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Facilities & Services ...

 

1. WHO ARE OUR PATIENTS :-

  1. Bengali middle class, some time higher middle class also.
  2. Frustrated patients, who have been treated several times in several institutions with failures, Operated for 3 to 12 times, ultimately accepting a defect.
  3. 85% of our patient have had previous surgery elsewhere, before coming to us. Our treatment is cost – effective, covering different status of people. Our patients are usually referred by other patients who were treated here and that’s how this institution has grown up.

          We have more or less three fourth of our beds filled up. Some times into the extent of no vacancies, when we had to arrange some way to accommodate the patients who were in extreme need. Our Surgeons work together to give the best possible result to the patients coming in the emergency. We have two Specialist Surgeons who are Orthopaedic Plastic Surgeon. They don’t do routine Plastic Surgery, but the Orthopaedic related Plastic Surgery is done by them. Which is rare anywhere. Orthopaedic Plastic Surgeon, are the best in dealing with severe open injuries (Compound Fractures with very little chance of recovery of the limb). We control the infection by debridement, which takes long time. Long time means long expenditure, because every hour counts & expenses increases in the Operation Theatre for the light, instruments & the working staff.

We try our best not to amputate or sacrifice a part of a limb if it can be saved.

2. NEED BASED TREATMENT ON EVIDENCE BASED KNOWLEDGE :-
          Our main object depends on Need Based Treatment on Evidence Based Knowledge. Our main object is to treat our patients that means patients in our country, in our society and also more so in our province, in the middle class depending on their need to make them revive and thrive on their own setup, to achieve their need of life and expectancy. A treatment for a Farmer or a Rickshaw Puller or acycle rickshaw or a Taxi Driver is not the same. They all have different needs, so we here we take care of the richest of the people with most modern costly treatment & also the people who are economically handicapped, who can’t afford the costly glittering treatment, but we treat them to make   them active in their own way to earn living & to save the family, according their need, determined by our thoughtful specialists trained and imbibed by the old chief.

3. EMERGENCY :-
          Works 24hrs in a special set up, ready to take care of three (3) patients at a time by a team of nurses, Doctors (RMO’s, DNB’s, Registers) with 24hrs X-ray department, Pathology department and operative interference in O.T. Intensive care as necessary to take care of the   patients. During immediate assessment of Anasthesists, Orthopaedic Plastic Surgeons, general or other specialists are informed and called for interference, to get the best result by earliest   action (Hitting the Rod, when it is Red). EVERY THING IS NEED BASED AND COST EFFECTIVE. CHARGES ARE DECIDED ON THE MAGNITUDE OF INTERFERANCE, TIME TAKEN O.T EXPENSES + DOCTORS (CONSOLISATED NO INDIVIDUAL FEES).

4. Intensive Care :-
         Intensive care includes Nurses, Ventilators, Syringe pump, doctors, Cardiologist, and Intensive care specialist. Intensive care specialist with ventilators, syringe pumps etc as per requirement of any Intensive care, special beds for easy movement of all parts of the bed.Intensive Care unit is divided in to two 1) ICU, ICCU, ITU and 2) HDU

  1. ICU + ICCU+ ITU : All critically ill patients either due to coronary disease, or due to any condition where intensive care is necessary. Intensive Trauma, Poly Trauma means (Multiple Fractures + injury to the vital organs) will be admitted in that unit ICU and ITU.

  2. HDU : High Dependency Unit are meant for the patients who are less ill, i.e. After the critically ill patients are stabilized in the ICU or after major post operative patients who needs constant observation and management, or any injured patient who may develop a critical situation, will be kept in the HDU. Any Multiple Trauma patient who will need constant care for the Oxygen tention, fluid balance and other necessary observation continuasly will    be admitted in the HDU. From the HDU after the patients are stabilized will be sent to the respective ward or cabins, whatever is the patients choice, according to the economy of the patient.
             
    We have a group of specialists who are well qualified to manage these patients and bring back to life to them. For the routine service, patients do not have to pay ay extra charges.

