For Naz Begum, 50 yrs old, resident of Darbhanga, it is another chance at life. Just 15 days ago she was wheeled in the emergency department with a faint heart beat and loss of consciousness. But today she is not just beaming happiness, she has an aura of gratitude around her. ” I don’t remember what happened to me. In the faint spells of consciousness, I only remember witnessing a team of excited and alert doctors around me. Their presence reassured me and I felt secured. ” shares Naz.
Around 2 days before the nerve wrecking hospitalisation, Naz Begum started to sink, she started to have episodes of loss of consciousness accompanied with fatigue. When her anxious relatives got her to the hospital, she had a heart rate of mere 15-20. The team of doctors at Paras Darbhanga acted swiftly and shifted the patient to the cath lab for a Temporary Pacemaker procedure.
According to Dr Jyoti Karn, Consultant Cardiology , Paras Darbhanga, ” A temporary pacemaker is the best solution for patients experiencing abnormally low heart rate. A pacemaker is a small device that uses low-energy electrical pulses to prompt the heart to beat at a normal rate. Pacemakers are used to treat arrhythmias. Arrhythmias are problems with the rate or rhythm of the heartbeat. Temporary pacemaker insertion is necessary for short term treatment of a slow heart rate which is causing symptoms, such as dizziness or a drop in blood pressure. It is a small catheter with a pacing electrode on the tip which is inserted through a vessel in the groin or neck. This helps stabilise the patient vitals giving the clinicians more time.”
Dr Jyoti adds, ” In Naz Begum’s case also we performed the temporary pacemaker procedure. This procedure in Darbhanga is only done in Paras Hospital. Due to the exceptional medical expertise and infrastructure in cardiology we are the best cardiac care hospital of Mithilanchal.”
However Naz Begum’s medical conditions had more in store for the doctors at Paras. She was put on the ventilatory support as she was deeply comatose and non-responsive. In the cardiac care unit (CCU) due to long standing bradycardia she became anuric – highlighted non passage of urine. This further complicated the situation as the medical reports showed failing kidneys. Naz Begum was put on immediate dialysis and a team of cardiologists and critical care specialists were put to her assistance. Despite the critical condition, the team of doctors at Paras Darbhanga, kept their cool and demonstrated exceptional grit and determination. After 5 days to rigorous medical monitoring, Naz Begum started to respond to treatment and her vitals also stabilised. The temporary pacemaker was removed and she started to take oral diet. All vital parameter and investigations were normal. She was discharged subsequently. This case was a clear example of inter departmental coordination for clinical protocols and treatment. The team of cardiologists along with the critical care and renal sciences team coordinated together to provide the best care and treatment to the patient.
After 10 days she has come for a follow up visit,” At one point of time, I came to this hospital on a stretcher with majority of my relatives thinking that I will not live. Today I have come again to this hospital on my own, on my two feet. Thanks to Paras Darbhanga for providing me the best care. In a city such as this, we don’t have access to quality care, but think now with Paras , that gap is filled efficiently, ” shares Naz Begum.