Manasa Narayan
Hi All,
Before I start talking about Doctor J V Srinivas (ortho surgeon), let me tell my part of the story. For Dussehra holidays, I went to my hometown Mysore to stay with my parents but unfortunately, I got injured near my knee while riding the bike. After taking pain killers the pain did not subside and later I had no option other than visiting the Doctor. I took an appointment with one of the famous surgeons in Mysore and immediately after seeing me he suggested an MRI. After seeing the MRI report he told me that I have a complete ACL tear and surgery is required.
He explained to me about the surgery and post-surgery recovery period and it was very difficult for me to digest all of it as I am a very active person. Life is so unpredictable sometimes. Because of a few reasons, my inner instinct told me to get the surgery done in Bangalore. So I again searched for the best Doctors near to my place and asked my friends about the best doctors. One of my friends suggested 2 to 3 surgeons, so I took their appointment.
Here comes the Hero Dr J V Srinivas whom I met in person (consultation at Aster RV Hospital) he also told me that the surgery is must, but the positive vibes, his perspective of understanding a patient was excellent. He boosted up my confidence so much. He is a very knowledgeable person, very friendly, not a money-minded person. For any questions on WhatsApp, he is available. Hats off to him and his wonderful team for being there for me when I lost confidence and had a mindset that I am going to be on the bed for next few months according to the surgeon in Mysore.
After the surgery, it's 6 weeks now and I am back on my normal routine. With physiotherapy and Dr JV Srinivas support and guidance, this would have not been possible. He has boosted up my confidence levels and got back my smile. He made this surgery look simple and added colours back into my life. I can get back to my normal active lifestyle, dance, gym fitness. So very thankful to him. He is an asset to the hospital and for the people like me who think ACL is complicated and don't have confidence. Hats off and loads of respect to the Doctor.
I know this message looks too lengthy, but it was necessary to write about the ACL surgery and the real Hero Dr JV Srinivas.
Lots of Gratitude and Love,
Manasa Narayan
case 1:
16 yrs Hemophilia A boy, slipped and had trivial injury on his shoulder and head. His head injury went un-noticed by the patient but he had swelling in Right shoulder. He had high titre of inhibitor, that is the reason why he couldnot have specific treatment.
None could recollect about head injury. He reported in private Hospital at emergency in disorientation state( post 4 days of injury) and within 6 hours he started uttering repeated monosyllable and finally had aphasia. The CT Scan of brain revealed brain hemorrhage ( intracranial bleed with Subdural hematoma). On emergency, neurosurgeon decided to reduce the mass effect on brain by decompression osteotomy with drainage. It was a challanging state to plan for operation in the absence of recombinant Factor VII. In the joint effort of STHM and company support, worth of 5 lakhs expenditure, the 1st operation was done in one sitting. The parital scalp bone was removed and kept in abdominal fat for 2 months. After stabilization, again 2nd sitting of operation was done to replace back the scalp bone by removing from abdomen.
case 2:
A 13 yr hemophilia boy had long standing established fixed ankle deformity because of repeated joint bleed since childhood. The treatment with factor concentrate could not be opted at right time.
As he used to come from remote village. His gait became altered and gradually he was developing postural defect. He stopped going to school. With the help of physiotherapy and orthosis, his gait was apparently managed and progression of postural defect got halted. He rejoined school.
case 3:
14 yr hemophilia boy had an associated connective tissue disorder for which he had recurrent bleeding episodes in multiple joint, muscle and skin tissue. Bleed in subcutaneous tissue used to errupt the skin and gradually heal with scarification.
The best modality of treatment would have been prophylaxis to continue life long. The mother learnt to infuse her son but still unable to support because the system need to understand the basic requirement of the boy. They stay in remote village and to bring her son at least thrice or twice a week to the center for factor infusion is not possible. Now with growing age, the son is gradually detoriating. Her mother cannot carry to him to hospital in public transport and his father doesnot support.
case 4:
PWH (person with Hemophilia A ) of 23 yrs male, had hematoma in psoas muscle, which was reported as psoas abscess. Surgery was planned without getting into work up for bleeding profile. On the OT table, the abdomen was opened to drain the abscess.