5. Paediatric Orthopaedics :-
          Congenital defects are those which are present since the birth of the child. As for example defect in the feet – Talipes equinovarus, Leg deformities, knee deformities, hip deformities, spine deformities and deformities of other joints and absence of fingers and the limb partially or complete absence of limb. Acquired deformities means deformities that has develop in a normal child due to injury, infection or defect in the brain with spasticity and paralysis due to poliomyelitis and many others kinds of defects. Treatments are different for all different conditions, Doctors may start soft tissue manipulation to surgery for soft tissues or bones or nerve or interferences for repair of vascular and nerve or muscle transfer and many other ways for treating those deformities by the specialist surgeons. Spastic Children are not to be neglected. They are not supposed to wait dill the age of growth is completed. They can be treated as early as possible to render the best of treatment. The muscular imbalance can be treated by nerve blocks and also by botox injections which is very costly, but nerve block is quite cheap and available to the common people. We have a separate project of treating the spastic children and adults also.

6. JOINT REPLACEMENT :–
          We have there (3) Units, who does this sophisticated treatment successfully according to the need of the patient. It is the talk of the day because most of the hospitals with specialists who are proud of their techniques, ask the patients for Joint  Replacements. We in this institution also do Joint Replacements of the Knees, Hips, Elbows & shoulders according to the need of the patients. It depends upon the economy of the patient, activity of the patient & need of the patient in the family and society. We also do the joint replacements to improve the quality of life with affordable price. But we treat them, notdepending on the X-rays, but depending of the patients disability and pain. There are also several methods of conservative treatment of joint for arthritis of deferent kinds which can be treated for the whole life or even for many years to wait for the Joint Replacement in younger age groups. There are surgeries which are also well recognized in advanced countries also where Joint Replacement can be avoided. This is being practiced in this Institution. Joint Replacement is absolutely necessary for the patients knee, hip etc. for an active person who needs to have a painless, mobile active life, even for 10 to 20 years or may be more, for any body at any age according to the need of the patient. We have 3 units for Joint Replacement, with excellent results, with long follow up. If a costly imported implant is used, the approximate cost is Rs.1.5 lack. If a less costly national implant is used, for our economically handicapped community will be Rs. 70 to 80 thousand. Because the implant is less costly, one should not have the idea that the result will be any less by the less costly implant. Hence the doctor can suggest what implant is good enough for each patient.

7. JOINT STIFFNESS & DEFORMITY UNIT :-
          We have one Master Surgeons for treating the Joint Stiffness, particularly the knee, elbow & the shoulders. Any kind stiffness is dealt with, where the routine Joint Replacement for the hip & knee is not done. Mild Joint Stiffness & Deformity can be treated by Arthroscopy or little more stiffness can be treated by Periarticular releasing of the Joint, but severe Stiffness sometimes can be so severe, that the extensive surgery is necessary to release the Joints, to get back the active moments of the jointly the patients to achieve as much movement of the joint, to have more or less normal function, i.e. the functional movement of the Joint

8. TRAUMA & FRACTURE WITH COMPLICATIONS :-
          Fracture & Dislocation of any Joint (Trauma). Trauma can be very minor, usually can happens at home in the toilet, bathroom, is in bed or fall from the bed or any small injuries after can involve certain bones & certain joints. Most common fractures that we treat in this institution   are, Fracture neck of the Femur & other fracture around the shaft of the femur, distal end of the femur proximal knee joint involving knee joint, proximal tibia shaft distal tibia, Proximal Humerus that means shoulder or elbow, wrist all are very common fractures due to minor injuries from fall or low impact. Fracture neck of the femur & proximal Humerus fracture treatment the shoulder fracture, hip fracture, spine fracture due minor injuries are usually of the age groups of 60-90 years of age. They are to be treated because as long they are alive they must have pain less movement & life, they should be able to work and make the life easy and     effective. These are set type of fractures with classification, with set type of treatment according to the classification which treated here, High impact injuries due to Road Traffic Accidents are different. But the road traffic accident are high impact accident that means injury due to collision between the vehicles. They are relatively in extremely emergency cases to be taken to the emergency carefully not to injure to the patients on the way and admit the patients in an emergency these are the cases where it is difficult to manage, because the fractures dislocations can be without any injury to the skin or a small injury to the skin with extensive injury to the muscle bones, nerves and vessel and we take real good care, proper care by a group of surgeons, are dedicated to treated these cases. Another group in our series are neglected fractures. Neglected means not neglected by the Surgeons but due to many reasons many factors, when the treatment pattern fails and fails repeatedly they need a careful treatment, a thoughtful treatment, to get a recovery.

