Diagnostic



 



 

EEG



We are glad to inform you that now we have the facility of 32channel Digital Electroencephalogram in our hospital


What is EEG?


EEG (Electroencephalography) is the recording of electrical activity of brain measured by 10-20 International system of electrode application.


What is the difference between CT Scan and EEG?


CT Scan shows the Structural position of brain and EEG shows Function of the Brain.


What does the EEG measure?


EEG measures Electro Potential Difference between any two points, which is measured by 10-20 International system of electrode application on the skull.


What are the precautions required before the EEG test?




  • Patient’s hair should be washed with shampoo & dry & free from oil on the day of the test.

  • No fasting is required.

  • Children below 16 years of age should be awake for 8-10 hours before the test



When is EEG test required?


EEG test is required in the following cases : Headache, Migraine, Vertigo, Epilepsy or Convulsion, Involuntary Movements, Brain Tumor, TIA, Head injury with vomiting, Convulsion with fever or some jerks (For small children); Delayed cries at birth or Hypocalcimic attacks or Breath holding spells (For newborn or neonates).


Is the procedure painful?


No, it is a painless procedure


We do the reporting of Pediatric & Adult EEG patients separately.




  • Nerve Conduction study (NCS)

  • Electromyogram (EMG)

  • Video Electroencephalogram(Video EEG)

  • Evoked Potential Studies

  • Repetitive Nerve Stimulation

  • Botox treatment in neurological disorders (EMG Guided)




 



 

Radiology



Department of Imaging (Radiology/Sonology) is one of the most important diagnostic departments.This department is equipped to provide simple services such as X-Ray and Ultra Sonography to highly specialized services such as CT Scan, Mammography, 2D Echo and Color Doppler.


Radiologists are available throughout the day to manage the department of radiology. It is well equipped with various high standard imaging equipment.


X-Ray:


Bhaktivedanta Hospital is equipped with 300 mA GE X-Ray machine with fluoroscopy. It has also got a 60 mA & High Frequency portable X-Ray machine. This is mainly used for critically ill patients for bed-side X-Ray facility. It is also used for intra-operation X-Rays.


Colour Doppler and Sonography:


Philips HD 11 XE colour Doppler is state of art high quality sonography and color Doppler machine. It is equipped with four transducers including high frequency linear, convex, intro-vaginal as well as volume probe (4D).


2DEcho:


Philips HD 11 XE 2D Echo with five transducers. This machine has adult as well as pediatric cardiac transducers, convex and introcavitatory transducers. It has general radiological as well as cardiac applications.


CT Scan:


Multi Slice Spiral CT Scan from Siemens called Somatom Sensation 4 with features of :


- 3D CT / CT Angiography / HRCT / CT guided procedures like Biopsies, FNAC, drainage catheter injection, tapping / Tripple phase CT / CT KUB / CTIVP / CT Fistulography / Whole Body CT with contrast, sagittal & coronal images.


ROUND THE CLOCK EMERGENCY SERVICES ARE AVAILABLE IN X-RAY, SONOGRAPHY & CT SCAN



 



 

PFT & Bronchoscopy



Pulmonary function testing is an accurate & objective way to diagnose and measure the severity of wide range of pulmonary disorders.


How to do it?


Person inhales & exhales forcefully through a mouthpiece that is attached to spirometer. This enables pulmonologist to evaluate various lung functions in a form of lung volumes and respiratory flow rates.


Indications




  • Unexplained recurrent cough with or without cold.

  • Lung function assessment for current & ex-smokers

  • Diagnosis & monitoring of Asthma, Reactive Airway Disease, COPD, Interstitial Lung Disease (ILD), Occupational Lung diseases and chest cage deformity.

  • Pre-operative risk assessment tool for major thoracic & abdominal surgeries.



Sleep Study (Polysomnography)


Sleep study (Polysomnography) is a very advanced & promising diagnostic test that provides objective evaluation of your sleep. Sleep study records your brain waves (EEG), heartbeats (ECG) and breathing as you sleep. It also charts your eye movements (EOG), limb movements and oxygen (SpO2) in your blood. This data helps your doctor make a diagnosis and develop a treatment plan for various sleep disorders.


Indications




  • Snoring, excessive daytime sleepiness, choking or pauses in breathing while sleeping, morning headache, dry mouth at wake-up can be signals of Sleep Disordered Breathing in Obstructive Sleep Apnea (OSA), Obesity Hypoventilation Syndrome (OHS) and Upper Airway Resistance Syndrome (UARS).

  • Sleep apnea should be ruled out in case of sub-optimal control of Hypertension, Diabetes, Cerebro-vascular accidents, cardiac arrhythmias, Asthma, COPD and severe Pulmonary Hypertension in spite of optimal medical management.

  • Evaluate abnormal behaviors during sleep due to parasomnias

  • Diagnose narcolepsy or hypersomnia along with the MSLT

  • Diagnose sleep related epilepsy



BhaktiVedanta Hospital & Research Institute is equipped with state of art Video Polysomnography lab for Level 1 Diagnostic/Titration/Split Night sleep studies.


