Sunday, 24 June 2018 | By Dr. Manish Meswani, CTVS surgeon & Specialist in Fast Track CABG| Max Super Speciality Hospital | Dehradun–
“I can’t help you,” said the chemist. Gyan Chand Sharma (named changed), 64 was taken aback when he heard this from his local chemist. He was driving back home when all of a sudden he experienced suffocation and uneasiness, and headed towards his chemist for medications.
“I was coming back home all alone after dropping my wife at a sagai function. Suddenly, I experienced suffocation which was unexplainable,” said Sharma, a retired commandant.
He was immediately shifted to a local hospital where he was diagnosed to have suffered a major heart attack (known as myocardial infarction).
Sharma remembers receiving subtle indications from his body days ago. “A month before, I started feeling tired and exhausted while taking a morning stroll which was an unusual thing for me to happen. In another instance, I felt very bad on experiencing uneasiness and loss of breath while taking the stairs. I didn’t care for it and avoided giving it a thought.”
He further mentioned, “I had never thought it would explode to such a situation.”
Looking at the poor heart function, he was shifted to Max Super Speciality Hospital, Dehradun and was put under the care of Dr. Manish Meswani, Cardio Thoracic surgery.
Angiography reports revealed he had a Triple vessel Disease meaning he had 3 major blockages in Coronary Arteries. With a Cardiac function of 15-20%, he was a high risk case but was operated upon by Dr. Manish Meswani who did his bypass surgery.
“Chances for his survival were low,” as Dr. Meswani recollects. “The high risk nature of the surgery was discussed with his Wife and other family members, who agreed to take the plunge.”
The patient underwent Fast Track Byepass Surgery and the outcome was positive. Mr. Sharma was discharged to home on the third day.
Explaining about Fast Track CABG (Coronary Artery Bypass Grafting) Dr Meswani said, “It is a simple straightforward procedure. ‘Fast track’ CABG is more of logistic exercise that starts right when you first see the patient. The team reinforced positivity, assuring the patient of best possible medical outcome with a good quality life. With a cohesive team of experts and anesthetists we make the same conventional procedure a fast track one.”
The doctor also highlighted the advantages of surgery and its long term success by explicating, “The very major advantage is that average hospital stay comes down to 3-4 days for all patients when compared to 8 days or more in conventional ones.”
Mr Sharma beaming with joy said “I am going much earlier than expected and in full health. What more can a patient ask for.” Sharma was discharged after 4th day from the hospital.
Sharma, retired as the Commandant in Border Security Force, proved that his heart is as brave as he is. With a strong willpower, he overcame a major event.
He dedicates one hour daily in exercising and leads quite an active and healthy life.
One more life saved.
Dr. Manish Meswani is a CTVS surgeon of vast experience. He specializes in CABG; redo CABG fast track bypass surgery (discharge on 3rd day) and MICAS (Minimally Invasive CABG, Vascular surgery. His mortality rate for cardiac surgery is 1.3%.