CHURCH
OF SOUTH INDIA HOSPITAL
(Karnataka Central Diocese)
No.2, Hazarat Kambal Posh Road,
Bangalore 560
051
(For private circulation only)
No.7. September 2003
The kind of fasting I want is this: Remove the chains of oppression and
the yoke of injustice, and let the oppressed go free. Share your food with
the hungry and open your home to the homeless poor. Give clothes to those
who have to wear, do not refuse to help your own relatives. - Isaiah 58:6
Boys Hostel - Mr. Kersome and students.
YFC
Tutors
Doctors
Monday to Friday - 6:45am – For students
Saturday - 8:30am
Sunday - 6:00pm
Mrs.Valliammal, joined the Church of South India Hospital , Bangalore in 1975 as an ayah. She has 3 children. We wish her a happy and blessed retired life.
We welcome the following persons to the CSI H family
Dr.Manjunatha .M.M. Senior House Officer, Department Paediatrics, joins us after completing his MBBS at BLDEA Medical College, Bijapur.
Mr.Jerred Eisonower, Dialysis Technician, Dialysis Unit, joins us after completion of his training from Christian Medical College and Hospital, Vellore
Email address: csihospitalblr@vsnl.net
Department of Urology
A free camp for BPH (Benign Prostatic Enlargement) was held on August 17, 2003. Twenty-three patients were screened.
Department of Obstetrics and Gynaecology and Department of Orthopaedics:
A free Bone Mineral Density Camp for screening and detecting Osteoporosis, was held on August 20, 2003. Over a hundred people were screened and advised by the doctors on prevention and treatment. Our thanks to Ranbaxy for the use of the machine and their representatives Mr.Godson Placid, Field Sales Officer and Mr.S.K.Srinivas, District Manager.
From
the world of medicine
DEPARTMENT OF ENT
Snoring is a commonly heard sound
in the night when the whole world is asleep. For some of us it is a
disturbance, for some it is fun to
hear and laugh but for the one who is snoring, little do they know that it is
harmful to them. This is due to a medical condition called Apnoea or
loss of breath, which lasts for about 10 seconds or longer, occurring
more than 5 times during an hour of deep sleep. Obstructive Sleep Apnoea (OSA)
occurs due to the narrowing of the air passage between the soft palate and upper
end of the epiglottis. Complete narrowing causes apnoea ( loss of breath)
and partial obstruction causes snoring. This is due to obesity secondary
to excess intake of fatty oily
food, alcohol and lack of physical
exercise, all of which relate to the present day life style. It is the most
common cause in 1% of normal population and 5% of the asymptomatic population. In children it is due to
Hypertrophied Adenoids and less commonly Mandibular Abnormalities.
Symptoms: More than 60% present with loud snoring, excessive sleepiness in the daytime, feeling of choking, shortness of breath, restlessness, drowsiness, frequent change in posture while at sleep and frequent passing of urine at night. Less common in some, who have morning headaches, apnoec spells and night sweats
Consequence of OSA: Irresistible sleep while talking, driving, eating, feeling of sleepiness even after a good night sleep.
Investigations: Visual observation - frustrated struggle during inspiration(breathing in) often associated with noisy breathing with variable arousals. Pulse oximetry - monitoring of oxygen saturation while at sleep. Polysomnography - This is a gold standard test wherein the EEG, Muscle movements, Eye movements, Leg movements, Oxygen Saturation, ECG, Heart rate, Respirator rate, Blood pressure and Pulse are measured in an over night sleep.
Treatment of OSA: Avoidance of alcohol, sedatives and fatty food. Weight reduction exercises and mandibular advancement devices could be used. Continuous Positive Airway Pressure (CPAP) is used by a fan pump, which is delivered through a nasal mask. This is a pneumatic pump, which literally blows open the pharynx to allow unobstructed breathing. The surgical management is Uvelovelopharyngoplasty (UVPP) with the help of cautery or laser. The latest method is fibrosing the soft palate with Radio Frequency Probe at different settings. The other surgeries are Mandible Advancement Surgery wherein an airway is created in the pharynx.
The Bible tells of David
singing “God gives His beloved good sleep” The thought is how many of us
enjoy the “good sleep” or have a disturbed sleep due to noisy breathing –
snoring. This is an easily solvable
problem with medical and surgical intervention, which is easily
available.
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