But the situation lend into intractable bleed. On emergency basis, the wound was packed with guaze and he was sent to tertiary care hospital for further management. He was diagnosed with FACTOR VIII deficiency. On past history, he used to have often bleed event in the knee which was considered as rheumatoid arthritis and was treated for pain management. Now the approach was focussed on infusion of factor concentrate and was kept on ICU with nil orally for 15 days with the hope for conservative mode of healing. The modality of treatment was changed with us. First the patient was counseled for reducing his apprehension and anxiety of fear of bleeding. Then he was made to take food orally. Under the coverage of factor concentrates, the VAC was applied and he was made mobile from the next day. It was applied for 5 days. The deep cut wound was closed from within and finally stitched. On twelth day, his stitch was opened and he got discharged on 14th day.
case 5:
A PWH of 35 yrs old male, was diagnosed with knee tumor at a private nursing home and was opened up in surgery for removal of tumor mass under the coverage of plasma products.
But the knee swelling was the common complication of chronic bleed sequence. The knee joint was opened and the hypertrophied synovium was taken out and finally was closed. (It was a case reported to us but we have reported as a lesson to educate community and health professionals.)
case 6:
A 17 yrs PWH had a post traumatic non-healing ulcerated knee lesion and that was gradually worsening with increase in dimension. He was wandering from hospital to hospital during the COVID time for 2 months.
Every time he was tested for COVID and kept on admission for factor infusion, antibiotics and half hearted dressing of the wound at the government hospital with factor supply. Basic mistake was with the non-availability of diagnostic support like inhibitor screening etc. The PWH reported to us, when he was asked to go outside state for treatment. With proper dressing , a streamlined procedure of treatment with judicious use of factor concentrate, he got completely cured from non-healing ulcer of the knee within 14 days and was discharged from hospital.
Manasa Narayan
Hi All,
Before I start talking about Doctor J V Srinivas (ortho surgeon), let me tell my part of the story. For Dussehra holidays, I went to my hometown Mysore to stay with my parents but unfortunately, I got injured near my knee while riding the bike. After taking pain killers the pain did not subside and later I had no option other than visiting the Doctor. I took an appointment with one of the famous surgeons in Mysore and immediately after seeing me he suggested an MRI. After seeing the MRI report he told me that I have a complete ACL tear and surgery is required.
He explained to me about the surgery and post-surgery recovery period and it was very difficult for me to digest all of it as I am a very active person. Life is so unpredictable sometimes. Because of a few reasons, my inner instinct told me to get the surgery done in Bangalore. So I again searched for the best Doctors near to my place and asked my friends about the best doctors. One of my friends suggested 2 to 3 surgeons, so I took their appointment.
Here comes the Hero Dr J V Srinivas whom I met in person (consultation at Aster RV Hospital) he also told me that the surgery is must, but the positive vibes, his perspective of understanding a patient was excellent. He boosted up my confidence so much. He is a very knowledgeable person, very friendly, not a money-minded person. For any questions on WhatsApp, he is available. Hats off to him and his wonderful team for being there for me when I lost confidence and had a mindset that I am going to be on the bed for next few months according to the surgeon in Mysore.
After the surgery, it's 6 weeks now and I am back on my normal routine. With physiotherapy and Dr JV Srinivas support and guidance, this would have not been possible. He has boosted up my confidence levels and got back my smile. He made this surgery look simple and added colours back into my life. I can get back to my normal active lifestyle, dance, gym fitness. So very thankful to him. He is an asset to the hospital and for the people like me who think ACL is complicated and don't have confidence. Hats off and loads of respect to the Doctor.
I know this message looks too lengthy, but it was necessary to write about the ACL surgery and the real Hero Dr JV Srinivas.