         

9. SPINE :-
          There are 4 types of spine patients who comes to us,

  1. Pain in the Back
    * Low Back Pain.
    * Low Back Pain going to the legs.
    * Upper Back Pain.
    * Whole Back Pain including neck.
    * Trauma, fracture of spine or injury to the ligaments around the spine.

  2. Spine, Trauma (Injuries)
    * Pain, back pain.
    * Pain & Strain of the spine.
    * Fracture of the spine, one level or multiple level.
    * Fracture involvement of the spinal cord that is Paralysis, Partial or complete.
    * Immediate within 6 hours or within 2-3 days or after long time.
    * Fracture dislocations.
             
  3. Disease and deformities of the Spine
    * Tuberculosis
    * Infection
    * Tumors
    * Scoliosis / Kyphosis
    * Spondylitis / Spondylocis
  4.          

          Many disease which are to be detected by careful examination and imaging before treatment. Disease eg. Tuberculosis of spine with or without paraplegia. Paralysis is not rare even today, particularly with resistant organism where they need special care. Other disease are infection of the spine. Eg. Tumors, Benign or Malignant that means Cancer/Sarcoma has to be detected early for proper treatment. Deformities of the Spine one are Scoliosis & the other is kyphosis means forward bending deformity of the Spine & Scoliosis means side bending with rotation of the spine. Most important for the knowledge of the people is that if it is detected early then it can be prevented. If late, the deformities become very stiff & ugly if the detection is after the growth period of the child. Now Scoliosis can be since birth due defect in the bones, defects in the spine, and growth defects in the spine or idiopathic that means the cause we do not know that develops in adolescents or the child when the deformities starts after the 10-12 years of age & for the grows incredibly or neglected spine after the growth period of time, that means the Adult Scoliosis or Old Age Scoliosis. Then the Scoliosis due to defect in the development of the back portion of the Vertebral Body with lamina & Spine. Through that defect the Spinal Cord with it’s routs & Nerve Routs & also the covering of the Spinal Cord comes out like a tumor which is seen immediately after birth & that should be taken care of by surgery, in time, can prevent many deformities & also can cure the other deformities properly. We have an Excellent Spine surgeon specially trained for spine who does all kinds of spine surgery & also spine treatment if necessary with the help of Neuro-Surgeons & Plastic Surgeons even a General Surgeon if necessary. We diagnose the case first & then we treat. Preferably, conservatively or by adequate surgery because the spine surgeon is helped by the other group of surgeons if necessary. We are fortunate to have a mixed specialist in Trauma & Orthopaedics under the same roof to give the treatment with their best possible availability.

10. ARTHROSCOPY :-      
          It is the method of treating Joint disease & also early stiffness & Injuries to the joint ligaments by Micro-Surgery that means by putting a scope fixed to the television & different kind of instruments through another hole. Through these surgeries these joints can be treated now a days without opening the joint to remove the defect or repair the defect or reconstruct the defect i.e. cartlen injuries, joint arthritis & reconstruction of the intrarticular ligaments (that means ligaments inside the joints.) They are often injured by sports or by certain injuries apparently like a minor injury, but can give a disability in the long run. It has been evolved & expanded as to main treatment because it is cost effective, patient stay in the hospital is minimum and usual post operative demand and long time inactivity from work can be avoided by Arthroscopy. The Arthroscopy is the present day concept for treating many joints by Special Arthroscopies so that we can relieve the patients from their agony. We have three Arthroscopists in our institution to suite the time & availability with excellent results.

11. ADULT FOOT SUGERY + RECONSTRUCTIVE SURGERY :-
          I have an adult foot surgeon. If adults if the defects are not corrected during childhood develops secondary changes with painful feets with this treatment. They are many deformities and disease that develop old age people for neurological or muscular defect. Vascular, Diabetic and old age compromise of the muscle tendon, Corns and Callosities with painful feet are not uncommon. Their address by couple of surgeons trained specially to        this case.