Dr. Ajay Godse has been trained at Emory Sleep Center, Atlanta, GA, USA and completed International Fellowship in Sleep Medicine awarded by American Academy of Sleep Medicine (AASM).


TYPES OF SLEEP STUDY




  • An in-lab sleep study (Polysomnography/Level 1) provides the most complete evaluation (Gold Standard) of your sleep. This type of sleep study requires you to stay overnight in sleep lab.

  • Portable home sleep study devices (Level 3 & 4) record limited parameters and are used for screening of isolated Obstructive Sleep Apnea.


You should not have portable sleep study (without EEG) if



  • You have certain medical conditions including pulmonary, cardiac, neuromuscular and other sleep co-morbidities.

  • The physician suspects you may have another sleep disorder.



In such cases, comprehensive an in-lab sleep study is appropriate.


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WHY A SLEEP STUDY?




  • Test for sleep-related breathing disorders including sleep apnea

  • Evaluate abnormal behaviors during sleep due to parasomnias

  • Diagnose narcolepsy or hypersomnia along with the MSLT

  • Diagnose sleep related epilepsy

  • Titrate or calibrate the levels of continuous positive airway pressure in patients who receive CPAP therapy for sleep related breathing disorders

  • Determine why treatment for a sleep disorder is not working.



WHAT IS OBSTRUCTIVE SLEEP APNEA (OSA)?


It is a common and serious sleep disorder that causes you stop breathing during sleep. An apnea, or temporary pause in breathing, is caused by the tissue in the back of the throat collapsing.


Urology Hospitals in Mumbai


The muscles of the upper airway relax when you fall asleep. If you sleep on your back, gravity can cause the tongue to fall back. This narrows the airway, which reduces the amount of air that can reach your lungs. When this happens, you may snore loudly or making choking noises as you try to breathe. Your brain and body becomes oxygen deprived and you may wake up. This may happen a few times a night, or in more severe cases, several hundred times a night.


Sleep apnea can make you wake up in the morning feeling tired or un-refreshed even though you have had a full night of sleep. During the day, you may feel fatigued, have difficulty concentrating or you may even unintentionally fall asleep. This is because your body is waking up numerous times throughout the night, even though you might not be conscious of each awakening.


The lack of oxygen your body receives can have negative long-term consequences for your health. This includes:




  • High blood pressure

  • Heart disease

  • Stroke

  • Pre-diabetes and diabetes

  • Depression

  • Kidney disease (ESRD/CRF)



PREPARATION FOR SLEEP STUDY


On the day of your in-lab sleep study, you should




  • Try to follow your regular routine as much as possible

  • Avoid napping

  • Eliminate use of tea/coffee after lunch

  • Shower or avoid using hair sprays or gels that can interfere with the sleep recording

  • Take your regular medications as usual.

  • When you arrive, a sleep technologist will ask about your sleep habits. There may be a pre-sleep questionnaire for you to fill out

  • There will not be any other patients in your room. You will have a bathroom available to use. You can sleep in your regular comfortable pajamas or clothes



HOW IS A SLEEP STUDY DONE?


A sleep technologist will attach sensors to your body. The sensors, which are glued or taped to you, monitor your body while you sleep. These sensors are painless. The sensors measure your brain waves, chin muscle activity, heart rate, breathing, oxygen levels, and leg movements.


The wires are long enough to let you move around and turn over in bed. At the start of the test, you will be asked to move your eyes, clench your teeth and move your legs. This will make sure that the sensors are working.


Many patients do not sleep as well as they would at home. Occasionally, you may be prescribed medication to help you sleep during the in-lab sleep study. This typically does not affect the results. Nearly everyone falls asleep during an in-lab study.


In the morning, you may be asked to fill out a morning questionnaire that asks about the quality of your sleep. The in-lab study is complete once you are awake and the sensors have been removed.


WHAT IS A PLAN AFTER A SLEEP STUDY?


A sleep technologist will first score your sleep study by marking your sleep stages and identifying any events of abnormal breathing or leg movement. The trained sleep physician will then review the results to determine what kind of sleep problem you may have


If you are diagnosed with sleep apnea, next step is ‘Titration’ study. During CPAP titration, the goal is to find the right amount of air pressure through a mask you wear while you sleep, to prevent your upper airway from collapsing. This will eliminate the breathing pauses caused by sleep apnea, so you will no longer snore or make choking noises in your sleep. You will be able to sleep through the night without your body waking up from lack of oxygen.


WHAT IS A ‘SPLIT NIGHT’ SLEEP STUDY?


A ‘Split Night’ sleep study (initial diagnostic PSG followed by CPAP titration on the same night) can be performed for moderate & severe OSA (AHI > 20 documented in first 2 hours of diagnostic study) supported by clinical judgment.


CONTINUOUS POSITIVE AIRWAY PRESSURE


Continuous positive airway pressure (CPAP) is the frontline treatment for obstructive sleep apnea and recommended for all cases. CPAP is a lifestyle change. It works best when used every night, for the whole time you are sleeping. You should also use CPAP when you are napping.