Lots of Gratitude and Love,
Manasa Narayan
case 1:
16 yrs Hemophilia A boy, slipped and had trivial injury on his shoulder and head. His head injury went un-noticed by the patient but he had swelling in Right shoulder. He had high titre of inhibitor, that is the reason why he couldnot have specific treatment.
None could recollect about head injury. He reported in private Hospital at emergency in disorientation state( post 4 days of injury) and within 6 hours he started uttering repeated monosyllable and finally had aphasia. The CT Scan of brain revealed brain hemorrhage ( intracranial bleed with Subdural hematoma). On emergency, neurosurgeon decided to reduce the mass effect on brain by decompression osteotomy with drainage. It was a challanging state to plan for operation in the absence of recombinant Factor VII. In the joint effort of STHM and company support, worth of 5 lakhs expenditure, the 1st operation was done in one sitting. The parital scalp bone was removed and kept in abdominal fat for 2 months. After stabilization, again 2nd sitting of operation was done to replace back the scalp bone by removing from abdomen.
case 2:
A 13 yr hemophilia boy had long standing established fixed ankle deformity because of repeated joint bleed since childhood. The treatment with factor concentrate could not be opted at right time.
As he used to come from remote village. His gait became altered and gradually he was developing postural defect. He stopped going to school. With the help of physiotherapy and orthosis, his gait was apparently managed and progression of postural defect got halted. He rejoined school.
case 3:
14 yr hemophilia boy had an associated connective tissue disorder for which he had recurrent bleeding episodes in multiple joint, muscle and skin tissue. Bleed in subcutaneous tissue used to errupt the skin and gradually heal with scarification.
The best modality of treatment would have been prophylaxis to continue life long. The mother learnt to infuse her son but still unable to support because the system need to understand the basic requirement of the boy. They stay in remote village and to bring her son at least thrice or twice a week to the center for factor infusion is not possible. Now with growing age, the son is gradually detoriating. Her mother cannot carry to him to hospital in public transport and his father doesnot support.
case 4:
PWH (person with Hemophilia A ) of 23 yrs male, had hematoma in psoas muscle, which was reported as psoas abscess. Surgery was planned without getting into work up for bleeding profile. On the OT table, the abdomen was opened to drain the abscess.
But the situation lend into intractable bleed. On emergency basis, the wound was packed with guaze and he was sent to tertiary care hospital for further management. He was diagnosed with FACTOR VIII deficiency. On past history, he used to have often bleed event in the knee which was considered as rheumatoid arthritis and was treated for pain management. Now the approach was focussed on infusion of factor concentrate and was kept on ICU with nil orally for 15 days with the hope for conservative mode of healing. The modality of treatment was changed with us. First the patient was counseled for reducing his apprehension and anxiety of fear of bleeding. Then he was made to take food orally. Under the coverage of factor concentrates, the VAC was applied and he was made mobile from the next day. It was applied for 5 days. The deep cut wound was closed from within and finally stitched. On twelth day, his stitch was opened and he got discharged on 14th day.
case 5:
A PWH of 35 yrs old male, was diagnosed with knee tumor at a private nursing home and was opened up in surgery for removal of tumor mass under the coverage of plasma products
But the knee swelling was the common complication of chronic bleed sequence. The knee joint was opened and the hypertrophied synovium was taken out and finally was closed. (It was a case reported to us but we have reported as a lesson to educate community and health professionals.)
case 6:
A 17 yrs PWH had a post traumatic non-healing ulcerated knee lesion and that was gradually worsening with increase in dimension. He was wandering from hospital to hospital during the COVID time for 2 months.
Every time he was tested for COVID and kept on admission for factor infusion, antibiotics and half hearted dressing of the wound at the government hospital with factor supply. Basic mistake was with the non-availability of diagnostic support like inhibitor screening etc. The PWH reported to us, when he was asked to go outside state for treatment. With proper dressing , a streamlined procedure of treatment with judicious use of factor concentrate, he got completely cured from non-healing ulcer of the knee within 14 days and was discharged from hospital.