12. HAND SURGERY :-

13. FACIO MAXILLARY SURGERY:-

14. PHYSICAL MEDICINE & PHYSIOTHERAPY :-
          The physical medicine and Physiotherapy unit is run by four physical therapist. Who are trained to work on this problem, for the success in post operative patients of joint mobility, relief of pain, depends on our fully trained qualified physical medicine people who treats the patients according to the need of the patient guided by the Orthopaedic Surgeons.

15. PAIN CLINIC :-

          We have a pain clinic headed by a qualified Anesthesiologist who treats the back pain referred by the Orthopaedic Surgeons & physicians. Where interference by a group of specialists, to relieve the pain by minimal interference by injections, by giving medicines into the spinal canal, by removing adhesions & other specific conditions without opening the spines & also the other joints. That is a specialty which has come up successfully nearly more than a decade which we undertake in our hospital once a week to treat the handicapped patient where specific treatment by us by the Orthopaedic Surgeons can’t cure them. So we also have a pain clinic by previous appointment once a week.

16. Why we are no.1 :-
We are a 16 years old institution, young with a vision for perfection and manifestation.
  1. It does not glitter, like old gold but solid as a steel.
  2. One and only one orthopaedic institution with trauma care, particularly neglected trauma hospital, in the East.
  3. One and only one orthopaedic hospital for our middleclass with additional hospitality after admission, if necessary.
  4. 85% of our patients have already been treated elsewhere, we try to pull them up from frustration.
  5. We try to solve unsolvable problems by need based treatment for our people without depending on the west.
  6. No surgery is performed by one specialist alone, at least 2 or 3 Surgeons do the job together (unique).
  7. 3 O.T. with two anasthesist.
  8. Our motto -
    Cost effective, need based, evidence based treatment and management of our middle class people to put them back to earn food for the family.
  9. Surgery is not the only way - need based alternative, non surgical, home based management is also necessary and done.
  10. We are based on - quality, safety and from the patients experience and outcome.
  11. We are a teaching institution, accredited by the national board, New Delhi for DNB in orthopaedics. We are linked with WBOA, IOA, and SICOT (International).
  12. We do clinical research and publication of original thesis work perfomed in this hospital.
  13. Record keeping for our indoor patients in details with a data base specially made by Dr. Bhattacharyya for BORRC, with retreavable key words (International).
  14. Patient awareness program – We educate people in our OPD for different Orthopaedic problems, physical fitness, deseases and drugs related to bones and complications.
  15. EMERGENCY – TRAUMA care after accidents with compassionate all out effort to save the life, and then the limb, as per international rules, with a backup of Doctors, Specialists, Nurses, Assistants, Digital X-Rays, ECG, Cardiac Monitoring. Then admission in intensive care and lastly definitive care by specialist Orthopaedic consultants, top level physicians, intensive care specialists, top level Anaesthesiologists with minimum expenditure compared to others.
  16. WELCOME AND VISIT US – A HOSPITAL IN A VILLAGE RESORT WITH GARDEN, TANK & PADDY FIELD, A HIGHWAY TO BE MADE BY THE GOVT. HIGHWAY VERY SOON TO EASE THE APPROACH, A FIVESTATR TREATMENT WITH NO STAR APPEARANCE (GLITTERING), FOR THE FRAUSTRATED PATIEBTSWITH MORDERN EQUIPEMENT & NEED BASED MANAGEMENT.
DON’T YOU THINK WE DESERVE TO BE NO – 1?

17.  WHAT IS NEW :-
THIS IS OUR OBJECT NOW.

  1. ONE AIR CONDITIONED FLOOR AT THE 2ND FLOOR OF THE NEW WARD WITH LIFT AND OX.
  2. TWO FLOORS FOR CENTRE FOR ADVANCE ORTHOPAEDICS / JOINT REPLACEMENT AND SPINE FULLY AIR CONDITIONED WITH MODERN TECHNOLOGY, STERILE ATMOSPHERE AND O.T. PATIENT MAY CHOOSE ANY SURGEON IN INDIA OR ABROAD TO PERFORM SURGERY (COST HAS TO BE BORNE: BY THE PATIENT).
 
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