SLEEP APNEA TREATMENT – HEALTH RISK PREVENTION


CPAP can prevent or reverse serious consequences of Obstructive Sleep Apnea. The consistent treatment can give you many health benefits




  • reduce your risk of heart disease

  • reduce your risk of stroke

  • can improve insulin sensitivity

  • help you become a safer driver by reducing your daytime fatigue

  • can restore your normal sleep pattern

  • improve your ability to think, concentrate and make decisions

  • reduce or eliminate the sound of your snoring

  • can reduce medical expenses (treating complications of un-treated sleep apnea), even when you factor in the cost of CPAP



Oral appliance therapy & upper airway surgery may be a part of the treatment plan for few patients (with mild sleep apnea) who cannot tolerate wearing a CPAP mask.


For further information
Visit: www.sleepeducation.com



 



 

Pathology



Cancer Hospital in Mumbai


BhaktiVedanta hospital in collaboration with SRL Diagnostics-Dr.AvinashPhadke’s Lab is an ISO certified, 24 hrs day and night fully automated state-of-the-art pathology laboratory. Our lab is amongst the first hospital based lab to apply for NABH accreditation. This lab is managed by 2 experienced, trained, full time MD pathologists.


Our lab covers an extensive tests menu comprising of Hematology, Biochemistry, Serology&Immunology. The lab also provides high end Mcirobiology tests like Genexpert, MGIT, Bac’T’ Alert and also has a experienced team of histopathologists like Dr.Anita Borges, Dr.AvinashPhadke, Dr.Mangala Sinha, Dr.Jaya Deshpande. We also have a NABL accredited backup of our main branch situated at Dadar,Shivaji park. The laboratory established in 1965 has been doing Pathology investigations, biochemistry tests, Histopathology Examinations, specialized immunoassay tests like Thyroid Tests, Reproductive Hormone assays, Tumour Markers, Drug Assays, Hepatitis Markers, infertility tests and Immunofluorescence tests since the last 49 years.


Our laboratory also provides facility of phlebotomy i.e blood collection at home at a nominal cost. We also mail the reports to the patients. Our world-class diagnostic facilities will arrive right at your doorstep on time. With this you can avoid wasting your precious time to travel through traffic jams of our city. Also for elderly patients & people with disabilities, this can prove invaluable.


HOME VISIT FACILITIY IS AVAILABLE FOR BLOOD COLLECTION
FROM 8.00AM TO 2.00PM.
PLEASE CONTACT :Mr.AmolSonawane 9773486384 / 8879241322


 



 

Mammography



Overview


Breast Cancer is one of the commonest malignancies afflicting women. It is currently estimated that one in 14 of all female children born will develop breast cancer in life time. Breast Cancer is generally curable if diagnosed and treated in its early stages. Breast changes occur in almost all women. In fact, most of these changes are not cancer, but only a doctor can know for sure. Breast changes can also happen monthly, due to menstrual period. A mammogram allows the doctor to have a closer look for changes in breast tissue that cannot be felt during a breast examination. Women are hundred times more likely to have breast cancer as compared to men.




  • Unusual swelling of all or one specific part of the breast.

  • Lump in underarm area

  • Continuous skin irritation or dimpling

  • An unusual discharge from the nipple other than breast milk.

  • Persisting pain in breast.

  • Inflammation or thickening of the nipple or breast skin.

  • Persisting nipple pain or inversion of nipple.



Breast Cancer Prevention:




  • Restricted alcohol consumption

  • Regular exercise

  • Avoiding unnecessary consumption of antibiotics



What is the best method of detecting breast cancer as early as possible?


A high quality mammogram plus a clinical breast exam, an exam done by your doctor, is the most effective way to detect breast cancer early. Finding breast cancer early greatly improves a woman's chances for successful treatment.


How should I prepare?


Before scheduling a mammogram, the American Cancer Society (ACS) and other specialty organizations recommended that you discuss any new findings or problems in your breasts with your doctor. In addition, inform your doctor of any prior surgeries, hormone use, and family or personal history of breast cancer.


Do not schedule your mammogram for the week before your period if your breasts are usually tender during this time. The best time for a mammogram is one week following your period. Always inform your doctor or x-ray technologist if there is any possibility that you are pregnant.


Do not wear deodorant, talcum powder or lotion under your arms or on your breasts on the day of the exam. These can appear on the mammogram as calcium spots.


If possible, obtain prior mammograms and make them available to the radiologist at the time of the current exam. Ask when your results are normal if you do not hear from your doctor or the mammography facility.


Who interprets the results and how do I get them?


At Bhaktivedanta Hospital we have expert radiologist & physician specifically trained to supervise and interpret radiology examinations. You will also be notified of the results by the mammography facility.


What are the benefits?


Imaging of the breast improves a physician's ability to detect small tumors. When cancers are small, the woman has more treatment options and a cure is more likely.


FACILITIES AT BHAKTIVEDANTA HOSPITAL




  • Full fledged team of Cancer Specialists trained at TATA MEMORIAL HOSPITAL and abroad.

  • All major Cancer Surgeries are done. All type of Chemotherapy given by experts with modern equipments.

  • All diagnostic tests like Mammography, Biopsy, Endoscopy and Pap smear are available.

  • All these facilities are at very concessional rates.