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Case of a rare lung disorder – ‘Pulmonary alveolar proteinosis’ – treated at KRIMS Hospital, Nagpur
A 60-year-old lady suffering from a rare lung disorder ? Pulmonary alveolar proteinosis (PAP)? – has been recently treated successfully by the Pulmonology Department of KRIMS Hospital, Nagpur.
What is Pulmonary alveolar proteinosis
Pulmonary alveolar proteinosis is a rare lung disease. Its incidence rate is one case per 50 lakh people. It is caused due to the accumulation of abnormal protein material called surfactant? inside the lungs. This leads to reduced oxygen gas exchange inside the lungs which ultimately leads to severe breathlessness.
How is it diagnosed and treated
PAP is diagnosed through a variety of tests including x-rays, lung function test, CT scan and lung biopsy. Till today, there is no curative medicine which can reduce the protein deposition inside the lung. It is important to remove the protein from the lungs so that the patient can breathe normally. The process of removal of deposited protein from the lung is known as Whole Lung Lavage (WLL) and is the current standard treatment for PAP. This procedure is tedious and sometimes can be life threatening.
The case at KRIMS Hospital
When the 60-year-old lady at KRIMS hospital went through a CT scan, the doctors were suspicious of PAP. On doing the open lung biopsy, she was proven to be a case of PAP. At the time of diagnosis, she was unable to maintain oxygen saturation and her lung functions were very low. The team of doctors from KRIMS Hospital including Pulmonologists, Anesthetists and Physiotherapists then planned to perform WLL on this patient.
On September 30, she underwent WLL for left lung while her right lung was mechanically ventilated. A total of two liters of the proteinaceous fluid was successfully removed. The whole lung lavage procedure took three hours. The patient was discharged with improvement in her health and her oxygen requirement was dramatically reduced.
A repeat lavage was performed on November 4, after a month. This time the right lung was lavaged while the left lung was mechanically ventilated. Approximately seven litres of water was instilled with a return of six and a half litres. The procedure took four hours to complete. There is drastic change in the patient’s health and CT scans now. She is now able to walk on her own without oxygen support and her quality of life has improved.
The team of doctors involved in the second successful lavage included Pulmonologist Dr Ashok Arbat, Dr Sameer Arbat, Dr Mitesh Dave, Anesthetist Dr Daksha Mandhaniya, Dr Vaishali Shelgaokar along with Physiotherapists Dr Prajakta Borkar and Dr Pallavi Salodkar.
Ayushmann Khurrana with Shah Rukh Khan and right in front of SRK’s house Mannat
Like many, even actor Ayushmann Khurrana is a Shah Rukh Khan fan. And when the actor happened to be in Bandra on Sunday, he stopped by in front of King Khan’s house Mannat. In fact, he made a wish in front of the gate looking at Mannat through the sunroof of his car.
The actor shared a picture on his social media page from SRK’s house and captioned, “Mannat se guzar raha tha. Toh ek mannat maang li #AnActionHero #2ndDecember #SRKian” He added the song ‘Baazigar O Baazigar’ from Shah Rukh’s film ‘Baazigar’ along with the picture.
Ayushmann, who’s busy promoting his film, ‘An Action Hero’, received lots of comments from SRK as well as his fans.
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Legal
Just because you don’t like Mr Modi doesn’t mean India is under threat: Harish Salve | Interview
Harish Salve
Senior advocate at Supreme Court, former Solicitor General of India and King’s Counsel Harish Salve, in an exclusive interaction with Nation Next, speaks about Prime Minister Narendra Modi, former Prime Minister late Indira Gandhi, recent gruesome murder of Shraddha Walker involving her boyfriend Aftab Poonawala, Prevention of Money Laundering Act, 2002 (PMLA) and much more!
Corrigendum: In one of the questions during Mr Harish Salve’s interview, interviewer mistakenly quoted former Chief Justice of India Justice Sharad Bobde, saying, “Constitution is under threat.” Justice Bobde never made this remark. We sincerely apologise to Justice Bobde and the audience for committing this mistake. Inconvenience caused is regretted!
Watch the full interview here:
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The superbike Dodge Tomahawk is the world’s most expensive bike which costs ₹35 cr. Know some interesting facts about it in the video.
बाइक के दीवाने भारत में ही नहीं दुनिया भर में लाखों हैं और सभी की नजर रहती है सबसे तेज दौड़ने वाली बाइक पर. india में भी महँगी bikes खरीदने के लोग दीवाने है. आपने देखा होगा कि filmstars के पास भी महँगी -महँगी bikes होती है, जिनकी कीमत करोडो में होती है. लेकिन आज हम एक ऐसी bike की बात करेंगे, जिसकी कीमत कई cars से ज्यादा है. इस bike की कीमत 35 करोड़ रुपए से ज्यादा है, यानी Mercedes जैसी कई cars इस बाइक की कीमत में खरीदी जा सकती है. इस बाइक का नाम है Dodge Tomahawk . इस बाइक को खरीदने के बारे में आम आदमी सोच भी नहीं सकता . India में जो भी bikes बिकती है, वो कितनी भी sporty और अच्छी हो, उसकी कीमत लाखों में ही होती है, बहोत कम ही या कहे न के बराबर bikes की कीमत करोडो में होती है. इसलिए Dodge Tomahawk bike कुछ ख़ास है. आईये जानते है इस बाइक से जुड़े कुछ Interesting facts.
इस बाइक की इतनी स्पीड है कि आप लोग सोचने पर मजबूर हो जाते हैं कि दौड़ रही है या उड़ रही है. दुनिया की सबसे तेज बाइक का ताज इसके सिर है. यह सुपरबाइक 672 किलोमीटर प्रति घंटे की स्पीड से दौड़ सकती है. जो कि हैरान कर देने वाला है. इस बाइक को 15 साल पहले non-street legal concept के तौर पर मार्केट में पेश किया गया था.
Dodge Tomahawk नाम की इस सुपरबाइक को 2003 में North America के इंटरनेशनल ऑटो शो में पेश किया गया. जहां इसके डिजाइन को लेकर यह काफी पसंद की गई थी. Dodge Tomahawk में 4 wheels है, दो आगे और दो पीछे दिए गए हैं.
Dodge Tomahawk सुपरबाइक 2 सेकेंड से भी कम में 0 से 60 किलोमीटर प्रति घंटे की speed लेती है. बाइक में 8.3 लीटर वाला वी-10 SRT VIPER इंजन लगा है जो इसे 500 एचपी की पावर देता है. यह सुपरबाइक 712 nm और 4200 rpm का torque जनरेट करती है.
इस बाइक की कीमत करीब 35 करोड़ रुपये है . इसलिए इसे खरीदना हर एक इंसान के लिए पॉसिबल भी नहीं है. आपको इस बारे में जानकर shock लगेगा कि इसे सिर्फ दुनियाभर में 9 ही लोगों ने खरीदा है.
तो यह थे Dodge Tomahawk सुपरबाइक के बारे में कुछ Interesting Facts
Script by – Shamanand Tayde
Also Read: Special Court grants bail to ex-Home Minister Anil Deshmukh’s son in money laundering case
Mannat se guzar raha tha, toh ek mannat maang li: Ayushmann Khurrana
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