Ebola- 2014

SARS n COV- 2019

There have been 6 new epidemics in the last 18 yrs.

The corona virus is about 120 metronomes across, and looks like a ball with spikes coming out of it. The spikes, seen on an electron microscope, look a little like the sun’s corona, seen during an eclipse, which why the family was called corona viruses. The genome size of corona viruses ranges from approximately 26 to 32 kilobases, one of the largest among RNA viruses. Approximately, 20,000,000viruses can fit on the head of a pin. Trust me just about a gram of this virus has probably caused the pandemic!

Corona virus disease -COVID-19- a cousin of the SARS virus is an infectious disease caused by the newly discovered corona virus. Corona viruses are a large family of viruses that are common in people and many different species of animals, including camels, cattle, cats, and bats.

COVID-19 was first reported in Wuhan, Hubei Province, China in November 2019. Over the next few months, the illness spread to almost every country. COVID-19 was declared a pandemic by the WHO on March 11, 2020.

Corona viruses have been causing problems for humanity for a long time. Several versions are known to trigger common colds and more recently two types have set off outbreaks of deadly illnesses- severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS). But by and large their impact has been mild.

The corona virus that is causing the Covid-19 pandemic has caused havoc globally and has spread to nearly 200 countries! That is an extraordinary performance for a spiky ball of genetic material coated in fatty chemicals called lipids, and which measures 80 billionths of a metre in diameter. Humanity has been brought on its knees by what looks a very humble assailant.

Patho-physiology

This was an organism unknown to science five months ago. Today it is the subject of study on an unprecedented scale. Vaccine projects proliferate, antiviral drug trials have been launched and new diagnostic tests are appearing.

The SARS-CoV-2 virus almost certainly originated in Bats. These are known to replicate faster. the bat is transformed into a reservoir of rapidly reproducing and highly transmissible viruses. when these bat viruses move into humans who lack a fast-response immune system, the viruses quickly spread into their new hosts. As to the transmission of Sars-CoV-2, that occurs when droplets of water containing the virus are expelled by an infected person in a fit of cough or sneeze.

Virus-ridden particles are inhaled by others and come into contact with cells lining the throat and larynx. These cells have large numbers of receptors – known as Ace-2 receptors – on their surfaces. This virus has a surface protein that is primed to lock on that receptor and slip its RNA into the cell.

Once inside, that RNA inserts itself into the cell’s own replication machinery and makes multiple copies of the virus. These burst out of the cell, and the infection spreads. Antibodies generated by the body’s immune system eventually target the virus and, in most cases, halt its progress.

A Covid-19 infection is generally mild, and that really is the secret of the virus’s success. Many people don’t even notice they have got an infection and so go around their work, homes and supermarkets infecting others.

Symptoms

The viruses can make people sick, usually with a mild to moderate upper respiratory tract illness, similar to a common cold. Coronavirus symptoms include a runny nose, cough, sore throat, possibly a headache and maybe a fever, which can last for a couple of days.

For those with a weak immune system, the elderly and the very young, there's a chance the virus could cause a lower, and much more serious, respiratory tract illness like a pneumonia or bronchitis.

The Wuhan coronavirus is currently thought to be milder than SARS and MERS and takes longer to develop symptoms. Patients to date have typically experienced a mild cough for a week followed by shortness of breath, causing them to visit the hospital. Around 15% to 20% of cases have become severe requiring treatment in ICU. 5% are critical requiring, ventilatory support and treatment in ICU.

Corona virus treatment

There is no specific treatment, but research is underway. Most of the time, symptoms will go away on their own and experts advise seeking care early. If symptoms feel worse than a standard cold, see your doctor.

Doctors can relieve symptoms by prescribing a pain or fever medication, a hot shower, a warm drink with some herbs, can help ones with a sore throat or cough. Don’t panic! Remain calm.

Drink plenty of fluids, get rest and sleep as much as possible.

Prognosis

A large study found that about 80% of confirmed cases had fairly mild symptoms -defined as no significant infection in the lungs. About 15% have had moderately severe symptoms that caused significant shortness of breath, low blood oxygen or other lung problems that needs institutional treatment. 5% of cases are critical, featuring respiratory failure, septic shock or multiple organ problems.

Mortality

The Wuhan coronavirus fatality rate is lower than for SARS and MERS. In India statistical analysis shows that it is 2.8%. The World Health Organization gave out a figure of, 3.4%.

Why does the virus sometimes cause death?

Occasionally, however, the virus can cause severe problems. This happens when it moves down the respiratory tract and infects the lungs, which are even richer in cells with Ace-2 receptors. Many of these cells are destroyed, and lungs become congested with bits of broken cells. In these cases, patients will require treatment in intensive care. This is known as a cytokine storm.

In the body, immune responses are being mounted against Covid-19 in infected people. And the antibodies created by that response will provide protection against future infections – but we should note that it is unlikely this protection will be for life. The protection will not be there for mutated strains but slows down the virulence. The virus will be with us for some time.

When will we get a vaccine?

The journal - Nature reported that 78 vaccine projects had been launched round the globe – with a further 37 in development. Among them is a vaccine programme that is now in phase-one trials at Oxford University, two others at US biotechnology corporations and three more at Chinese scientific groups. Many other vaccine developers say they plan to start human testing this year.

This raises hopes that a Covid-19 vaccine could be developed in a fairly short time. However, vaccines require large-scale safety and efficacy studies.

What are we doing?

Mere lock down cannot hide you from the virus!

While many of us watched the corona virus spread across the globe with disinterest for months. Now many have finally realized that it will disrupt our way of life. We can make things better; it’s not too late. But we have to be willing to act.

Of course, we are doing something. We’re closing schools and businesses and committing to social and physical distancing. This isn’t enough. Even after we do these things, it is predicted that a significant number of infections will occur, that more people will need care than we can possibly provide in our hospitals.

We in India are engaged in suppression and not in mitigation. The Suppression refers to a campaign to reduce the infectivity of a pandemic, what experts call R-0 should be less than one! Unchecked, the R- 0 of COVID-19 is between 2 and 3, meaning that every infected person infects, on average, two to three others. An R- 0 less than 1 indicates that each infected person results in fewer than one new infection. When this happens, the outbreak will slowly grind to a halt.

Be cautious. Don’t panic!

The mood of the country has shifted in the last few weeks, from dismissal to one of fear and concern. That’s appropriate. This is a serious pandemic, and it’s still very likely that the rate of infection will overwhelm the surge capacity in our country. We have seen this happen in Mumbai, Delhi, Ahmadabad and Chennai!

If we commit to social distancing, however, at some point in the next few months the rate of spread will slow. We’ll be able to catch our breath. We’ll be able to ease restrictions, as some early hit countries are doing. We can move toward some semblance of normalcy.

Hope for the best. Be prepared for the worst.

The worst is yet to be!

The temptation then will be to think we have made it past the worst. We cannot give in to that temptation. This is the time to redouble our efforts. We will need to prepare for the coming storm. We’ll need to build up our stockpiles, create strategies, and get ready.

We will need to massively strengthen our medical infrastructure. We will need to build ventilators and add hospital beds. We will need to train and redistribute physicians, nurses, and respiratory therapists to where they are most needed. We will need to focus our factories on turning out the protective equipment—masks, gloves, gowns, and so forth—to ensure we keep our health-care workforce safe.

Some are in denial, and others are in despair. Both are understandable. We all have a choice to make. we can work together to get through it with as little damage as possible. This country has faced massive threats before and risen to the challenge; we can do it again. We just need to decide to make it happen.

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seokingstar · 5 years ago

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globalintensivecare · 8 months ago

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Elderly Nursing Care at Home in East Delhi

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globalintensivecare · 6 months ago

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Comprehensive Home Healthcare Services in East Delhi by Global Intensive Care

As healthcare needs become more personalized and immediate, home healthcare services have gained prominence for their ability to provide professional care in the comfort of one's home. For residents of East Delhi, Global Intensive Care offers unparalleled home healthcare services in Rishabh Vihar, Karkardooma, and Anand Vihar. For inquiries and appointments, contact Global Intensive Care at Phone: 090909 08678.

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globalintensivecare · 8 months ago

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Elderly Nursing Care at Home in East Delhi

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globalintensivecare · 11 months ago

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Elderly Nursing Care at Home in East Delhi

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seokingstar · 5 years ago

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home health agency in East Delhi

Welcome To Homecarenursingservices.com

Home Care Nursing Services - Home Health Care Services in Noida & Delhi!

Home Care Nursing Services in Delhi

In-home health care services in Noida

Nursing care program in Delhi

Private home care services Noida

Home health care in Noida

Elder home care services Delhi

Home health care services in Noida

Home health agency in East Delhi

Our skilled nurses can:

· Take care of day-to-day needs like mobility, hygiene and feeding elderly patients and patients recovering from surgery post complex medical issues.

· Manage the entire medication programme, drug administration, medical dressing, vaccination needs and can provide other nursing help at home.

· Monitor all necessary activities related to patient care & keep a check on patient’s progress.

· Be a good companion and help patient and family members whenever needed.

Address: Delhi, India

Tel: +918789621062

Visit For More Information: http://homecarenursingservices.com

#home health care services in Noida

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